Medicaid and CHIP

Medicaid provides medical care for certain poor and low-income people, and the Children’s Health Insurance Program (CHIP) provides coverage mostly for children in low-income families that do not qualify for Medicaid. CBO’s work on Medicaid and CHIP includes projections of federal spending for the programs (including the effects of the Affordable Care Act), cost estimates for legislative proposals, and analyses of specific aspects of the programs and options for changing them.

Report
Who Went Without Health Insurance in 2019, and Why?
September 30, 2020
In 2019, about 12 percent of people under 65 were not enrolled in a health insurance plan or a government program that provides financial protection from major medical risks. In this report, CBO describes that uninsured population.
Report
Federal Subsidies for Health Insurance Coverage for People Under 65: 2020 to 2030
September 29, 2020
CBO and JCT project that federal subsidies, taxes, and penalties associated with health insurance coverage for people under age 65 will result in a net subsidy from the federal government of $920 billion in 2021 and $1.4 trillion in 2030.
Report
The 2020 Long-Term Budget Outlook
September 21, 2020
CBO presents its projections of what federal deficits, debt, spending, and revenues would be for the next 30 years if current laws governing taxes and spending generally did not change.
Report
Prices for and Spending on Specialty Drugs in Medicare Part D and Medicaid
March 18, 2019
In 2015, brand-name specialty drugs accounted for about 30 percent of net spending on prescription drugs under Medicare Part D and Medicaid, but they accounted for only about 1 percent of all prescriptions dispensed in each program.
Report
Exploring the Growth of Medicaid Managed Care
August 7, 2018
CBO presents information on enrollment in and spending for Medicaid managed care and analyzes factors affecting those measures—including the types of beneficiaries, geographic areas, and range of services that managed care programs cover.
Report
Dual-Eligible Beneficiaries of Medicare and Medicaid: Characteristics, Health Care Spending, and Evolving Policies
June 6, 2013
People eligible for both Medicare and Medicaid benefits—known as “dual-eligible beneficiaries”—are a varied group, but many have extensive health care needs and account for a disproportionate share of spending on Medicare and Medicaid.