Children's Health Insurance Program (CHIP) - Research and Data from KFF

Changes to Public Charge Regulations Will Likely Lead More Immigrant Families to Avoid Health Care and Assistance Programs

Nov 18, 2025

Quick Take

The proposed rule would likely lead to further declines in use of health care and programs among immigrant families. The Department of Homeland Security (DHS) suggests that one of the benefits of the rule would be “a reduction in the number of aliens dependent on public benefit programs” and notes that it will result in reduced federal and state payments for individuals who disenroll or forgo enrollment in programs.

Monthly Child Enrollment in Medicaid and CHIP

Nov 18, 2025

State Health Facts Indicator

Medicaid and Children’s Health: 5 Issues to Watch Amid Recent Federal Changes

Oct 15, 2025

Issue Brief

Major federal changes to Medicaid and other health-related policies could impact children’s health in the coming years. This issue brief explores the latest data on Medicaid and children’s health and highlights five key issues to watch as those federal changes are implemented.

The Impact of H.R. 1 on Two Medicaid Eligibility Rules

Sep 22, 2025

Issue Brief

This issue brief describes the impact of H.R.1's 10-year delay in implementing provisions in two Medicaid eligibility rules that would have reduced red tape. The delayed rules are projected to decrease federal spending and future Medicaid and CHIP enrollment and increase coverage loss.

Total CHIP Spending

Jul 3, 2025

State Health Facts Indicator

House Bill Would Penalize More States for Covering Immigrants, Including Lawfully Residing Children and Pregnant People

May 22, 2025

Quick Take

A revision made to the bill before it was considered by the Rules committee expanded the penalty from 14 states and DC that cover undocumented immigrants with state funds to 33 states and DC that use a federal option available in Medicaid and/or CHIP to expand coverage for lawfully residing children and/or pregnant people.

Medicaid and CHIP Eligibility, Enrollment, and Renewal Policies as States Resume Routine Operations

Apr 1, 2025

Report

A KFF survey of state Medicaid officials examines state Medicaid and CHIP eligibility, enrollment, and renewal policies in place as of January 2025 as states return to routine operations following the unwinding of the continuous enrollment provision. The survey finds that states have broadly adopted policy and system changes to automate and improve the accuracy and efficiency of Medicaid enrollment and renewal processes and provides a baseline of state policies ahead of potential changes to the program.

Annual Updates on Eligibility Rules, Enrollment and Renewal Procedures, and Cost-Sharing Practices in Medicaid and CHIP

Apr 1, 2025

Report

Since 2000, KFF's Program on Medicaid and the Uninsured has issued regular updates examining changes and trends in the eligibility rules, enrollment and renewal procedures and cost-sharing practices in Medicaid and CHIP. Those reports are compiled here.

The Math is Conclusive: Major Medicaid Cuts Are the Only Way to Meet House Budget Resolution Requirements

Mar 7, 2025

Quick Take

The CBO letter confirms early expectations, finding that over the next 10 years, 93% of non-Medicare spending in the E&C [House Energy & Commerce Committee] jurisdiction is from the federal share of Medicaid spending…Even if E&C eliminated all non-Medicaid and CHIP spending, the committee would need to cut federal spending on Medicaid and CHIP by well over $700 billion, nearly 10% of projected spending.

What Does the Federal Government Spend on Health Care?

Feb 24, 2025

Issue Brief

As Congressional Republicans and President Trump search for trillions of dollars in cuts to mandatory federal spending that could help offset the cost of extending expiring tax cuts, this brief analyzes current support from the federal government for health programs and services, including both spending and tax subsidies as context for those federal budget discussions.

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