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Children's Health Insurance Program

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1727:. The measure would have expanded coverage to over 4 million more participants by 2012, while phasing out most state expansions in the program that include any adults other than pregnant women. The bill called for a budget increase for five years totaling $ 35 billion, increasing total CHIP spending to $ 60 billion for the five-year period. Opposition to HR 976 focused on the $ 35 billion increase in government health insurance as well as $ 6.5 billion in Medicaid benefits to illegal immigrants. Originally intended to provide health care coverage to low-income children, HR 976 was criticized as a giveaway that would have benefited adults as well as non-U.S. citizens. The program expansion was to have been funded by sharply increasing federal excise taxes on tobacco products. On the other hand, opponents said this proposed expansion was for families with annual incomes up to $ 82,600 (400 percent of the federal poverty level) 1077: 4282: 1524:, with the stated goal of coverage up to five million children. Kennedy continued to write much of the bill, using the increase in tobacco taxes to pay the $ 20 billion price tag. In March 1997, Kennedy brought Republican Senator Orrin Hatch onto the legislation as co-sponsor; Kennedy and Hatch had worked together as an "odd couple" in the Senate before, and here Hatch said that "Children are being terribly hurt and perhaps scarred for the rest of their lives" and that "as a nation, as a society, we have a moral responsibility" to provide coverage. Hatch's role would infuriate some Republican colleagues and 1479: 1781: 1619:, CHIP funds are used to expand eligibility for the state's Medicaid program. Thus all Medicaid rules and regulations (including cost sharing and benefits) apply. Children from birth through age 18 who live in families with incomes above the Medicaid thresholds in 1996 and up to 200% of the federal poverty level are eligible for the CHIP Medicaid expansion program. In 2008, the maximum annual income needed for a family of four to fall within 100% of the federal poverty guidelines was $ 21,200, while 200% of the poverty guidelines was $ 42,400. 1751:, created firmer caps on income eligibility, prevented adults from joining, and banned children of illegal immigrants from receiving benefits. According to its opponents, however, this second proposed expansion was for families with annual incomes up to $ 62,000 (300 percent of the federal poverty level). The Senate passed the measure on November 1, 2007, but on December 12, 2007, Bush vetoed this bill as well, saying it was "essentially identical" to the earlier legislation, and a House vote in January 2008 failed to override the veto. 1129: 502:, who was elected chair following Rep. Pepper's death, emphasized his commitment to pursue legislative action not only on the commission's full set of recommendations but also on a "down payment"—to expand public health coverage immediately for children and pregnant women, consistent with the principles the commission put forward. The legislation would guarantee public insurance coverage through Medicaid for every American child living in poverty and offset the cost of the improvements by doubling the federal excise tax on cigarettes. 1473: 1070: 1861: 1584:. H.R. 2015 was introduced and sponsored by Rep John Kasich with no cosponsors. On 25 June 1997, H.R. 2015 passed House Vote Roll #241 mainly among partisan lines, 270 ayes and 162 nays, with most Democrats in the House of Representatives in opposition. On the same day, the bill passed in the Senate, with a substitute amendment, by unanimous consent. After a conference between the House and Senate, passage in both House (Roll #345: 346–85) and Senate (Roll #209: 85–15) on the conference substitute became more bipartisan. 1083: 1899: 113:. States are given flexibility in designing their CHIP policies within broad federal guidelines, resulting in variations regarding eligibility, benefits, and administration across different states. Many states contract with private companies to administer some portions of their CHIP benefits. Some states have received authority to use CHIP funds to cover certain adults, including pregnant women and parents of children receiving benefits from both CHIP and Medicaid. 4275: 1913: 20: 1532:
those needed to pay for the expansion of benefits. Kennedy and Hatch scoffed at the objection, with the former saying, "If we can keep people healthy and stop them from dying, I think most Americans would say 'Amen; isn't that a great result?' If fewer people smoke, states will save far more in lower health costs than they will lose in revenues from the cigarette tax." Republicans also criticized the bill as an open-ended
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employ a great deal of flexibility in eligibility and enrollment matters. The limits to this flexibility are described in the regulations, and states must describe their program characteristics in their CHIP state plans. Out of 50 state governors, 43 support CHIP renewal. Some states have incorporated the use of private companies to administer portions of their CHIP benefits. These programs, typically referred to as
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a pack of cigarettes to $ 1.01—an increase of tax on chewing tobacco from $ 0.195/lb. to $ 0.50/lb.—as well as tax increases on other tobacco products was proposed as a funding source for the program's expansion. On January 29, the Senate passed the House bill by a 66–32 margin, with two amendments. The House accepted the amended version on a vote of 290 to 135, and President Obama signed the bill into law as
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billion over 5 years by raising the tobacco tax with $ 20 billion going to expanded coverage for children under a block grant approach and $ 10 billion for deficit reduction. S. 525 was referred to the Senate Health Education Labor and Pensions (HELP) Committee. Hearings were held on the bill in the HELP Committee but legislation to expand coverage for children was never acted on in the HELP Committee.
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Clinton administration: a different variant of this approach, dubbed "Kids First", had been envisioned as a backup plan during the original 1993 Task Force on National Health Care Reform meetings. Additionally, Hillary Clinton had discussed an SCHIP-like program with a White House health policy coordinator during the time her full-blown health care plan had suffered political failure.
1596:. States may design their CHIP programs as an independent program separate from Medicaid (separate child health programs), use CHIP funds to expand their Medicaid program (CHIP Medicaid expansion programs), or combine these approaches (CHIP combination programs). States receive enhanced federal funds for their CHIP programs at a rate above the regular Medicaid match. 1692:, researchers determined that "for every 100 children who gain coverage as a result of CHIP, there is a corresponding reduction in private coverage of between 25 and 50 children." The CBO speculates this is because the state programs offer better benefits at lower cost to enrollees than the private alternatives. A briefing paper by libertarian think-tank 1866: 1865: 1862: 1867: 94:. Despite opposition from some conservatives, SCHIP was included in the Balanced Budget Act of 1997, which President Clinton signed into law in August 1997. At the time of its creation, SCHIP represented the largest expansion of taxpayer-funded health insurance coverage for children in the U.S. since the establishment of 1631:
that 9 out the 17 states that offer benefits to higher-earning families were already compliant. Opponents of this rule argued that signing up higher-income families makes lower-income families more likely to sign up, and that the rule was incompassionate toward children who would otherwise go without medical insurance.
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vetoed them as improper expansions. A two-year reauthorization bill was signed into law by the President in December 2007 that would merely extend current CHIP services without expanding any portion of the program. With the 2008 Presidential and Congressional elections giving Democrats control of the
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Children up to the age of 19 from families with incomes too high for Medicaid but below 200% to 300% of the federal poverty level (FPL) are typically eligible for CHIP. The exact income requirements can vary from state to state. Additionally, a child must be a U.S. citizen, a U.S. national, or have a
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Pressure was on to reduce the amount of grants involved, with $ 16 billion a possible compromise; Hillary Clinton instead argued for $ 24 billion. The Clinton administration had a deal with the Republican leadership in Congress that forbade the administration from backing any amendments to the budget
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An initial objection of Republicans in the Senate was that proposing to pay for the services by raising the federal tax on cigarettes, from 24 cents a pack to 67 cents a pack, ignored the likely consequence that sale of tobacco products would decrease and tax revenues would increasingly fall short of
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on a vote of 290–138. The bill authorized spending and added $ 32.8 billion to expand the health coverage program to include about 4 million more children, including coverage of legal immigrants with no waiting period for the first time. A cigarette tax increase of 62 cents—bringing the total tax on
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vetoed the bill, stating that he believed it would "federalize health care", expanding the scope of CHIP much farther than its original intent. The veto was the fourth of his administration. After his veto, Bush said he was open to a compromise that would entail more than the $ 5 billion originally
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In August 2007, the Bush Administration announced a rule requiring states (as of August 2008) to sign up 95% of families with children earning 200% of the federal poverty level, before using the funds to serve families earning more than 250% of the federal poverty level. The federal government said
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The 1996 Bipartisan Budget Agreement made net reductions in federal Medicaid spending over a five-year period but anticipated an additional $ 16 billion in spending on children's health care over the same period. However, it did not provide details on how that money would be spent. In 1997, several
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CHIP covered 7.6 million children during federal fiscal year 2010, and every state has an approved plan. Nonetheless, the number of uninsured children continued to rise after 1997, particularly among families that did not qualify for CHIP. An October 2007 study by the Vimo Research Group found that
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States are allowed to use Medicaid and CHIP funds for premium assistance programs that help eligible individuals purchase private health insurance. As of 2008 relatively few states had premium assistance programs, and enrollment was relatively low. Interest in this approach remained high, however.
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States with separate child health programs follow the regulations described in Section 42 of the Code of Federal Regulations, Section 457. Separate child health programs have much more flexibility than Medicaid programs. Separate programs can impose cost sharing, tailor their benefit packages, and
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Kennedy did not give up on the measure, saying: "We shall offer it again and again until we prevail. It's more important to protect children than to protect the tobacco industry." Both Bill and Hillary Clinton argued for including the children's health insurance in subsequent legislation. The bill
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Meanwhile, in December 1996 First Lady Hillary Rodham Clinton examined several possible initiatives and decided expanding health care insurance to children who had none was the one to advance, especially as its focus on children would be politically popular. This had precedents from earlier in the
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continued to argue for expanded coverage for children. He referenced an amendment for accelerated coverage children and pregnant women offered during the Senate Finance Committee's health care reform markup that was adopted by a bipartisan majority of 12 to 8 as evidence that there was bipartisan
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assembled a task force to write a comprehensive health reform bill, and he worked with Congress to introduce the Health Security Act (HSA) in November 1993. It included provisions such as universal coverage and a basic benefit package, health insurance reform, and consumer choice of health plans.
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onto the legislation as a co-sponsor. Kennedy and Hatch had worked together as an "odd couple" in the Senate before, and here Hatch said that "Children are being terribly hurt and perhaps scarred for the rest of their lives" and that "as a nation, as a society, we have a moral responsibility" to
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or higher as more employers dropped dependents or dropped coverage altogether due to annual premiums nearly doubling between 2000 and 2006. A 2007 study from researchers at Brigham Young University and Arizona State found that children who drop out of CHIP cost their states more money due to the
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On January 22, 2018, President Trump signed legislation that reauthorized CHIP for six years. Bill H.195 (known as the Federal Register Printing Savings Act of 2017, including Extension of Continuing Appropriations Act, 2018) passed the House by a vote of 266-150 and passed the Senate a vote of
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On April 8, 1997, Senators Kennedy and Hatch introduced S. 525, the "Child Health Insurance and Lower Deficit Act (CHILD). This legislation amended the Public Health Service Act to create a new grant program for states to purchase private health insurance for children. It proposed to raise $ 30
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guidelines. CHIP Medicaid expansion programs typically use the same names for the expansion and Medicaid programs. Separate child health programs typically have different names for their programs. A few states also call the CHIP program by the term "Children's Health Insurance Program" (CHIP).
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was formed in 1989 and charged with recommending "legislative action to ensure coverage for all Americans." The commission, renamed the Pepper Commission in honor of its creator and first chair Representative Claude Pepper (D-Fla.), laid out a blueprint to achieve universal coverage. Given the
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Other states have similar CHIP guidelines, with some states being more generous or restrictive in the number of children they allow into the program. With the exception of Alaska, Idaho, North Dakota and Oklahoma, all states have a minimum threshold for coverage at 200% of the federal poverty
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By February 1999, 47 states had set up CHIP programs, but it took effort to get children enrolled. That month, the Clinton administration launched the "Insure Kids Now" campaign, designed to get more children enrolled; the campaign would fall under the aegis of the
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situations. The conclusion of the study is that an attempt to cut the costs of a state healthcare program could create a false savings because other government organizations pick up the tab for the children who lose insurance coverage and later need care.
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increased use of emergency care. A 2018 survey of the existing research noted that the availability of "CHIP coverage for children has led to improvements in access to health care and to improvements in health over both the short-run and the long-run."
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SCHIP was created in 1997 as a ten-year program; to continue past federal fiscal year 2007, passage of a reauthorization bill was required. The first two reauthorization bills to pass through Congress would also expand the program's scope; President
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resolution. On May 22, it was so done, with the necessary cigarette tax amendment defeated by a 55–45 margin. but Kennedy was surprised and angered by it, considering it a betrayal, and saying that his calls to Bill Clinton and Vice President
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introduced the Keeping Kids' Insurance Dependable and Secure (KIDS) Act (Bill S.1827), which would fund CHIP until 2022. On November 3, 2017, the House of Representatives passed the CHAMPION Act, which also would fund CHIP until 2022.
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support to provide assistance to children. He also went on to say expanding coverage for children was essential to reforming the welfare system to "prevent families from having to go and off welfare to qualify for Medicaid."
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81–18. Fifteen Senate Democrats and 144 House Democrats voted against the bill because they objected to ending a three-day government shutdown without legally enshrining the DACA program for certain undocumented immigrants.
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On October 18, 2007, the House of Representatives fell 13 votes short (273–156) of the two-thirds majority required to override the president's veto, although 44 Republicans joined 229 Democrats in supporting the measure.
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lobbied for its passage, putting public pressure on Congress; Kennedy urged Clinton to use her influence within the White House. SCHIP was then passed and signed into law by Bill Clinton on August 5, 1997, as part of the
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A 2018 survey of the existing research noted that the availability of "CHIP coverage for children has led to improvements in access to health care and to improvements in health over both the short-run and the long-run."
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as a way to pay for the expanded coverage. Thus, in October 1996, Kennedy introduced a bill to provide health care coverage for children of the working poor, to be financed via a 75 cents a pack cigarette tax increase.
3585: 1792:'s inauguration and the Democrats' increased majorities in both houses of Congress, legislative leaders moved quickly to break the political stalemate over CHIP expansion. On January 14, 2009, the House passed 4677: 1389: 1243: 4718: 2361: 4687: 4672: 1394: 1384: 2379: 1577:, Bill Clinton, and Hillary Clinton. About the last, Kennedy said, "Mrs. Clinton ... was of invaluable help, both in the fashioning and the shaping of the program and also as a clear advocate." 522:
members of Congress introduced bills to cover uninsured children using that $ 16 billion, and the two most popular proposals were the Chafee-Rockefeller proposal and the Kennedy-Hatch proposal.
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After the HSA failed in the fall of 1994, congressional leaders and the administration recognized the need for an incremental, bipartisan approach to health care reform. Senator
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in 1965. The Children's Health Insurance Reauthorization Act of 2009 extended CHIP and expanded the program to cover an additional 4 million children and pregnant women, and the
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Like Medicaid, CHIP is a partnership between federal and state governments. The programs are run by the individual states according to requirements set by the federal
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had not been returned. Hatch was also upset, saying that Lott may have been bluffing and that, "I think the President and the people in the White House caved here."
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Within a week of the failed veto override vote, the House passed a second bill attempting a similar expansion of CHIP. According to Democrats, the second bill,
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Oval Office as well as expanded majorities in both houses of Congress, CHIP was reauthorized and expanded in the same bill through fiscal year 2013.
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to families with children. The program was designed to cover uninsured children in families with incomes that are modest but too high to qualify for
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CHIP expired on September 30, 2017. At the time, most states had sufficient funds to keep the program running for a period of months.
4147: 3241: 793: 462: 150: 2653: 4656: 3035:"Political posturing obscures the issue Insuring health care for poor children should be highest priority as Congress votes By Rep" 2080: 1369: 1057: 1030: 3400: 2341: 4723: 4038: 3981: 3550: 1569:, to take effect the following month. At a press conference following the signing, Kennedy thanked Hatch, Senate Minority Leader 1364: 1052: 1037: 1025: 1010: 798: 756: 749: 622: 245: 4476: 4374: 4207: 4104: 3481: 1157: 570: 314: 125:
Fact remains that SCHIP covered millions of low income children who otherwise would not have had healthcare access since 1997.
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found that children who drop out of CHIP cost states more money because they shift away from routine care to more frequent
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Plaut, TF; Arons, BS (September 1994). "President Clinton's proposal for health care reform: key provisions and issues".
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budgeted, but would not agree to any proposal drastically expanding the number of children eligible for coverage.
4758: 4753: 4502: 4395: 4199: 3921: 3912: 3716: 1769:, which extended CHIP funding through March 31, 2009, and the President signed it into law on December 21, 2007. 1489: 1464: 1444: 1439: 865: 828: 672: 293: 287: 281: 136: 4379: 4369: 4242: 4068: 3940: 2435: 1292: 1213: 1188: 534: 197: 4869: 4140: 3966: 1884: 687: 2176:"THE HEALTH CARE DEBATE: IN THEIR OWN WORDS; Why Health Care Fizzled: Too Little Time and Too Much Politics" 4560: 4507: 3976: 2549: 1780: 1193: 1093: 870: 761: 667: 657: 263: 227: 118: 3375: 1766: 4893: 4359: 4306: 4094: 4058: 1689: 1581: 1566: 1208: 914: 860: 778: 550:
provide coverage. Hatch's role would infuriate some Republican colleagues and conservative commentators.
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was indeed revived by Kennedy and Hatch a month after its initial defeat. Organizations from the
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was an early opponent of the measure, calling it a "big-government program" that would not pass.
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estimated the "crowding out" of private insurers by the public program could be as much as 60%.
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68.7 percent of newly uninsured children were in families whose incomes were 200 percent of the
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Sultz, H., & Young, K. Health Care USA Understanding its Organization and Delivery pg. 257
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to discuss the feasibility of a national initiative. Kennedy also saw using an increase in
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In 2007, both houses of Congress passed a bipartisan measure to expand the CHIP program,
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Rockefeller, John D. (18 January 1995). "Moving Ahead With Health Care System Reform".
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The reauthorization bill also changed the program's name from "SCHIP" to simply "CHIP"
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Federal Register, Vol. 73, No. 15, January 23, 2008, pp. 3971-3972. Also see
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with Republican cosponsor, Representative Margaret Scafati Roukema (R-NJ).
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Georgetown University Center for Children and Families resources on SCHIP
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The Children's Health Insurance Program grew out of years of work in the
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Health Insurance program for families administered by the United States
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BEN KAMISAR, MELANIE ZANONA AND CRISTINA MARCOS (February 9, 2018).
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to improve Americans' health coverage. Almost a decade prior, the
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Health Information Technology for Economic and Clinical Health Act
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This article incorporates text from this source, which is in the
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CHIP was formulated in the aftermath of the failure of President
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2017 expiration and 2018 reauthorization for 6 additional years
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The new initiative was proposed at Bill Clinton's January 1997
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Karen Tumulty; Michael Duffy; Massimo Calabresi (2008-03-13).
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Medicare Prescription Drug, Improvement, and Modernization Act
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CHIP was designed as a federal-state partnership similar to
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speaks about the need to re-authorize CHIP in January 2018.
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2010 funding via Patient Protection and Affordable Care Act
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UN Special Representative on Sexual Violence in Conflict
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CHIP at the Centers for Medicare & Medicaid Services
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U.S. Bipartisan Commission on Comprehensive Health Care
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CHIP is located at Title IV, subtitle J of H.R. 2015
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United States Department of Health and Human Services
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Bush's False Claims About Children's Health Insurance
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JAMA: The Journal of the American Medical Association
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United States Department of Health and Human Services
3588:(Press release). Washington, D.C.: Sen. Orin Hatch. 1894: 1835:
Medicare Access and CHIP Reauthorization Act of 2015
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challenges of comprehensive health reform, Governor
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Health Insurance Portability and Accountability Act
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Logo of the Department of Health and Human Services
3431:"Senate Passes Health Insurance Bill for Children" 3276: 2584:"Orrin Hatch Turns Out To Be A Latter Day Liberal" 1799: 1755: 165:/ State Health Insurance Assistance Program (SHIP) 3479: 1649:State Children's Health Insurance Program in Utah 59:. The program was passed into law as part of the 4913: 3059: 2703:"Balanced Budget Act of 1997 (1997 - H.R. 2015)" 2676: 2578: 2459:Shailagh Murray; Jonathan Weisman (2008-03-24). 323:Emergency Medical Treatment and Active Labor Act 3327:"President Bush vetoes child health bill again" 3277:Stolberg, Sheryl Gay; Carl Hulse (2007-10-04). 2965:"The State Children's Health Insurance Program" 2548: 1837:(MACRA), and it was signed by President Obama. 3848: 3376:"Obama Signs Children's Health Insurance Bill" 3369: 3367: 2679:"States to Give More Children Health Coverage" 2491:"Hatch Joins Kennedy to Back a Health Program" 2461:"Both Obama And Clinton Embellish Their Roles" 2425: 2342:"Hatch Joins Kennedy to Back a Health Program" 2265: 505:Quickly after his election in 1992, President 4169:11th Chancellor of Queen's University Belfast 4141: 3906: 3109: 2987: 2512: 2510: 2454: 2452: 2303: 2301: 2299: 2297: 2295: 2293: 2291: 2289: 1660:qualified immigration status to be eligible. 1497: 1101: 470: 192:Program of All-Inclusive Care for the Elderly 4411:Arkansas Advocates for Children and Families 4238:Quadrennial Diplomacy and Development Review 3881:United States Social Security Administration 3244:Bush Vetoes Children's Health Insurance Plan 3179:Paulton, John (February 2009). "Game Plan". 2644: 2642: 2640: 2638: 2607: 2605: 2603: 2516: 1602:Health Resources and Services Administration 102:extended CHIP's authorization through 2029. 3364: 2755:(Press release). 1999-04-20. Archived from 2730:(Press release). 1999-02-23. Archived from 2648: 2611: 2421: 2419: 2417: 2415: 2261: 2259: 2257: 2255: 2253: 2196: 2104: 4243:Foreign policy of the Obama administration 4148: 4134: 3913: 3899: 3804:Centers for Medicare and Medicaid services 3239: 2778:"Overriding the SCHIP Veto by the Numbers" 2507: 2449: 2286: 2155: 1823:Patient Protection and Affordable Care Act 1594:Centers for Medicare and Medicaid Services 1504: 1490: 1108: 1094: 477: 463: 353:Patient Protection and Affordable Care Act 341:Patient Safety and Quality Improvement Act 111:Centers for Medicare and Medicaid Services 4365:State Children's Health Insurance Program 3768:"Trump signs budget deal ending shutdown" 3456:"Obama signs kids' health insurance bill" 3279:"Bush Vetoes Child Health Bill Privately" 3199: 2970:. Congressional Budget Office. 2007-05-10 2911:Rimsza ME, Butler RJ, Johnson WG (2007). 2635: 2600: 2268:"Clinton role in health program disputed" 2122: 1883:On February 9, 2018, Congress passed the 663:Sexual assault and misconduct allegations 151:Federal Employees Health Benefits Program 76:comprehensive health care reform proposal 37:State Children's Health Insurance Program 4932:United States federal health legislation 4482:"Women's Rights Are Human Rights" (1995) 3428: 3141: 2412: 2250: 2178:. The New York Times. September 27, 1994 1859: 1825:included funding for CHIP through 2015. 1784:Signing ceremony for the reauthorization 1779: 18: 3982:Temporary Assistance for Needy Families 3523: 3504: 3209:Bush vetoes child health insurance plan 3178: 3151:GovTrack: H.R. 976: Text of Legislation 1828: 1775: 1713: 1654: 1587: 4922:Children's health in the United States 4914: 4105:Social Security debate (United States) 3849:Rodham Clinton, Hillary (1997-08-05). 3714: 3303:"Final Vote Results for Roll Call 982" 3062:"More SCHIP: Revived but already dead" 2237:Center on Budget and Policy Priorities 1135:This article is part of a series about 4927:Medicare and Medicaid (United States) 4129: 3894: 3742:"FINAL VOTE RESULTS FOR ROLL CALL 69" 3548: 2105:Rockefeller, John (October 4, 1990). 2052:. Vimo Research Group. Archived from 1951:Health insurance in the United States 1229:White House travel office controversy 259:Health insurance in the United States 100:Consolidated Appropriations Act, 2023 43:) – is a program administered by the 3972:Social Security Disability Insurance 3462:. Associated Press. February 4, 2009 3373: 3060:Galloway, J; Kemper B (2007-09-21). 2488: 2075: 2073: 2044: 1941:Cigarette taxes in the United States 1821:The 2010 passage and signing of the 4612:2006 US Senate election in New York 4607:2000 US Senate election in New York 4302:Family Entertainment Protection Act 4258:UN Security Council Resolution 1888 4155: 3851:"Our Chance for Healthier Children" 3429:Connolly, Ceci (January 30, 2009). 2957: 2111:The New England Journal of Medicine 1642:California Healthy Families Program 1184:Children's Health Insurance Program 739:42nd President of the United States 545:Kennedy brought Republican Senator 186:Children's Health Insurance Program 29:Children's Health Insurance Program 13: 4054:Social Security Amendments of 1965 3607: 3480:O'Neill Hayes, Tara (2017-07-17). 3266:. White House. September 28, 2007. 3240:Abramowitz, Michael (2007-10-03). 1804:Tooltip Public Law (United States) 1760:Tooltip Public Law (United States) 1699: 1634: 1536:, although it was structured as a 682:40th and 42nd Governor of Arkansas 14: 4953: 4406:Tenures as First Lady of Arkansas 3962:Disability Determination Services 3869: 3715:Byrnes, Jesse (9 February 2018). 3374:Pear, Robert (February 4, 2009). 2428:"Giving Hillary Credit for SCHIP" 2070: 1455:Tenures as First Lady of Arkansas 1234:White House FBI files controversy 4530:An Invitation to the White House 4280: 4273: 4180:United States Secretary of State 3066:The Atlanta Journal-Constitution 2339: 2211:10.1001/jama.1995.03520270086044 2137: 1925: 1911: 1897: 1848:On September 18, 2017, Senators 1477: 1471: 1127: 1081: 1075: 1068: 583: 382:Massachusetts health care reform 4200:First Lady of the United States 3922:Social Security (United States) 3833:. February 2007. Archived from 3831:Health Policy Institute of Ohio 3759: 3734: 3708: 3653: 3642: 3631: 3578: 3567: 3542: 3524:Strauss, Valerie (2017-10-01). 3517: 3498: 3473: 3448: 3422: 3393: 3340: 3319: 3308:. U.S. House of Representatives 3270: 3256: 3123:. FactCheck.org. Archived from 3027: 3002: 2981: 2879: 2854: 2837: 2815: 2796: 2770: 2745: 2720: 2695: 2677:Peter T. Kilborn (1997-09-21). 2670: 2572: 2542: 2390: 2372: 2354: 2333: 2225: 1573:, Children's Defense Fund head 1169:First Lady of the United States 294:Preferred provider organization 288:Health maintenance organization 282:Exclusive provider organization 137:Healthcare in the United States 4487:"Basket of deplorables" (2016) 4401:Career in corporate governance 4380:White House Millennium Council 4370:Adoption and Safe Families Act 4069:Windfall Elimination Provision 3941:Social Security Administration 2190: 2168: 2149: 2098: 2007: 1982: 1973: 1450:Career in corporate governance 1214:White House Millennium Council 1189:Adoption and Safe Families Act 535:Massachusetts state legislator 253:Private Fee-For-Service (PFFS) 198:Veterans Health Administration 173:Prescription Assistance (SPAP) 1: 4657:2016 US presidential election 3967:Retirement Insurance Benefits 3696:www.appropriations.senate.gov 3037:. 8 July 2008. Archived from 3010:"Congressman Robert Aderholt" 2426:Brooks Jackson (2008-03-18). 2266:Susan Milligan (2008-03-14). 1966: 1885:Bipartisan Budget Act of 2018 1833:In 2015, Congress passed the 264:Health insurance marketplaces 4942:111th United States Congress 4937:110th United States Congress 4452:State Department controversy 4375:Foster Care Independence Act 3977:Supplemental Security Income 3810:. 2007-09-24. Archived from 3592:. 2017-09-18. Archived from 3505:Hagland, Mark (2015-04-17). 2823:"Medicaid and CHIP Programs" 2782:Center for American Progress 2408:(54): H2089. April 30, 1997. 1420:State Department controversy 1244:Response to Lewinsky scandal 1204:"Vast right-wing conspiracy" 1194:Foster Care Independence Act 557:On April 30, 1997, Senators 228:Health reimbursement account 7: 4683:screen and stage performers 4307:Flag Protection Act of 2005 4095:Office of the Chief Actuary 4059:Social Security Death Index 3014:Congressman Robert Aderholt 2517:James Carney (1997-04-21). 2489:Pear, Robert (1997-03-14). 2124:10.1056/NEJM199010043231429 2045:Espe, Erik (October 2007). 1890: 1690:Congressional Budget Office 1582:Balanced Budget Act of 1997 1567:Balanced Budget Act of 1997 1400:Screen and stage performers 1375:Vice Presidential Selection 240:High-deductible health plan 61:Balanced Budget Act of 1997 10: 4958: 4431:Cattle futures controversy 4421:Legal Services Corporation 4349:Vast right-wing conspiracy 4271: 4064:Social Security Trust Fund 3936:History of Social Security 3791: 3549:Chang, Clio (2017-09-28). 2047:"The Uninsured In America" 1742: 1688:In a 2007 analysis by the 1672:In 2007, researchers from 1522:State of the Union address 1390:Non-political endorsements 1344:2016 presidential campaign 1315:2008 presidential campaign 1250:U.S. Senator from New York 1239:Cattle futures controversy 533:pediatrics director and a 442:Fair Share Health Care Act 402:Vermont health care reform 217:Consumer-driven healthcare 145:Government health programs 128: 35:) – formerly known as the 4885: 4814: 4772: 4741: 4655: 4620: 4599: 4588: 4495: 4467: 4439: 4388: 4338:Travel office controversy 4315: 4289: 4218: 4163: 4110:Social Security Wage Base 4077: 4026: 4000: 3954: 3928: 2158:Hosp Community Psychiatry 1788:In the wake of President 1718: 1663: 1526:conservative commentators 824:White House travel office 414:Municipal health coverage 222:Flexible spending account 4764:Clinton National Airport 4724:General election debates 4360:Save America's Treasures 4100:Primary Insurance Amount 3352:www.commonwealthfund.org 2849:Kaiser Family Foundation 2402:The Congressional Record 2384:The Congressional Record 1674:Brigham Young University 1209:Save America's Treasures 994:Supreme Court candidates 871:Clinton–Lewinsky scandal 841:Operation Infinite Reach 632:Nonprofit organizations 592:This article is part of 571:House of Representatives 420:Healthcare in California 4570:The Book of Gutsy Women 4328:1993 health care reform 3689:"Appropriations report" 1558:Children's Defense Fund 1273:U.S. Secretary of State 641:Clinton Bush Haiti Fund 246:Medical savings account 211:Private health coverage 4707:running mate selection 4624:presidential primaries 4522:Dear Socks, Dear Buddy 4426:Whitewater controversy 4210:(1979–1981, 1983–1992) 4208:First Lady of Arkansas 3946:Social Security number 3511:Healthcare Informatics 2929:10.1542/peds.2006-2747 1876: 1785: 1562:Girl Scouts of the USA 1385:Political endorsements 1293:Obama's foreign policy 1224:Whitewater controversy 1005:Presidential campaigns 967:One America Initiative 450:(Howard Co., Maryland) 234:Health savings account 177:Military Health System 24: 4901:Activities after 2016 4846:Dorothy Howell Rodham 4719:Democratic opposition 4343:FBI files controversy 3992:Unemployment benefits 3486:American Action Forum 1870: 1813:on February 4, 2009. 1783: 1610:Medicaid managed care 1575:Marian Wright Edelman 1460:Activities after 2016 1380:Basket of deplorables 905:1993 health care plan 836:Republican Revolution 531:Boston Medical Center 425:Healthy San Francisco 157:Indian Health Service 119:federal poverty level 22: 4729:Hillary Victory Fund 4697:Democratic primaries 4600:Senatorial elections 4508:Senior thesis (1969) 4323:Tenure as First Lady 3411:on February 17, 2009 1905:United States portal 1829:2015 reauthorization 1776:2009 reauthorization 1730:On October 3, 2007, 1714:2007 reauthorization 1655:Eligibility for CHIP 1588:State administration 779:Presidential library 302:Medical underwriting 4796:Hillary and Clinton 4788:Saturday Night Live 4514:It Takes a Village 4477:Political positions 4228:Tenure as Secretary 4049:Social Security Act 4044:Revenue Act of 1942 3955:Assistance programs 3405:NCI Cancer Bulletin 3250:The Washington Post 2988:Michael F. Cannon. 2531:on February 8, 2009 2519:"Hatching Mischief" 2466:The Washington Post 1994:healthinsurance.org 1534:entitlement program 1158:Political positions 915:Balanced Budget Act 65:Social Security Act 4806:(2020 documentary) 4447:Clinton Foundation 3855:The New York Times 3748:. February 9, 2018 3283:The New York Times 2887:"CHIP Eligibility" 2809:2011-03-02 at the 2683:The New York Times 2658:The New York Times 2622:The New York Times 2554:"Sen. Orrin Hatch" 2495:The New York Times 2347:The New York Times 1877: 1786: 1415:Clinton Foundation 811:1995–1996 shutdown 646:One America Appeal 387:Oregon Health Plan 366:State level reform 315:Health care reform 269:Premium tax credit 25: 4909: 4908: 4897:(2011 photograph) 4749:Awards and honors 4737: 4736: 4688:other celebrities 4554:Stronger Together 4253:Email controversy 4123: 4122: 4115:Years of coverage 3329:. CNN. 2007-12-13 2784:. 17 October 2007 2322:on March 15, 2008 2117:(14): 1005–1007. 1868: 1514: 1513: 1435:Honors and awards 1303:Email controversy 1163:Electoral history 1150: 1149: 1118: 1117: 794:Executive actions 609: 608: 487: 486: 4949: 4597: 4596: 4284: 4283: 4277: 4276: 4248:Hillary Doctrine 4211: 4203: 4195: 4183: 4172: 4150: 4143: 4136: 4127: 4126: 4034:Disability fraud 3915: 3908: 3901: 3892: 3891: 3864: 3862: 3861: 3845: 3843: 3842: 3822: 3820: 3819: 3785: 3784: 3782: 3780: 3763: 3757: 3756: 3754: 3753: 3738: 3732: 3731: 3729: 3727: 3712: 3706: 3705: 3703: 3702: 3693: 3685: 3676: 3675: 3673: 3671: 3657: 3651: 3646: 3640: 3635: 3629: 3628: 3626: 3625: 3611: 3605: 3604: 3602: 3601: 3582: 3576: 3571: 3565: 3564: 3562: 3561: 3555:The New Republic 3546: 3540: 3539: 3537: 3536: 3521: 3515: 3514: 3502: 3496: 3495: 3493: 3492: 3477: 3471: 3470: 3468: 3467: 3452: 3446: 3445: 3443: 3441: 3426: 3420: 3419: 3417: 3416: 3397: 3391: 3390: 3388: 3386: 3371: 3362: 3361: 3359: 3358: 3344: 3338: 3337: 3335: 3334: 3323: 3317: 3316: 3314: 3313: 3307: 3299: 3293: 3292: 3290: 3289: 3274: 3268: 3267: 3260: 3254: 3253: 3237: 3228: 3227: 3225: 3224: 3215: 3203: 3197: 3196: 3176: 3167: 3166: 3164: 3163: 3157: 3145: 3139: 3138: 3136: 3135: 3129: 3113: 3107: 3106: 3104: 3103: 3094: 3082: 3076: 3075: 3073: 3072: 3057: 3051: 3050: 3048: 3046: 3031: 3025: 3024: 3022: 3020: 3006: 3000: 2999: 2997: 2996: 2985: 2979: 2978: 2976: 2975: 2969: 2961: 2955: 2954: 2952: 2951: 2908: 2902: 2901: 2899: 2897: 2883: 2877: 2876: 2874: 2872: 2858: 2852: 2841: 2835: 2834: 2832: 2830: 2819: 2813: 2800: 2794: 2793: 2791: 2789: 2774: 2768: 2767: 2765: 2764: 2749: 2743: 2742: 2740: 2739: 2724: 2718: 2717: 2715: 2713: 2699: 2693: 2692: 2690: 2689: 2674: 2668: 2667: 2665: 2664: 2646: 2633: 2632: 2630: 2629: 2609: 2598: 2597: 2595: 2594: 2580:Phyllis Schlafly 2576: 2570: 2569: 2567: 2566: 2546: 2540: 2539: 2537: 2536: 2527:. 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Rodham 4837: 4831: 4825: 4818: 4816: 4812: 4811: 4809: 4808: 4800: 4792: 4784: 4776: 4774: 4770: 4769: 4767: 4766: 4761: 4756: 4751: 4745: 4743: 4739: 4738: 4735: 4734: 4732: 4731: 4726: 4721: 4716: 4715: 4714: 4709: 4704: 4694: 4693: 4692: 4691: 4690: 4685: 4675: 4667: 4661: 4659: 4653: 4652: 4650: 4649: 4644: 4639: 4634: 4628: 4626: 4618: 4617: 4615: 4614: 4609: 4603: 4601: 4594: 4586: 4585: 4583: 4582: 4574: 4566: 4558: 4550: 4542: 4538:Living History 4534: 4526: 4518: 4510: 4505: 4499: 4497: 4493: 4492: 4490: 4489: 4484: 4479: 4473: 4471: 4465: 4464: 4462: 4461: 4456: 4455: 4454: 4443: 4441: 4437: 4436: 4434: 4433: 4428: 4423: 4418: 4413: 4408: 4403: 4398: 4392: 4390: 4386: 4385: 4383: 4382: 4377: 4372: 4367: 4362: 4357: 4352: 4345: 4340: 4335: 4330: 4325: 4319: 4317: 4313: 4312: 4310: 4309: 4304: 4299: 4293: 4291: 4287: 4286: 4272: 4270: 4268: 4267: 4266: 4265: 4255: 4250: 4245: 4240: 4235: 4230: 4224: 4222: 4216: 4215: 4213: 4212: 4204: 4196: 4184: 4173: 4171:(2020–present) 4164: 4161: 4160: 4153: 4152: 4145: 4138: 4130: 4121: 4120: 4118: 4117: 4112: 4107: 4102: 4097: 4092: 4087: 4081: 4079: 4075: 4074: 4072: 4071: 4066: 4061: 4056: 4051: 4046: 4041: 4036: 4030: 4028: 4024: 4023: 4021: 4020: 4015: 4010: 4004: 4002: 3998: 3997: 3995: 3994: 3989: 3987:Ticket to Work 3984: 3979: 3974: 3969: 3964: 3958: 3956: 3952: 3951: 3949: 3948: 3943: 3938: 3932: 3930: 3926: 3925: 3918: 3917: 3910: 3903: 3895: 3889: 3888: 3883: 3878: 3871: 3870:External links 3868: 3866: 3865: 3846: 3823: 3795: 3793: 3790: 3787: 3786: 3758: 3733: 3707: 3677: 3652: 3641: 3638:H.R. 3922 3630: 3615:"Chipped away" 3606: 3577: 3566: 3541: 3516: 3497: 3472: 3447: 3421: 3392: 3363: 3339: 3318: 3294: 3269: 3255: 3229: 3198: 3168: 3140: 3108: 3097:Whitehouse.gov 3077: 3052: 3026: 3001: 2980: 2956: 2903: 2878: 2853: 2836: 2814: 2795: 2769: 2744: 2719: 2694: 2669: 2652:(1997-05-22). 2634: 2615:(1997-05-21). 2599: 2582:(1997-03-25). 2571: 2552:(2004-02-20). 2541: 2506: 2478: 2448: 2411: 2389: 2371: 2353: 2340:Pear, Robert. 2332: 2285: 2249: 2224: 2189: 2167: 2148: 2097: 2069: 2037: 2006: 1981: 1971: 1970: 1968: 1965: 1964: 1963: 1958: 1953: 1948: 1943: 1937: 1936: 1922: 1908: 1892: 1889: 1842: 1839: 1830: 1827: 1818: 1815: 1777: 1774: 1764:110–173 (text) 1749:H.R. 3963 1744: 1741: 1732:President Bush 1720: 1717: 1715: 1712: 1707:George W. Bush 1701: 1698: 1694:Cato Institute 1682:emergency care 1665: 1662: 1656: 1653: 1652: 1651: 1645: 1636: 1633: 1589: 1586: 1512: 1511: 1509: 1508: 1501: 1494: 1486: 1483: 1482: 1468: 1467: 1462: 1457: 1452: 1447: 1442: 1437: 1430: 1429: 1424: 1423: 1422: 1409: 1405: 1404: 1403: 1402: 1397: 1387: 1382: 1377: 1372: 1367: 1362: 1357: 1352: 1346: 1343: 1342: 1339: 1338: 1333: 1328: 1323: 1317: 1314: 1313: 1311: 1310: 1305: 1300: 1295: 1290: 1285: 1280: 1272: 1270: 1269: 1264: 1258: 1257: 1249: 1247: 1246: 1241: 1236: 1231: 1226: 1221: 1216: 1211: 1206: 1201: 1196: 1191: 1186: 1181: 1176: 1168: 1166: 1165: 1160: 1152: 1151: 1148: 1147: 1132: 1116: 1115: 1113: 1112: 1105: 1098: 1090: 1087: 1086: 1067: 1063: 1062: 1061: 1060: 1055: 1050: 1045: 1035: 1034: 1033: 1028: 1023: 1018: 1007: 1004: 1003: 999: 998: 997: 996: 989:Federal judges 986: 980: 977: 976: 972: 971: 970: 969: 964: 959: 953:Social issues 951: 950: 949: 944: 939: 932:Foreign policy 929: 924: 919: 918: 917: 912: 907: 896: 891: 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3098: 3091: 3089: 3081: 3067: 3063: 3056: 3041:on 2008-07-08 3040: 3036: 3030: 3015: 3011: 3005: 2991: 2984: 2966: 2960: 2946: 2942: 2938: 2934: 2930: 2926: 2922: 2918: 2914: 2907: 2892: 2888: 2882: 2867: 2863: 2857: 2850: 2846: 2840: 2824: 2818: 2812: 2808: 2805: 2799: 2783: 2779: 2773: 2759:on 2004-07-07 2758: 2754: 2748: 2734:on 2008-05-11 2733: 2729: 2723: 2708: 2704: 2698: 2684: 2680: 2673: 2659: 2655: 2651: 2645: 2643: 2641: 2639: 2624: 2623: 2618: 2614: 2608: 2606: 2604: 2589: 2585: 2581: 2575: 2561: 2560: 2555: 2551: 2545: 2530: 2526: 2525: 2520: 2513: 2511: 2496: 2492: 2485: 2483: 2468: 2467: 2462: 2455: 2453: 2438:on 2008-03-22 2437: 2433: 2432:FactCheck.org 2429: 2422: 2420: 2418: 2416: 2407: 2403: 2399: 2393: 2385: 2381: 2375: 2367: 2363: 2357: 2349: 2348: 2343: 2336: 2321: 2317: 2316: 2311: 2304: 2302: 2300: 2298: 2296: 2294: 2292: 2290: 2275: 2274: 2269: 2262: 2260: 2258: 2256: 2254: 2238: 2234: 2228: 2220: 2216: 2212: 2208: 2204: 2200: 2193: 2177: 2171: 2164:(9): 871–876. 2163: 2159: 2152: 2145: 2144:public domain 2134: 2130: 2125: 2120: 2116: 2112: 2108: 2101: 2086: 2082: 2076: 2074: 2059:on 2013-06-27 2055: 2048: 2041: 2027:on 2013-02-18 2023: 2016: 2010: 1995: 1991: 1985: 1976: 1972: 1962: 1959: 1957: 1954: 1952: 1949: 1947: 1944: 1942: 1939: 1938: 1934: 1923: 1920: 1914: 1909: 1906: 1895: 1888: 1886: 1881: 1874: 1858: 1855: 1851: 1846: 1838: 1836: 1826: 1824: 1814: 1812: 1809: 1802: 1795: 1791: 1782: 1773: 1770: 1768: 1765: 1758: 1752: 1750: 1740: 1736: 1733: 1728: 1726: 1725:H.R. 976 1711: 1708: 1697: 1695: 1691: 1686: 1683: 1679: 1678:Arizona State 1675: 1670: 1661: 1650: 1646: 1643: 1639: 1638: 1632: 1628: 1624: 1620: 1618: 1613: 1611: 1605: 1603: 1597: 1595: 1585: 1583: 1578: 1576: 1572: 1568: 1563: 1559: 1553: 1551: 1545: 1543: 1539: 1535: 1529: 1527: 1523: 1518: 1507: 1502: 1500: 1495: 1493: 1488: 1487: 1485: 1484: 1480: 1476: 1474: 1466: 1463: 1461: 1458: 1456: 1453: 1451: 1448: 1446: 1443: 1441: 1438: 1436: 1433: 1432: 1428: 1425: 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Retrieved 1996:. 2024-02-28 1993: 1984: 1975: 1946:Graeme Frost 1882: 1878: 1873:Terri Sewell 1847: 1844: 1832: 1820: 1808:111–3 (text) 1790:Barack Obama 1787: 1771: 1753: 1746: 1737: 1729: 1722: 1703: 1687: 1671: 1667: 1658: 1640:California: 1629: 1625: 1621: 1614: 1606: 1598: 1591: 1579: 1554: 1546: 1530: 1519: 1515: 1470: 1465:Public image 1445:Legal career 1440:Bibliography 1336:Endorsements 1199:Vital Voices 1183: 1074: 978:Appointments 881:Senate trial 668:Bibliography 658:Public image 601:Bill Clinton 567:John Dingell 556: 552: 544: 524: 520: 512: 507:Bill Clinton 504: 488: 435:My Health LA 276:Managed care 185: 124: 115: 104: 72:Bill Clinton 69: 40: 36: 32: 28: 26: 4878:(residence) 4858:Tony Rodham 4852:Hugh Rodham 4798:(2016 play) 4754:Books about 4333:Hillaryland 4202:(1993–2001) 4194:(2001–2009) 4182:(2009–2013) 4085:Legacy debt 4001:Health care 3773:TheHill.com 3721:TheHill.com 3590:U.S. Senate 3440:January 31, 3385:February 6, 3380:NYTimes.com 3088:Health Care 2896:25 November 2707:GovTrack.us 2650:Adam Clymer 2613:Adam Clymer 2588:Eagle Forum 2242:6 September 2182:6 September 1850:Orrin Hatch 1794:H.R. 2 1571:Tom Daschle 1538:block grant 1395:Celebrities 1219:Hillaryland 927:Environment 922:Gun control 861:Impeachment 693:Troopergate 561:(R-RI) and 559:John Chafee 547:Orrin Hatch 527:Ted Kennedy 396:Connecticut 92:Orrin Hatch 84:Ted Kennedy 4916:Categories 4876:Whitehaven 4836:(daughter) 4828:presidency 4712:convention 4647:Convention 4316:First Lady 4290:US senator 4188:US Senator 3860:2008-01-06 3841:2008-01-06 3818:2008-01-06 3752:2019-06-14 3701:2019-06-14 3624:2017-11-19 3600:2017-09-28 3560:2017-09-28 3535:2018-07-02 3491:2017-09-28 3466:2009-02-04 3415:2009-02-10 3357:2021-01-14 3333:2007-12-14 3312:2007-10-18 3288:2007-12-08 3223:2007-10-03 3162:2007-12-24 3158:. GovTrack 3134:2007-10-10 3102:2007-10-04 3071:2008-01-06 2995:2007-10-04 2974:2007-10-16 2950:2008-01-05 2917:Pediatrics 2851:, May 2008 2763:2008-03-19 2738:2008-03-19 2688:2008-01-21 2663:2008-03-17 2628:2008-01-22 2593:2008-01-22 2565:2008-01-22 2535:2008-01-22 2500:2008-01-06 2472:2008-03-24 2442:2008-03-19 2326:2008-03-17 2279:2008-03-15 2091:2018-01-23 2063:2008-01-06 2031:2013-04-03 2000:2024-09-19 1967:References 1542:Trent Lott 1360:Convention 1331:Convention 1048:convention 1021:convention 854:Yugoslavia 819:Whitewater 757:Transition 745:Presidency 636:Foundation 444:(Maryland) 88:Republican 80:Democratic 4860:(brother) 4854:(brother) 4673:political 4590:Electoral 4219:Secretary 3306:(webpage) 3214:(webpage) 3193:1084-6832 3156:(webpage) 3128:(webpage) 3093:(webpage) 2085:Econofact 1956:PeachCare 1854:Ron Wyden 1644:(defunct) 1355:Primaries 1326:Primaries 1043:primaries 1016:primaries 845:Bombings 698:Elections 4848:(mother) 4842:(father) 4824:(husband 4790:parodies 4665:Campaign 4632:Campaign 4496:Writings 4468:Speeches 4389:Arkansas 4221:of State 4192:New York 4090:Numident 4013:Medicare 4008:Medicaid 3665:ABC News 3460:NBC News 3218:NBC News 2937:17473075 2807:Archived 1891:See also 1370:Election 1350:Campaign 1321:Campaign 1058:election 1031:election 900:Economic 893:Policies 750:timeline 617:Personal 525:Senator 392:SustiNet 179:(MHS) / 169:Medicare 163:Medicaid 107:Medicaid 96:Medicaid 90:Senator 82:Senator 57:Medicaid 4804:Hillary 4702:debates 4642:Debates 4592:history 3792:Sources 3726:14 June 3670:14 June 3181:Citizen 3045:14 June 3019:14 June 2871:14 June 2866:NPR.org 2829:14 June 2788:14 June 2712:14 June 2219:7807674 2133:2402261 1961:TexCare 1800:Pub. 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Index


United States Department of Health and Human Services
matching funds
health insurance
Medicaid
Balanced Budget Act of 1997
Social Security Act
Bill Clinton
comprehensive health care reform proposal
Democratic
Ted Kennedy
Republican
Orrin Hatch
Medicaid
Consolidated Appropriations Act, 2023
Medicaid
Centers for Medicare and Medicaid Services
federal poverty level
Healthcare in the United States
Federal Employees Health Benefits Program
Indian Health Service
Medicaid
Medicare
Military Health System
Tricare
Children's Health Insurance Program
Program of All-Inclusive Care for the Elderly
Veterans Health Administration
Consumer-driven healthcare
Flexible spending account

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