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Spending and Enrollment Detail for CBO's March 2010 Baseline: Children's Health Insurance Program (CHIP) [i] (2010)

handle is hein.congrec/cbo9381 and id is 1 raw text is: Spending and Enrollment Detail for CBO's March 2010 Baseline: Children's Health Insurance Program (CHIP) Fiscal Year 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2011-15 2011-20 Budget Authority /l/ Outlays Memo: Federal CHIP Funding (Billions of Dollars) 12.6 13.5 15.0 17.5 5.7 5.7 5.7 5.7 5.7 5.7 5.7 8.5 9.4 9.8 10.0 9.4 7.4 6.0 5.8 5.8 5.8 5.8 Contingency Fund Payments 0 0 0 0 0 0 0 0 0 0 0 Performance Bonus Payments 0.1 0.4 0.4 0.1 0.1 0.1 0.1 0.1 Remaining Unused Budget Authority (end 6.9 6.8 5.9 5.5 1.9 0.2 0 0 0 of year) CHIP Child Per Capita, Enrollees $813 $840 $871 $906 $945 $993 $1,050 $1,112 $1,170 $1,232 $1,298 Additional Cost to Maintain Current CHIP Programs (Outlays in Billions of Dollars) Additional Spending Required to Maintain 0 0 0 0 0.6 3.0 5.1 6.2 7.0 7.9 8.8 Current CHIP Programs /2/ /3/ Medicaid Savings from Additional CHIP 0 0 0 0 -0.3 -1.4 -2.2 -2.6 -3.0 -3.3 -3.7 Spending Net Federal Cost to Maintain Current CHIP 0 0 0 0 0.3 1.7 3.0 3.6 4.1 4.6 5.1 Programs Number of States Affected/4/ 0 0 0 0 19 35 50 50 51 51 51 Enrollment (Millions of People) 15/ Enrollment under Baseline Funding LevE Children and Pregnant Women Parents of Children Enrolled in Medicaid or CHIP Adults without Children Total Average Monthly Enrollment Additional CHIP Enrollment Based on Maintaining Current Programs Children and Pregnant Women Parents of Children Enrolled in Medicaid or CHIP Adults without Children Total els 9.5 9.8 9.8 9.9 9.1 7.1 5.3 4.8 4.6 4.3 4.1 0.2 0.2 0.2 0.2 0.2 0.1 0.1 0.1 0.1 0.1 0.1 0 0 0 0 0 0 0 0 0 0 9.7 10.0 10.0 10.1 9.3 7.2 5.4 4.9 4.7 4.4 4.2 6.0 6.2 6.2 6.2 5.8 4.5 3.3 3.0 2.9 2.7 2.6 Additional Enrollment Based on Maintaining Current CHIP Programs (Millions of People) 0 0 0 0 Average Monthly Enrollment 0 0 0 0 0 0 0 0 0 0 0 0.5 2.5 4.5 5.1 5.5 5.9 6.3 0 0 0.1 0.1 0.1 0.1 0.1 0.1 0 0 0 0 0 0 0 0 0 0.5 2.6 4.6 5.2 5.7 6.1 6.4 0 0.3 1.6 2.9 3.3 3.5 3.8 4.0 Avq. Annual Growth -5% -8% -6% -8% -6% -8% n.a. n.a. n.a. n.a. n.a. n.a. n.a. n.a. n.a. n.a. Notes: n.a. = not applicable * = costs or savings of less than $50 million or fewer than 50,000 enrollees. /l Title XXI of the Social Security Act authorizes CHIP through September 2013. Consistent with statutory guidelines, CBO assumes in its baseline spending projections that funding for the program in later years will continue at $5.7 billion. /2/ These figures were calculated by taking state projections for spending in 2010, adjusting them in later years to account for increases in health spending per enrollee and the projected number of enrollees (due both to population growth and increases in the number of uninsured), and then comparing those spending levels to available funds under baseline assumptions. These calculations assume no increase in eligibility rules or benefit packages after 2013. /3/ Under current CHIP program funding rules, the Contingency Fund targets funds to states whose spending exceeds available funding. The CHIP spending shown here assumes additional funds would be targeted to the affected states. In the absence of targeted funding, a greater increase in funding would be needed to maintain current programs. /4/ Represents the 50 states and the District of Columbia. /5/ Enrollment figures represent the total number of individuals who could be covered at any time during the year based on per capita spending amounts for all individuals enrolled at any point during 2009, with adjustments for growth in future years. Many CHIP beneficiaries are enrolled for only part of the year, so enrollment on an average monthly basis would be about 60 percent of these figures and are shown above for both the baseline and maintaining the current programs. These figures include enrollment in the 50 states and the District of Columbia, but do not include enrollment in the U.S. territories. Congressional Budget Office 57.5 86.1 46.0 75.2 0.0 0.0 1.0 1.1 20.3 20.3 3.6 -1.7 1.9 38.7 -16.5 22.2

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