This Kaiser Family Foundation brief compares the Medicaid and Children's Health Insurance Program (CHIP) provisions in the House Tri-Committee, America’s Affordable Health Choices Act and the Senate Finance America’s Healthy Future Act to current law, highlighting major differences in Medicaid coverage and financing, maintenance of eligibility, benefits and access and CHIP.

From the report:

A provision in the House bill that would have fully financed the Medicaid expansions with federal funds was amended to replace full federal financing with 90% federal financing beginning in year 2015. Under the Senate proposal, states will receive a 23 percentage point increase in the CHIP match rate up to a cap of 100% and a 15 percentage point increase in the Medicaid match rate beginning in 2013 to help pay for the MOE for children.  States would also receive assistance in financing the costs of the Medicaid expansion through a percentage point increase in the FMAP. The percentage point increase in the FMAP would be 27.3 for “expansion” states that already cover adults with incomes above 100% FPL and 37.3 for other states. These percentage point increases will be adjusted over time so that by 2019, all states will receive an FMAP increase of 32.3 percentage points for the newly eligible (up to a cap of 95% in any year). Certain “high-need” states (those with total Medicaid enrollment that is below the national average for enrollment as a percentage of the state population on enactment and adjusted unemployment rates of 12% or higher for August 2009) could qualify for full federal financing for expansions for 5 years. States would be required to pay an amount equal to the state’s average cost for Medicaid (by eligibility category) for those opting to enroll in the exchange.

Full report: Medicaid and Children’s Health Insurance Program Provisions: America’s Affordable Health Choices Act & America’s Healthy Future Act (PDF | 241.47 KB)

Kaiser Family Foundation. (2009). Medicaid and Children’s Health Insurance Program provisions: America’s Affordable Health Choices Act & America’s Healthy Future Act.