This brief is the second in a series exploring how lessons learned from the first three to five years of Children’s Health Insurance Program (CHIP) implementation can inform ACA implementation. This brief examines state and federal relationships in the context of CHIP implementation, with a particular focus on Virginia and Texas, which overcame initial resistance and delivered significant coverage gains for children.
The author, Eugene Lewit, is Consulting Professor of Health Research and Policy at the Stanford University Center for Health Policy and Primary Care and Outcomes Research.