Funding for a health insurance program for children became front and center as lawmakers struggled to reach deals to keep the government funded in 2018.

The federal funds for the Children’s Health Insurance Program (CHIP) expired at the end of September, and a permanent solution had not been passed by the beginning of this year.

However, the Senate reached a budget agreement Wednesday that reportedly funds the program for 10 years.

Here’s a look at the CHIP program and what it does.

What is it?

Created in 1997, the Children’s Health Insurance Program (CHIP) is low-cost insurance for families with incomes too high for Medicaid but potentially too low to afford private insurance plans.

CHIP covers routine check-ups, doctor visits, prescriptions, emergency services and hospital care, among other things, according to

Every state has a CHIP program, but the rules and qualifications vary state by state.

Nearly 9 million children in the U.S. were enrolled in the CHIP program for the fiscal year 2016, according to research from the Kaiser Family Foundation (KFF).

What’s going on with its funding?

The program expired on Sept. 30, and a short-term funding extension was passed by Congress shortly before Christmas.


Federal funding for the Children's Health Insurance Program expired in September. Congress passed a short-term fund before the Christmas holiday. (Kaiser Family Foundation)

Many states have nearly exhausted their funds.

“Some families have already been informed or received notice that their children’s coverage could be reduced in the future,” Samantha Artiga, an analyst at KFF, told Fox News earlier this year. “Already families are feeling a lot of worry, concern and stress right now – particularly families with children who have ongoing health conditions who rely on insurance for treatments to keep them healthy and give them the care that they need.”

Artiga added that the earlier uncertainty around CHIP funding presented administrative and economic headaches for states that try to plan for the program’s future in an “uncertain environment.”

What have healthcare experts said about it?

"Without this program, these children are caught in a dangerous gap that would deny them access to needed care," the Council for Affordable Health Coverage President Joel White told Fox News. "Every day that CHIP remains without a long-term reauthorization is a day that access to health care is threatened for the most deserving and vulnerable among us."

During the budget talks, White urged lawmakers to vote for a spending bill that included the funding.

Every day that CHIP remains without a long-term reauthorization is a day that access to health care is threatened for the most deserving and vulnerable among us.

— Joel White, president of the Council for Affordable Health Coverage

"Senate Democrats have rightfully advocated for CHIP funding in recent months, and it would be the height of hypocrisy for them to oppose a spending bill with this included now."

Joan Alker, the executive director of Georgetown University’s Center for Children & Families, argued that Congress should pass CHIP reauthorization as a standalone bill so its future is not in limbo every few years.

“What’s especially frustrating is that there’s no disagreement on the policy,” Alker told Fox News, adding that lawmakers on both sides of the aisle support funding CHIP. “It’s become a bargaining chip.”

“The right thing to do would be to take CHIP out of [the] political fight and pass it by itself,” she said.

What has Trump said?

Trump urged lawmakers to make CHIP “part of a long-term solution, not a 30-day, or short-term, extension,” in a tweet last month.

The Associated Press contributed to this report.