Issue Brief 11-02
January 7, 2011

The Children’s Health Insurance Program Reauthorization Act of 2009 (CHIPRA, P.L. 111-3) provided a new opportunity for states to obtain bonus payments for simplifying their Medicaid and CHIP programs and successfully enrolling children who are eligible for Medicaid. These payments are designed to help states offset a portion of their costs associated with increased enrollment. On December 27, 2010, the Department of Health and Human Services (HHS) announced that 15 states received $206 million in performance bonuses in federal fiscal year (FY) 2010. This is an increase from FY 2009 when 10 states received $75 million.