Issue Brief 12-44
December 21, 2012

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 20, 2012, the Department of Health and Human Services (HHS) announced that 23 states received $306 million in performance bonuses in fiscal year (FY) 2012. One state, Utah, qualified for a bonus for the first time.