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The State Children's Health Insurance Program (SCHIP) offers
federal matching funds for states and territories to provide health
insurance to uninsured, low-income children in families whose
annual incomes are too high to qualify for Medicaid. Unlike
Medicaid, which operates as an individual entitlement, SCHIP
operates as a capped grant program. Allotment of funds among states
is determined by a formula set in law. Once a state depletes a
given year's original allotment, other than funds from prior years
made available through redistribution, no additional federal funds
will be made available to that state for that year. States have the
flexibility to design their programs to operate within these
funding constraints. The allotment and redistribution methods under
current law have been incompatible with state spending patterns to
date.
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