{"abstract":"Section 4901 of the Balanced Budget Act of 1997 (BBA) amended the Social Security Act (the Act) by adding a new title XXI, the State Children's Health Insurance Program (SCHIP) . Title XXI provides funds to States to enable them to initiate and expand the provision of child health assistance to uninsured, low-income children in an effective and efficient manner. To be eligible for funds under this program, States must submit a State plan, which must be approved by the Secretary. This final rule implements provisions related to SCHIP including State plan requirements and plan administration, coverage and benefits, eligibility and enrollment, enrollee financial responsibility, strategic planning, substitution of coverage, program integrity, certain allowable waivers, and applicant and enrollee protections. This final rule also implements the provisions of sections 4911 and 4912 of the BBA, which amended title XIX of the Act to expand State options for coverage of children under the Medicaid program. In addition, this final rule makes technical corrections to subparts B, and F of part 457.","action":"Final rule.","agencies":[{"raw_name":"DEPARTMENT OF HEALTH AND HUMAN SERVICES","name":"Health and Human Services Department","id":221,"url":"https://www.federalregister.gov/agencies/health-and-human-services-department","json_url":"https://www.federalregister.gov/api/v1/agencies/221","parent_id":null,"slug":"health-and-human-services-department"},{"raw_name":"Health Care Financing Administration","name":"Health Care Finance Administration","id":559,"url":"https://www.federalregister.gov/agencies/health-care-finance-administration","json_url":"https://www.federalregister.gov/api/v1/agencies/559","parent_id":221,"slug":"health-care-finance-administration"}],"body_html_url":"https://www.federalregister.gov/documents/full_text/html/2001/01/11/01-607.html","cfr_references":[{"chapter":null,"citation_url":null,"part":431,"title":42},{"chapter":null,"citation_url":null,"part":433,"title":42},{"chapter":null,"citation_url":null,"part":435,"title":42},{"chapter":null,"citation_url":null,"part":436,"title":42},{"chapter":null,"citation_url":null,"part":457,"title":42}],"citation":"66 FR 2490","comment_url":null,"comments_close_on":null,"correction_of":null,"corrections":[],"dates":"This final rule is effective April 11, 2001. Compliance dates: To the extent contract changes are necessary, however, States will not be found out of compliance until the next contract cycle. By contract cycle, we mean the earlier of the date of the original period of the existing contract, or the date of any modification or extension of the contract (whether or not contemplated within the scope of the contract) .","disposition_notes":null,"docket_ids":["HCFA-2006-F"],"dockets":[],"document_number":"01-607","effective_on":"2001-04-11","end_page":2688,"executive_order_notes":null,"executive_order_number":null,"full_text_xml_url":"https://www.federalregister.gov/documents/full_text/xml/2001/01/11/01-607.xml","html_url":"https://www.federalregister.gov/documents/2001/01/11/01-607/state-child-health-implementing-regulations-for-the-state-childrens-health-insurance-program","images":{},"images_metadata":{},"json_url":"https://www.federalregister.gov/api/v1/documents/01-607?publication_date=2001-01-11","mods_url":"https://www.govinfo.gov/metadata/granule/FR-2001-01-11/01-607/mods.xml","not_received_for_publication":null,"page_length":199,"page_views":{"count":1103,"last_updated":"2026-07-26 04:15:02 -0400"},"pdf_url":"https://www.govinfo.gov/content/pkg/FR-2001-01-11/pdf/01-607.pdf","presidential_document_number":null,"proclamation_number":null,"public_inspection_pdf_url":null,"publication_date":"2001-01-11","raw_text_url":"https://www.federalregister.gov/documents/full_text/text/2001/01/11/01-607.txt","regulation_id_number_info":{"0938-AI28":{"issue":"200004","html_url":"https://www.federalregister.gov/regulations/0938-AI28/state-child-health-implementing-regulations-for-the-state-children-s-health-insurance-program-hcfa-2","title":"State Child Health; Implementing Regulations for the State Children's Health Insurance Program (HCFA-2006-F)","xml_url":"http://www.reginfo.gov/public/do/eAgendaViewRule?pubId=200004&RIN=0938-AI28&operation=OPERATION_EXPORT_XML","priority_category":"Economically Significant"}},"regulation_id_numbers":["0938-AI28"],"regulations_dot_gov_info":{},"regulations_dot_gov_url":null,"significant":true,"signing_date":null,"start_page":2490,"subtype":null,"title":"State Child Health; Implementing Regulations for the State Children's Health Insurance Program","toc_doc":"State Children's Health Insurance Program; implementation","toc_subject":"Medicaid:","topics":["Administrative practice and procedure","Aid to Families with Dependent Children","Child support","Claims","Grant programs-health","Guam","Health facilities","Medicaid","Privacy","Puerto Rico","Reporting and recordkeeping requirements","Supplemental Security Income (SSI)","Virgin Islands","Wages"],"type":"Rule","volume":66}