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Medicaid and CHIP Coverage of Lawfully Residing Children & Pregnant Individuals

The Children’s Health Insurance Program Reauthorization Act of 2009 (CHIPRA) included a new option for states to provide Medicaid and CHIP coverage to children and pregnant individuals who are lawfully residing in the United States, including those within their first five years of having certain legal status. Previously, federal law required a 5-year waiting period before many legal immigrants were permitted to enroll in Medicaid and CHIP, although many states offered health coverage to these populations with state-only funds. This coverage may be applied to pregnant individuals in Medicaid and CHIP and/or to children up to age 19 for CHIP or up to age 21 for Medicaid who would otherwise be eligible for coverage through these programs.

Learn more about providing health coverage to lawfully residing children and pregnant women.

States providing Medicaid or CHIP coverage to lawfully residing children and/or pregnant individuals include:

StateCHIPMedicaid
American Samoa*** Children and pregnant individuals
ArkansasChildrenChildren and pregnant individuals*
CaliforniaChildrenChildren and pregnant individuals
ColoradoChildren and pregnant individualsChildren and pregnant individuals*
ConnecticutChildrenChildren and pregnant individuals
Commonwealth of the Northern Mariana Islands (CNMI)*** Children and pregnant individuals*
Washington, D.C.*** Children and pregnant individuals
DelawareChildrenChildren and pregnant individuals
FloridaChildrenChildren*
Hawaii*** Children and pregnant individuals*
IllinoisChildrenChildren*
IowaChildrenChildren
KentuckyChildren and pregnant individualsChildren and pregnant individuals*
LouisianaChildrenChildren*
MaineChildrenChildren and pregnant individuals
Maryland*** Children and pregnant individuals
MassachusettsChildrenChildren and pregnant individuals
MinnesotaChildrenChildren and pregnant individuals
MontanaChildrenChildren*
NebraskaChildrenChildren and pregnant individuals*
New JerseyChildren and pregnant individualsChildren and pregnant individuals
New Mexico*** Children and pregnant individuals
New YorkChildrenChildren and pregnant individuals
NevadaChildrenChildren and pregnant individuals*
North CarolinaChildrenChildren and pregnant individuals*
Ohio*** Children and pregnant individuals
OregonChildrenChildren*
PennsylvaniaChildrenChildren and pregnant individuals
Rhode IslandChildren and pregnant individualsChildren*
South Carolina*** Children and pregnant individuals
TexasChildrenChildren*
U.S. Virgin Islands*** Children and pregnant individuals
UtahChildrenChildren*
Vermont*** Children and pregnant individuals
Virginia**Children and pregnant individualsChildren and pregnant individuals*
WashingtonChildrenChildren and pregnant individuals
West VirginiaChildren and pregnant individualsChildren and pregnant individuals*
WisconsinChildrenChildren and pregnant individuals*
Wyoming Pregnant individuals

Updated as of May 4, 2023.

* These states cover children in Medicaid up to age 19.

** Virginia is using an 1115 demonstration to cover pregnant individuals.

*** These states are CHIP Medicaid expansion programs.