"States have flexibility to impose premiums and cost sharing in Medicaid, with the maximum allowable amounts varying by income and group. Medicaid enrollees, including children, pregnant women, parents and the adult expansion group, with incomes below 150% of the federal poverty level (FPL) may not be charged premiums without a waiver. Cost sharing generally is not allowed for children with incomes below 133% FPL. Medicaid enrollees with incomes above 150% FPL can be charged premiums and relatively higher cost sharing compared to those at lower incomes. Cost sharing cannot be charged for preventive services for children or emergency, family planning, and pregnancy-related services in Medicaid. Overall premium and cost sharing amounts for all family members enrolled in Medicaid may not exceed 5% of household income. States have somewhat greater flexibility to charge premiums and cost sharing for children covered by CHIP, although there remain federal limits on the amounts that can be charged, including the overall 5% of household income cap."
Citation formats
Number of U.S. states with Medicaid/CHIP cost sharing requirements for children 2020
As of 2020, 26 states had premium or enrollment fees and 21 states had cost sharing requirements for CHIP. States can establish premiums and cost sharing for Medicaid and CHIP under certain restrictions, such as when enrollees' household income is above a certain percentage of the federal poverty level.
This statistic shows the number of U.S. states with Medicaid/CHIP premiums, enrollment fees, and cost sharing requirements for children as of January 1, 2020.
Profit from the additional features of your individual account
Currently, you are using a shared account. To use individual functions (e.g., mark statistics as favourites, set
statistic alerts) please log in with your personal account.
If you are an admin, please authenticate by logging in again.
Learn more about how ÌÇÐÄÆƽâ°æ can support your business.
Kaiser Family Foundation. (March 16, 2021). Number of U.S. states with Medicaid/CHIP premiums, enrollment fees, and cost sharing requirements for children as of January 1, 2020 [Graph]. In ÌÇÐÄÆƽâ°æ. Retrieved July 30, 2026, from /statistics/1281554/us-states-with-medicaid-chip-cost-sharing-requirements-for-children/
Kaiser Family Foundation. "Number of U.S. states with Medicaid/CHIP premiums, enrollment fees, and cost sharing requirements for children as of January 1, 2020." Chart. March 16, 2021. ÌÇÐÄÆƽâ°æ. Accessed July 30, 2026. /statistics/1281554/us-states-with-medicaid-chip-cost-sharing-requirements-for-children/
Kaiser Family Foundation. (2021). Number of U.S. states with Medicaid/CHIP premiums, enrollment fees, and cost sharing requirements for children as of January 1, 2020. ÌÇÐÄÆƽâ°æ. ÌÇÐÄÆƽâ°æ Inc.. Accessed: July 30, 2026. /statistics/1281554/us-states-with-medicaid-chip-cost-sharing-requirements-for-children/
Kaiser Family Foundation. "Number of U.S. States with Medicaid/Chip Premiums, Enrollment Fees, and Cost Sharing Requirements for Children as of January 1, 2020." ÌÇÐÄÆƽâ°æ, ÌÇÐÄÆƽâ°æ Inc., 16 Mar 2021, /statistics/1281554/us-states-with-medicaid-chip-cost-sharing-requirements-for-children/
Kaiser Family Foundation, Number of U.S. states with Medicaid/CHIP premiums, enrollment fees, and cost sharing requirements for children as of January 1, 2020 ÌÇÐÄÆƽâ°æ, /statistics/1281554/us-states-with-medicaid-chip-cost-sharing-requirements-for-children/ (last visited July 30, 2026)
Number of U.S. states with Medicaid/CHIP premiums, enrollment fees, and cost sharing requirements for children as of January 1, 2020 [Graph], Kaiser Family Foundation, March 16, 2021. [Online]. Available: /statistics/1281554/us-states-with-medicaid-chip-cost-sharing-requirements-for-children/
