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. 2018 May;39(5):235–246. doi: 10.1542/pir.2017-0123

Table 3.

Federal Programs

FEDERAL PROGRAM DESCRIPTION ELIGIBILITY CRITERIA (2017)a,b WEBSITE
Medicaid/Children’s Health Insurance Program (CHIP) • Medicaid provides health coverage for low-income individuals and families • Annual gross income <200% the federal poverty level (FPL) in 3 states, 200%–300% FPL in 29 states, and ≥300% FPL in 19 states, including DC https://www.medicaid.gov/medicaid/eligibility/index.html
• CHIP provides low-cost health coverage to children in families that earn too much money to qualify for Medicaid • US citizen or qualified immigrantc https://www.medicaid.gov/chip/eligibility-standards/index.html
• Each state has the option to cover its CHIP population within its Medicaid program, design a separate CHIP program, or establish a combination program • Some states may use state funding to help cover low-income non-qualified immigrant children https://www.kff.org/medicaid/fact-sheet/where-are-states-today-medicaid-and-chip/
• Jointly funded by state and federal governments and managed by states • Low-income non-qualified immigrant children eligible for emergency Medicaid in all states
Earned Income Tax Credit (EITC) • Federal antipoverty tax credit for working people with low to moderate income, particularly those with children • Annual gross income ∼<220% FPL https://www.irs.gov/credits-deductions/individuals/earned-income-tax-credit
• US citizen or qualified immigrant
Temporary Assistance for Needy Families (TANF) • Provides cash assistance to needy families with children. • Dependent child https://www.acf.hhs.gov/ofa/programs/tanf
• Administered by state government through federal block grant • Gross monthly income below ∼16%–107% FPL, depending on state
• US citizen or qualified immigrantc
Supplemental Security Income (SSI) • Provides benefits to disabled adults and children who have limited income and resources • Child fits strict definition of disability (physical/mental condition that very seriously limits activities AND condition expected to last 1 y or result in death) https://www.ssa.gov/disabilityssi/ssi.html
• Child and family income/resource limits, varies by state
• US citizen or qualified immigrantc
Supplemental Nutrition Assistance Program (SNAP) • Federal nutrition assistance to low-income families; formerly known as the Food Stamp Program • Gross monthly income <130% FPL https://www.fns.usda.gov/snap/eligibility
• Limited financial reserves (<$2,250) in some states
• US citizen or qualified immigrantc
Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) • Federal grant to states for supplemental foods for low-income pregnant and postpartum women, infants, and children • Women must be pregnant, breastfeeding, or nonbreastfeeding postpartum (up to 6 mo) https://www.fns.usda.gov/wic/wic-eligibility-requirements
• Infants and children aged <5 y
• Gross monthly income <185% FPL
• No citizenship or legal residency requirements
National School Lunch Program (NSLP)/Summer Food Service Program • Federally assisted meal program operating in schools to provide nutritionally balanced low-cost or free lunches to children • Child enrolled in a public or participating private school https://www.fns.usda.gov/nslp/national-school-lunch-program-nslp
• Reduced priced meals: gross monthly income <185% FPL
• Free meals: gross monthly income <130% FPL
• No citizenship or legal residency requirements
Head Start/Early Head Start • Promotes school readiness of young children from low-income families through agencies in the local community • Infants and children aged <5 y https://www.acf.hhs.gov/ohs
• Gross annual income <100% FPL; some exceptions for income 100%–130% FPL, depending on state and availability
• Homeless children, children in foster care, and children from families that receive TANF eligible regardless of income
• No citizenship or legal residency requirements
a

The 100% FPL for a family of 4 is defined as an annual income of $24,600 in 2017 in the 48 contiguous states, excluding Alaska and Hawaii (federal poverty guidelines differ in these states).

b

Qualified immigrant includes lawful permanent residents (LPR/Green Card Holder); asylees/refugees; Cuban/Haitian entrants; people paroled into the United States for at least 1 year; conditional entrant granted before 1980; battered noncitizens, spouses, children, or parents; victims of trafficking and their spouse, child, sibling, or parent or individuals with a pending application for a victim of trafficking visa; granted withholding of deportation; and member of a federally recognized Indian tribe or American Indian born in Canada.

c

May have a 5-year waiting period, varies by state.