Responding to Congressional requests for investigation, the GAO has
found that the DHHS has been approving waivers for the State Children's Health
Insurance Program (SCHIP) that are inconsistent with the program's goals.
In a letter to the Senate Finance Committee, the GAO wrote that despite
SCHIP's "statutory objective of expanding coverage to low-income children,
DHHS has continued to approve waivers that allow states to use SCHIP funds
to cover childless adults." In addition, other waivers were granted without
meeting cost-effectiveness criteria written into SCHIP guidelines, according
to the GAO.
Vastag B. Rebuke on SCHIP Waivers. JAMA. 2004;291(10):1190. doi:10.1001/jama.291.10.1190-d