MACPAC An Overview

The Medicaid and CHIP Payment and Access Commission (MACPAC) is a non-partisan, federal agency charged with providing policy and data analysis to the Congress on Medicaid and CHIP, and for making recommendations to the Congress and the Secretary of the U.S. Department of Health and Human Services, and the states on a wide range of issues affecting these programs. Appointed by the U.S. Comptroller General, the 17 commissioners have diverse backgrounds, offer broad perspectives on Medicaid and CHIP, and represent different regions across the United States.

The Commission conducts independent policy analysis and health services research on key Medicaid and CHIP topics, including but not limited to: 

  • eligibility, enrollment, and benefits;
  • payment;
  • access to care;
  • quality of care; 
  • interactions of Medicaid and CHIP with Medicare and the health care system generally; and 
  • data development to support policy analysis and program accountability.

As required in its statutory charge, the Commission submits reports to the Congress by March 15 and June 15 of each year. The statute requires that each member of the Commission vote on recommendations contained in the reports. The Commission’s reports are intended to provide the Congress with a better understanding of the Medicaid and CHIP programs, their roles in the U.S. health care system, and key policy and data issues.

Click here for MACPAC’s authorizing language.