Puerto Rico is the oldest and most populous United States territory. The island’s present-day Medicaid program, the Government Health Plan, was established in 1993. This fact sheet summarizes the main requirements and design features of Puerto Rico’s Medicaid and CHIP programs, including eligibility and enrollment, benefits, financing and spending, data and reporting, and quality and program integrity.
This fact sheet was updated to reflect additional funds that Congress provided to the territories through the fiscal year 2020 appropriations package, signed into law on December 20, 2019 (P.L. 116-94), and the Families First Coronavirus Response Act, signed into law on March 18, 2020 (P.L. 116-127).