The March 2011 report to Congress is MACPAC’s first report to Congress. The report sets out an analytic framework that serves as the foundation for the Commission’s future work with respect to access and payment. It describes the roles of Medicaid and CHIP in the U.S. health care system and provides overview information for each program. It also begins a discussion of the Commission’s analytic framework for access and payment and identifies key factors the Commission is considering for assessing access, evaluating payment policies, and determining key data needs. Read the foundational March 2011 report to Congress.