This report from the Kaiser Family Foundation examines in detail an issue that became a significant point of controversy in the second debate between presidential candidates Al Gore and George W. Bush. Gore accused Bush of failing as Governor of Texas to adequately process enrollment in the Children's Health Insurance Program (CHIP) in his state. But Texas is not the only place where there have been considerable gaps between eligibility and enrollment numbers. This study, comprised of a nationwide telephone survey of state officials, a review of state CHIP plans, and interviews with state child health advocates, focuses on "income eligibility guidelines, simplification of applications, enrollment and redetermination procedures as of July 2000." Some of the efforts states have made that have led to higher rates of enrollment include offering joint applications for Medicaid and CHIP, eliminating an asset test, and dropping the face-to-face interview requirement. The report also examines those areas where states have been slower to act and offers data tables showing which states have improved enrollment rates and which have not.