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HEALTHCARE

Healthcare

States spend more than $200 billion annually for health care for the poor and medically needy, according to the State Budget Crisis Task Force.

Medicaid has taken up a larger share of state budgets in recent years, with the program's expenses totaling approximately one quarter of total state expenditures, according to the National Association of State Budget Officers. This has a dual effect on state budgets during economic downturns, as states face an increasing demand for Medicaid services while the revenue available to pay for those services declines. New York spends $54 billion per year on Medicaid, the most of any state.

The impact of Obamacare on state budgets remains to be seen, and governors have had varied responses to the Supreme Court decision upholding the law which would increase the number of Medicaid enrollees, but not penalize the states that do not participate.

SBS is here to keep you informed and armed with healthcare solutions.

 

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    • POLICY BRIEF: Oklahoma

      Medicaid expansion is the price to shift the balance of federalism

      State Budget Solutions | by Joe Luppino-Esposito | September 25, 2013

      The debate over Medicaid expansion is as much about federalism and the issue of state control as it is about money-because these are ultimately one in the same.

    • POLICY BRIEF: Virginia

      Medicaid Expansion: The Wrong Prescription for Virginia

      State Budget Solutions | by Joe Luppino-Esposito, Bob Williams | August 16, 2013

      Virginia's Medicaid commission is considering expansion, and this report explains some of the current problems with Medicaid coverage, anticipated problems with accepting Medicaid expansion and discuss alternatives and reforms that will better serve Virginians.

    • RESEARCH

      The Affordable Care Action's Optional Medicaid Expansion: Considerations Facing State Governments

      The Mercatus Center | by Charles Blahous | March 5, 2013

      In the wake of a 2012 Supreme Court ruling, states face complex decisions con cerning whether to expand Medicaid coverage as specified in the Affordable Care Act (ACA). With the federal government no longer able to coerce expansion, states must base their decisions on subjective value judgments that will vary from state to state, incorporating each state's unique budgetary circumstances, the needs of its uninsured population, and the incentives established by interactions between the ACA's provisions. A first important consideration is that states face substantial near-term Medicaid cost increases irrespective of coverage expansion decisions.

    • RESEARCH

      Forecasting the Recovery from the Great Recession: Is This Time Different?

      The National Bureau of Economic Research | by Kathryn Dominguez & Matthew Shapiro | February 4, 2013

      Was the slow recovery of the U.S. economy from the trough of the Great Recession anticipated? 

    • RESEARCH

      On Financing Retirement with an Aging Population

      The National Bureau of Economic Research | by Ellen McGrattan & Edward Prescott | February 4, 2013

      Alternative views on the problem the United States is facing: financing retirement consumption as its population ages.

    • SOLUTIONS: Florida

      Three Things You Can Do to Fix Health Care Now

      Foundation for Government Accountability | by Christie Herrera | December 6, 2012

      Three Things to Fix Health Care Now:

      #1: Reject the Health Insurance Exchange
      #2: Don't Expand Medicaid
      #3: Offer an Alternative

    • SOLUTIONS: California

      Reform Before Revenue: How to Fix California's Retiree Health-Care Problem

      The Manhattan Institute | by Stephen D. Eide | October 31, 2012

      This paper examines the ongoing fiscal crisis caused by health-care plans for retirees (known as "other post-employment benefits," or OPEB) in one of the hardest-hit states, California, and outlines necessary reforms that should come before tax increases or cuts to government services.

    • SOLUTIONS

      State Lawmakerís Guide to Evaluating Medicaid Expansion Projections

      The Heritage Foundation | by Edmund F. Haislmaier and Drew Gonshorowski | October 17, 2012

      Supporters of Obamacare claim that expanding Medicaid will entail little to no cost to state governments, since the federal government will fund the vast majority of the additional costs. Indeed, some analyses project states achieving savings from adopting the expansion. However, state lawmakers should be wary of accepting such analyses at face value.

    • SOLUTIONS

      Medicaid Is BrokenóLet the States Fix It

      The Wall Street Journal | by Paul Howard and Russell Sykes | October 15, 2012

      Block-granting Medicaid is the best way to deliver better, cost-effective care to the most vulnerable Americans.

    • SOLUTIONS: North Carolina

      State Health Plan for Employees and Retirees Reform

      September 12, 2012

      With some reasonable reforms to the program to make the State Health Plan benefits more closely aligned with those offered in the private sector and other state governments, however, the state can put the State Health Plan back onto a sustainable path.

    • HEADLINES: Kansas

      Medicaid expansion in Kansas on hold until at least 2015

      Washington Post - GovBeat | by Niraj Chokshi | April 21, 2014

      If Kansas opts to expand Medicaid, it won’t happen until at least next year.

    • HEADLINES: Michigan

      House appropriations committee signs off on $36 billion state budget

      The Detroit Free Press | by Kathleen Gray | April 18, 2014

      The first action taken by the House Appropriations committee as it considered the state's $36.3 billion budget for the 2014-15 fiscal year, was to add $110 million to the Department of Community Health budget to fix a shortfall in Health Insurance Claims Assessment Medicaid reimbursement payments.

    • HEADLINES: New York

      NY gets federal OK to reinvest $8B in Medicaid savings

      The Albany Times Union | by Claire Hughes | April 15, 2014

      The long-awaited waiver is $2 billion short of what the state had asked for in 2012.

    • BLOG: Missouri, Arkansas

      The Medicaid dividing line

      State Budget Solutions | by Joe Luppino-Esposito | March 31, 2014

      Jefferson City, Missouri and Little Rock, Arkansas are not geographically far apart, but there's a world of difference in how the legislatures meeting in those cities handle medical care for their most vulnerable residents.

    • HEADLINES: Virginia

      Va. counties urge budget adoption; take no stand on Medicaid

      The Richmond Times-Dispatch | by Michael Martz | March 27, 2014

      The association, representing 95 counties, sent a letter to House Speaker William J. Howell that urges the legislature to end a budget stalemate that already has spilled into a special session that threatens to delay passage of a budget at least a month and likely longer.

    • HEADLINES: Missouri

      Mo. House Blocks Medicaid Expansion, Sets Aside $6M For New State Park, While Approving State Budget

      KBIA.com | by Marshall Griffin | March 26, 2014

      House members spent most of Tuesday bringing up amendments they hoped to add on to the FY 2015 budget, including two attempts to expand Medicaid. Both failed.

    • HEADLINES: Virginia

      McAuliffe offers new budget, but House lawmakers aren't buying

      The Washington Post | by Laura Vozzella | March 25, 2014

      Gov. Terry McAuliffe tried to shake up Virginia's deadlocked Medicaid debate Monday by proposing a new budget that would expand the health-care program and shower a projected $225 million in related savings on teachers, state employees, pre-kindergarten programs and other Democratic priorities.

    • HEADLINES: Virginia

      McAuliffe 2-Year Budget to Include Push for Healthcare Expansion

      NBC29.com | March 20, 2014

      Republicans want to pass a budget without healthcare expansion, and consider the issue separately. Democrats say that's not going to happen. And both sides say they're not budging any time soon.

    • HEADLINES: Colorado

      CO State Budget: Balancing Wants and Needs

      Public News Service | March 17, 2014

      Henry Sobanet, director of the Office of State Planning and Budgeting, said that, while things are certainly looking up in terms of state revenue, recovery won't be instantaneous, and he also said it's important the state prepare for another economic downturn in the future.

      said that, while things are certainly looking up in terms of state revenue, recovery won't be instantaneous, and he also said it's important the state prepare for another economic downturn in the future. - See more at: http://www.publicnewsservice.org/2014-03-17/civic-engagement/co-state-budget-balancing-wants-and-needs/a38145-1#sthash.9zhtuF1P.dpufsaid that, while things are certainly looking up in terms of state revenue, recovery won't be instantaneous, and he also said it's important the state prepare for another economic downturn in the future.
      said that, while things are certainly looking up in terms of state revenue, recovery won't be instantaneous, and he also said it's important the state prepare for another economic downturn in the future. - See more at: http://www.publicnewsservice.org/2014-03-17/civic-engagement/co-state-budget-balancing-wants-and-needs/a38145-1#sthash.9zhtuF1P.dpuf
    • HEADLINES: South Dakota

      SD Legislature passes $4.3 billion state budget

      Associated Press | March 17, 2014

      The South Dakota Legislature passed a $4.3 billion spending plan Friday that gives extra state money to teachers, the state’s four technical institutes and some nursing homes and other health care facilities that serve low-income people.