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Medicaid

Though the federal government provides some Medicaid funds via matching rates, this welfare program has been taking up a larger and larger share of state budgets in recent years. In fact, Medicaid is the largest category of state spending, accounting for 23.6 percent of state budget expenditures according to the National Association of State Budget Officers.  That percentage is likely to increase over time.

Like other welfare programs, this has a dual effect on state budgets during economic downturns because states face an increasing demand for Medicaid services while their revenues to pay for those services decline. Governors in the states are taking different approaches to deal with this problem. SBS President Bob Williams maintains that the Medicaid system needs to be fixed before it is expanded.

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    • HEADLINES: Illinois, Louisiana, Michigan, Minnesota, Oklahoma, Pennsylvania, Mississippi, Virginia, Wisconsin

      Williams Report - September 2, 2014

      State Budget Solutions | by Bob Williams | September 2, 2014

      Join us on Twitter today by following @StateBudgets and tweeting with the hashtag #SBSBob.

       

       

    • HEADLINES: Illinois, Maryland, Minnesota, New Hampshire , North Carolina

      Williams Report - July 7, 2014

      State Budget Solutions | by Bob Williams | July 7, 2014

      We hope you had a great Independence Day weekend! Join us on Twitter today by following @StateBudgets and tweeting with the hashtag #SBSBob.

    • HEADLINES: Illinois, Indiana, Maine , Massachusetts , Michigan, New Jersey, North Carolina , Oklahoma

      Special Edition Williams Report July 2, 2014

      State Budget Solutions | by Bob Williams | July 2, 2014

      Welcome to a special edition of the Williams Report! There has been a lot of news this week: an important U.S.Supreme Court decision on unions and the end of the fiscal year in many states have been in the headlines. Join us on Twitter today by following @StateBudgets and tweeting with the hashtag #SBSBob.

    • HEADLINES: Virginia

      Virginia's budget drama ends; Medicaid expansion on hold

      State Budget Solutions | by Elia Peterson | June 27, 2014

      After a long, drawn out battle in Richmond, Virginia's legislature approved a budget that sidestepped several key vetoes from Governor Terry McAuliffe.

    • HEADLINES: California, Indiana, Michigan, New Jersey, North Carolina , Pennsylvania, Washington, Louisiana, Montana, Virginia

      Williams Report - June 23, 2014

      State Budget Solutions | by Bob Williams | June 23, 2014

      The latest news from State Budget Solutions, including commentary from Bob Williams. Tweet #SBSBob to talk about state budget and pension headlines throughout the nation.

    • 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

      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.

    • RESEARCH

      States' Implementation of the Patient Protection and Affordable Care Act

      U.S. Government Accountability Office | August 1, 2012

      The Patient Protection and Affordable Care Act (PPACA), signed into law on March 23, 2010, made significant changes to the way eligibility for the Medicaid program will be determined and who the program will cover. State governments will play a key role in implementing many aspects of this reform, which must be in place by the beginning of 2014. States will need to address the financial implications of implementing this Medicaid expansion and accompanying enrollment systems.

    • 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

      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 , Florida

      Medicaid Reform

      Civitas Institute | by Brian Balfour | September 12, 2012

      Any serious attempt at state budget reform in North Carolina must include an examination of its Medicaid program. Costs have been soaring, and past cost-containment efforts have proven both insufficient and detrimental to enrollees' access to care. Moreover, Medicaid enrollees are merely passive participants in the program with little or no choices, and at the mercy of the whims of politicians.

    • SOLUTIONS

      Health Care Compact is real way to reform health care system

      by Keli Carender, Shonda Werry | March 26, 2012

      The Health Care Compact is an interstate compact - which is really just "an agreement between two or more states that is consented to by Congress" - that would return the authority and the responsibility to regulate health care back to the member states.

    • HEADLINES: Illinois, Louisiana, Michigan, Minnesota, Oklahoma, Pennsylvania, Mississippi, Virginia, Wisconsin

      Williams Report - September 2, 2014

      State Budget Solutions | by Bob Williams | September 2, 2014

      Join us on Twitter today by following @StateBudgets and tweeting with the hashtag #SBSBob.

       

       

    • HEADLINES: Illinois, Maryland, Minnesota, New Hampshire , North Carolina

      Williams Report - July 7, 2014

      State Budget Solutions | by Bob Williams | July 7, 2014

      We hope you had a great Independence Day weekend! Join us on Twitter today by following @StateBudgets and tweeting with the hashtag #SBSBob.

    • HEADLINES: Illinois, Indiana, Maine , Massachusetts , Michigan, New Jersey, North Carolina , Oklahoma

      Special Edition Williams Report July 2, 2014

      State Budget Solutions | by Bob Williams | July 2, 2014

      Welcome to a special edition of the Williams Report! There has been a lot of news this week: an important U.S.Supreme Court decision on unions and the end of the fiscal year in many states have been in the headlines. Join us on Twitter today by following @StateBudgets and tweeting with the hashtag #SBSBob.

    • HEADLINES: Virginia

      Virginia's budget drama ends; Medicaid expansion on hold

      State Budget Solutions | by Elia Peterson | June 27, 2014

      After a long, drawn out battle in Richmond, Virginia's legislature approved a budget that sidestepped several key vetoes from Governor Terry McAuliffe.

    • HEADLINES: California, Indiana, Michigan, New Jersey, North Carolina , Pennsylvania, Washington, Louisiana, Montana, Virginia

      Williams Report - June 23, 2014

      State Budget Solutions | by Bob Williams | June 23, 2014

      The latest news from State Budget Solutions, including commentary from Bob Williams. Tweet #SBSBob to talk about state budget and pension headlines throughout the nation.

    • HEADLINES: Virginia

      GOP has claimed control of Va. Senate, forced Democrats to cave over Medicaid impasse

      Washington Post | by Laura Vozzella and Michael Laris | June 10, 2014

      Virginia Republicans snatched control of the state Senate on Monday, immediately ending a budget stalemate by pushing Democrats to agree to pass a spending plan without Medicaid expansion, Gov. Terry McAuliffe’s top priority.

    • HEADLINES: Ohio

      Midterm budget bill heads to Kasich's desk

      WKBN.com | June 6, 2014

      Final passage came after lawmakers sought to ensure additional legislative control over $300 million set aside in the budget measure for a Medicaid reserve fund. The fund covers unexpected expenses for the taxpayer-funded health program.

    • BLOG: Virginia

      Do not resuscitate the Virginia budget with Medicaid expansion included

      State Budget Solutions | by Joe Luppino-Esposito | June 4, 2014

      A government shutdown looms in Virginia, and the solution proposed by the governor and some state legislators will only worsen the underlying fiscal crisis in the state.

       

    • HEADLINES: Virginia

      Va. Republican offers plan to end Medicaid deadlock

      The Washington Post | by Laura Vozzella | May 30, 2014

      Sen. Emmett W. Hanger's plan asks both sides to give a little, divorcing the Medicaid issue from the budget as opponents want but also remaking a state Medicaid commission so it could no longer block expansion.

    • HEADLINES: Virginia

      Va. officials plan for possible state shutdown

      Associated Press | by Alan Suderman | May 27, 2014

      Some local government officials in Virginia are starting to consider contingency plans for worst case scenarios as a budget impasse drags on toward a possible unprecedented state shutdown on July 1.