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. 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, and SBS is your destination to find out what is working and what is not.

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    • HEADLINES: Texas

      Texas remains $4.1 billion short on its budget

      The Houston Chronicle | by Chris Tomlinson | February 22, 2012

      The chairman of the Legislative Budget Board John O'Brien told Texas lawmakers that they did not appropriate enough to cover state expenses for Medicaid and other programs. The state is short more than $4.1 billion in the current budget.

    • HEADLINES: Illinois

      Quinn: Medicaid must be cut back

      The Chicago Tribune | by Monique Garcia | February 20, 2012

      Warning about collapse of health care for the poor will come in governor's budget address Wednesday.

    • HEADLINES: Maine

      House ponders budget votes

      The Kennebec Journal | by Susan Cover | February 13, 2012

      The emergency legislation to close a $120 million immediate shortfall at the Maine Department of Health and Human Services needs 101 votes in the House and 24 in the Senate for passage. Those in the know say the Senate will deliver.  The House is where things are less certain.

       

    • HEADLINES: Maine

      Lawmakers reach deal on DHHS budget

      The Bangor Daily News | February 8, 2012

      Lawmakers in Maine reached an early morning deal Wednesday on an alternative budget proposal for the Department of Health and Human Services - a move that likely will send the budget to the House and Senate for votes next week.

    • HEADLINES: Illinois

      Bumpy ride ahead for state budget

      The Chicago Tribune | by Ray Long and Monique Garcia | February 8, 2012

      The problem in state government continues to be one of income versus expenses, despite last year's major income-tax increase.

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    • RESEARCH

      Health Spending by State of Residence, 1991 - 2009

      Centers for Medicare and Medicaid Services | by Gigi Cuckler | December 12, 2011

      An examination of Medicaid spending by state over a decade.  In 2009, the 10 states where per capita spending was highest ranged from 13 to 36 percent higher than the national average, and the 10 states where per capita spending was lowest ranged from 8 to 26 percent below the national average.

    • RESEARCH: Tennessee

      2011 Tennessee Pork Report

      The Tennessee Center for Policy Rsearch and Citizens Against Government Waste | by Justin Owen, Christopher Butler, & Ryan Turbeville | December 2, 2011

      The sixth-annual Tennessee Pork Report is chock-full yet again, of waste, fraud, abuse, and mismanagement of taxpayer money by state and local government officials. Despite a changing political landscape in Tennessee, wasteful government spending has not disappeared.

    • RESEARCH: Texas

      Final Notice: Medicaid Crisis

      Texas Public Policy Foundation | by Jagadeesh Gokhale | February 28, 2011

      This study examines the potential increase in Medicaid costs from ObamaCare for the State of Texas-one of several states that have challenged the validity of the individual health insurance mandate in court. This study constructs Texas' Medicaid spending projections under ObamaCare to reveal the implied increase in that state's Medicaid spending commitments from the new health care law.

    • RESEARCH

      The Rich Get Richer

      The Pacific Research Institute | by John Graham | February 28, 2011

      The biggest problem with the Medicaid expansion in the Senate health bill is not the "Cornhusker Kickback," but that it leverages an already flawed formula to determine federal payments to state Medicaid programs

    • RESEARCH

      Medicaid Expansion will Bankrupt the States

      NCPA | by Devon Herrick | February 26, 2011

      The Patient Protection and Affordable Care Act (PPACA) is expected to add up to 16 million more Medicaid enrollees and will significantly expand eligibility for families with incomes up to 133 percent of the federal poverty level. The PPACA requires states to streamline their enrollment process - making it easier for eligible populations to enroll and retain Medicaid coverage.

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    • SOLUTIONS: Minnesota

      The very serious reasons for replacing MinnesotaCare with subsidies for private health insurance

      Center of the American Experiement | by Peter J. Nelson | November 29, 2011

      Replacing MinnesotaCare with a state subsidy for individually owned private health plans is one of the key parts of the effort to redesign how the state provides health care to the poor. This can save $100 million on childless adults and up to $600 million if everyone is included.

    • SOLUTIONS: Oregon

      Budget solution report offers 100 ideas

      The Taxpayer Foundation of Oregon | November 3, 2011

      In light of Oregon facing a budget crisis, the Taxpayer Foundation has issued a master list of budget balancing ideas that do not require raising taxes. These ideas have been collected from Oregon lawmakers, think tank groups, taxpayer organizations, unions, policy analysts, Democrats, Republicans and even ideas utilized in states across the nation.

    • SOLUTIONS: New Mexico

      Resolving New Mexico’s $450 million Deficit (without raising taxes or cutting K-12 education and Medicaid)

      The Rio Grande Foundation | by Paul J. Gessing and Kevin Rollins | October 31, 2011

      despite constraints that are both political and self-imposed, we believe that it is quite possible to reduce unnecessary and wasteful spending throughout the New Mexico budget. In order to provide a guide for policymakers, the Rio Grande Foundation has compiled a list of specific budget reduction ideas.

    • SOLUTIONS: Oklahoma, Indiana

      Ten Budget Reforms for 2012

      Oklahoma Council of Public Affairs | by Jonathan Small | August 4, 2011

      Establish limited priorities for Oklahoma’s state government. Once limited priorities are set, everything else should be considered according to these priorities. The state currently has hundreds of agencies, boards, and commissions; it’s no wonder there is chronic overspending and regular “revenue shortfalls.”

    • SOLUTIONS: Nebraska

      Medicaid The Need for Medicaid Reform Grows Larger After Obamacare

      The Platte Institute | by Brian Blasé and C.L. Gray, M.D. | August 1, 2011

      Replacing the current federal financing structure of Medicaid with fixed allotments to the states would help save both state and federal budgets. Without this policy change, states will dig further budgetary holes and the federal government will face an increased likelihood of a debt crisis.  If states received a non-fungible Medicaid block grant from the federal government rather than fungible matching funds, each state would have the incentive to reign in Medicaid spending.  If states were freed from the myriad federal mandates (such as the “maintenance of effort” clause of the Patient Protection and Affordable Care Act) they would gain the ability to run Medicaid efficiently.

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