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The Henry J. Kaiser Family Foundation

Medicaid Financing Issues: Provider Taxes

Current law allows states to use revenue from provider taxes to help fund the state share of spending on Medicaid, a program that is jointly financed by the states and the federal government. Almost all states have at least one provider tax in place. This issue brief reviews the use…

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The Henry J. Kaiser Family Foundation

Update: State Budgets in Recession and Recovery

State revenues have been rebounding after experiencing a severe decline caused by the Great Recession that ran from December 2007 through June 2009. Nevertheless, tax collections remain below their 2008 peak level and state and local governments continue to shed jobs. As states prepare their fiscal year 2013 budgets, some…

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The Henry J. Kaiser Family Foundation

The Cost and Coverage Implications of the ACA Medicaid Expansion: National and State-by-State Analysis

A central goal of the Patient Protection and Affordable Care Act (ACA) is to significantly reduce the number of uninsured by providing a continuum of affordable coverage options through Medicaid and new Health Insurance Exchanges. Following the June 2012 Supreme Court decision, states face a decision about whether to adopt…

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The Henry J. Kaiser Family Foundation

Increasing Medicaid Payments for Certain Primary Care Physicians in 2013 and 2014: A Primer on the Health Reform Provision and Final Rule

To help ensure that access in Medicaid expands to meet anticipated higher demand for care, the health reform law requires states to pay certain physicians Medicaid fees that are at least equal to Medicare’s for a list of 146 primary care services in 2013 and 2014. The idea is to…

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The Henry J. Kaiser Family Foundation

State Financing of the Medicare Drug Benefit:  New Data on the “Clawback”

State Financing of the Medicare Drug Benefit: New Data on the “Clawback”Beginning in 2006, states will be obligated to finance part of the new Medicare prescription drug benefit via a monthly “clawback” payment to the federal government. This issue update analyzes the latest data and provides an overview of the…

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The Henry J. Kaiser Family Foundation

State Responses to Budget Crisis in 2004: An Overview of Ten States – Overview and Case Studies

In this report we examine how ten states from around the nation have responded to their budget crises in fiscal year 2004. While states vary in the depth of the budget pressures they faced, as state revenues remained depressed, all were required to make difficult choices among spending reductions, tax…

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The Henry J. Kaiser Family Foundation

Is the State Fiscal Crisis Over?  A 2004 State Budget Update – Report

Is the State Fiscal Crisis Over? A 2004 State Budget Update – Issue BriefThis paper, which updates a September 2003 analysis by the Rockefeller Institute of Government, finds that although the state fiscal situation is improving, states are by no means out of the woods yet.Issue Brief (.pdf)

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The Henry J. Kaiser Family Foundation

As Tough Times Wane, States Act to Improve Medicaid Coverage and Quality:  Results from a 50-State Medicaid Budget Survey for State Fiscal Years 2007 and 2008

As Tough Times Wane, States Act to Improve Medicaid Coverage and Quality: Results from a 50-State Medicaid Budget Survey for State Fiscal Years 2007 and 2008 The annual 50-state survey of state officials on Medicaid and state budget actions reports enrollment in Medicaid declined for the first time in nearly…

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The Henry J. Kaiser Family Foundation

Why Did Medicaid Spending Decline in 2006?  A Detailed Look at Program Spending and Enrollment, 2000-2006

Why Did Medicaid Spending Decline in 2006? A Detailed Look at Program Spending and Enrollment, 2000-2006This issue brief finds that Medicaid spending declined for the first time in the program’s 40-plus year history in Federal Fiscal Year (FY) 2006, falling by 0.2 percent. The two major factors that underlie the…

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The Henry J. Kaiser Family Foundation

States Respond to Fiscal Pressure: State Medicaid Spending Growth and Cost Containment

The third annual survey of the 50 states and the District of Columbia reveals that all 50 states and DC implemented Medicaid cost control strategies in FY2003 and they all planned additional action for FY2004 as they cope with fiscal crisis. Report (.pdf)

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