Update: State Budgets in Recession and Recovery October 1, 2011 Issue Brief 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…
Medicaid Financing Issues: Provider Taxes May 2, 2011 Fact Sheet 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…
Vermont’s Choices for Care Medicaid Long-Term Services Waiver: Progress and Challenges As the Program Concluded Its Third Year October 31, 2008 Report Vermont's Choices for Care experiment in long-term services, created through a five-year Medicaid waiver in 2005, was designed to increase access to home and community-based services while reducing the use of institutional services and controlling overall costs. In exchange for agreeing to a federal funding cap, Vermont was able to…
Medicaid in a Declining Economy: Limited Approaches for States to Control Spending April 1, 2008 Issue Brief Medicaid in a Declining Economy: Limited Approaches for States to Control SpendingThis brief analyzes results from its annual 50-state budget surveys of Medicaid directors from 2003 to 2007. The historical results describe how states adopted a wide array of Medicaid cost containment strategies during the last economic downturn and were…
The Crunch Continues: Medicaid Spending, Coverage and Policy in the Midst of a Recession September 2, 2009 Event This annual 50-state survey finds that number of people on Medicaid and state spending on the program are climbing sharply as a result of the recession, straining state budgets and pressuring officials to curb costs despite increased financial help from the federal government through the American Recovery and Reinvestment Act…
States Respond to Fiscal Pressure: State Medicaid Spending Growth and Cost Containment September 1, 2003 Report 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)
Why Did Medicaid Spending Decline in 2006? A Detailed Look at Program Spending and Enrollment, 2000-2006 September 30, 2007 Issue Brief 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…
Is the State Fiscal Crisis Over? A 2004 State Budget Update – Report January 1, 2004 Issue Brief 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)
State Responses to Budget Crisis in 2004: An Overview of Ten States – Overview and Case Studies January 1, 2004 Report 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…
State Financing of the Medicare Drug Benefit: New Data on the “Clawback” October 31, 2005 Issue Brief 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…