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Medicaid and Federal, State and Local Budgets

This policy brief explains the current Medicaid financing arrangements between federal, state and local governments, examines the role of Medicaid in federal and state budgets, and identifies severalimportant considerations on evaluating proposals to limit federal Medicaid spending.Policy Brief: Medicaid and Federal, State, and Local Budgets

Medicaid and State Budgets: From Crunch to Cliff

This fact sheet discusses the status of Medicaid and state budgets in light of the continuing recession and the federal fiscal relief provided to state Medicaid programs through the American Recovery and Reinvestment Act (ARRA). The ARRA money has proved to be critical in helping states address budget shortfalls, preserve…

Medicaid, SCHIP and Economic Downturn: Policy Challenges and Policy Responses

Medicaid, SCHIP and Economic Downturn: Policy Challenges and Policy ResponsesA new analysis conducted for the Kaiser Family Foundation's Commission on Medicaid and the Uninsured examines the implications of a downturn for health coverage and state programs and projects the impact of one percentage point rise in the national unemployment rate…

The Impact of the “Medigrant” Plan on the Federal Payments to States

The Impact of the “Medigrant” Plan on the Federal Payments to StatesThe analysis examines the conference agreement plan for the redistribution of federal funds under a block grant for the Medicaid program. It also discusses the implications of the reductions in federal spending for beneficiary coverage.Report: The Impact Of The…

Health Reform and State Workforce Challenges: An Early Look at Five States

This report provides an early look at state efforts to prepare for health reform, examining the experiences to date in five states (Connecticut, Michigan, Massachusetts, North Carolina and Washington). The report finds that the state political environment and expected leadership transitions create uncertainties and are already factoring into state strategies…

Five Key Questions And Answers About Section 1115 Medicaid Waivers

This issue brief provides an overview of what Section 1115 Medicaid waivers are, how they are approved and financed, how states have used them, and how they are impacted by health reform. For many years, Section 1115 waivers have been used by states to test new coverage approaches not otherwise…

Behavioral Health: Can Primary Care Help Meet the Growing Need?

The health reform law has specific provisions covering mental health and substance use conditions, as well as general provisions to benefit those in need of behavioral health services. While addressing unmet needs, the reform law provisions raise new challenges. Given their budgetary constraints, will states be able to expand capacity…