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Medicaid and CHIP Coverage In An Era of Recession and Health Reform

Despite tight budgets, nearly all states maintained or made targeted expansions or improvements in their Medicaid and Children’s Health Insurance Programs (CHIP) eligibility and enrollment rules in 2010, preserving the programs’ important role of providing coverage to millions of low-income Americans who otherwise lack affordable options. This stability in large…

Medicaid Spending Growth and the Great Recession, 2007-2009

This fact sheet examines how the recent recession drove up Medicaid enrollment as millions of Americans lost jobs and income, and how that increase in enrollment has been the primary cause of the increase in overall Medicaid spending. Fact Sheet (.pdf)

Medicaid Financing: An Overview of the Federal Medicaid Matching Rate (FMAP)

Since its enactment in 1965, the Medicaid program has used the Federal Medical Assistance Percentage (FMAP) to determine the federal government’s share of the cost of covered services in state Medicaid programs. On average, the federal share has been 57 percent. Beginning in 2014, the Affordable Care Act (ACA) establishes…

Testimony: State-Based Health Reform Efforts

On June 16, 2008, Kaiser Family Foundation Vice President Gary Claxton testified about state-based health reform efforts as part of the Senate Finance Committee’s Preparing For Launch Health Reform Summit. In his prepared testimony, he examined the role of Medicaid and the State Children’s Health Insurance Program, as well as…

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…

The Role of Medicaid in State Economies: A Look at the Research

This policy brief synthesizes the results of 29 studies in 23 states that examine the role Medicaid plays in state and local economies. These studies estimate the economic stimulus derived from Medicaid spending, and also analyze the adverse effects on the state economy from reducing Medicaid spending. This policy brief…

Medicaid in a Crunch: A Mid-FY 2009 Update on State Medicaid Issues in a Recession

This report relays the perspective of leading state Medicaid directors to describe the fiscal strain on Medicaid and other safety-net programs as enrollment swells and state tax revenues shrink, raising the prospect of program cutbacks. It draws on focused interviews with leading Medicaid directors in November 2008. It augments the…