Medicaid Expenditures and State Budgets: Past, Present, and Future

David Wildasin and James Marton

No 2007-04, Working Papers from University of Kentucky, Institute for Federalism and Intergovernmental Relations

Abstract: Rapid spending growth has made Medicaid a major element in state budgets; financial support from Federal matching grants is now a main component of state government revenues and of intergovernmental fiscal relations. We discuss recent, ongoing, and prospective reforms of intergovernmental finances and regulations, including the 1996 welfare reform, the introduction of Medicare Part D, Section 1115 waivers, SCHIP reauthorization, and a shift to block grants. Each would affect the assignment of responsibilities between the state and Federal governments, the viability of which is questionable due to current and future interstate demographic and policy variation, population aging, and Federal fiscal imbalances.

Pages: 43 pages
Date: 2007-04
New Economics Papers: this item is included in nep-hea
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Citations: View citations in EconPapers (7)

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Journal Article: Medicaid Expenditures and State Budgets: Past, Present, and Future (2007)
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