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State Health Policy: State Budgets




Statehealthfacts.org

This redesigned and updated website provides the latest state-level data on demographics, health, and health policy, including health coverage, access, financing, and state legislation and budgets.

New Analysis Shows Effect of Rising Unemployment on Health Coverage, Medicaid and SCHIP Spending and Enrollment
Every one percentage point rise in the unemployment rate leads to a 1.1 million increase in the uninsured population and a one million increase in Medicaid and SCHIP enrollment, according to a new Kaiser analysis. Another report analyzes the history of Medicaid during recent economic downturns.
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American Recovery and Reinvestment Act (ARRA): Medicaid and Health Care Provisions -- March 2009 KCMU Material
This fact sheet examines the assistance for Medicaid programs and key health provisions in the American Recovery and Reinvestment Act (ARRA), signed into law by President Obama on February 17, 2009. It includes a breakdown of additional federal allocations to states for Medicaid costs under the act.
The Role of Medicaid in State Economies: A Look at the Research -- January 2009 KCMU Material
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.
Reports Examine Impact of Economic Turmoil on Health Coverage and State Medicaid Programs -- January 2009 KCMU Material Video/Audio
The Kaiser Family Foundation issued several new reports looking at how the recession and growing unemployment is affecting people's health coverage and state Medicaid programs. The new reports were released in conjunction with an Alliance for Health Reform briefing.
Rising Unemployment, Medicaid and the Uninsured -- January 2009 KCMU Material
This policy brief analyzes the relationship between increases in the unemployment rate and changes in the number of people covered by employer-sponsored health insurance, Medicaid, the State Children’s Health Insurance Program and non-group insurance policies, as well as the financial implications for government budgets.
Medicaid in a Crunch: A Mid-FY 2009 Update on State Medicaid Issues in a Recession -- January 2009 KCMU Material
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 augments the most recent Medicaid budget survey report that was based on a survey and interviews with all state Medicaid directors in July and August 2008, at the beginning of state fiscal year 2009.
State Fiscal Conditions & Medicaid -- January 2009 KCMU Material
This fact sheet examines how an economic downturn increases state Medicaid program enrollment and costs at the same time that states face new budget constraints, as well as possible policy responses.
Vermont's Choices for Care Medicaid Long-Term Services Waiver: Progress and Challenges As the Program Concluded Its Third Year -- November 2008 KCMU Material
This case study report examines the experience of Vermont's Choices for Care experiment in delivering long-term services, created through a five-year Medicaid waiver in 2005. The state has seen a shift of people and money toward community settings, but also the return of waiting lists for some populations.
Health Coverage in an Economic Downturn: Impact of Tight Budgets on Families and States -- November 2008
The economic downturn has strained family finances and led some Americans to cut back on medications and medical care. The Foundation has a number of resources that shed light on how Americans and states are faring and provide background on the uninsured, employer-sponsored health insurance costs, trends in states’ Medicaid enrollment and spending and prior efforts to support the Medicaid program during a slumping economy.
Headed for a Crunch: An Update on Medicaid Spending, Coverage and Policy Heading into an Economic Downturn -- September 2008 KCMU Material
This eighth annual 50-state survey on Medicaid and state budget actions finds enrollment began to rise in fiscal year 2008 with states expecting even larger increases for fiscal year 2009.  With the increased enrollment, Medicaid spending is also rising more rapidly than in the recent past.
Testimony: State-Based Health Reform Efforts -- June 2008
Gary Claxton, a Kaiser Family Foundation vice president, testified about state-based health reform efforts as part of the Senate Finance Committee's Prepare For Launch Health Reform Summit. His testimony examines the role of Medicaid and the State Children's Health Insurance Program, as well as the way various federal laws and policies may limit innovation at the state level.
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State Responses to Budget Crisis in 2004: An Overview of Ten States
An overview and case studies examining how ten states responded to their budget crisis in fiscal year 2004: Alabama, California, Colorado, Florida, Massachusetts, Michigan, New Jersey, New York, Texas, and Washington.
Medicaid Spending Growth: Results from a 2002 Survey
A report of findings from a 50 state survey of Medicaid directors, identifying state Medicaid spending trends and how states are responding to them for FY 2003 budgets.
The Future of Medi-Cal: Challenges at the Federal, State, and County Level
An overview of how California and other states are attempting to preserve a meaningful set of benefits under Medicaid during the current budget crisis.
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