U.S. State Health Policy, Public Opinion & Research

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Statehealthfacts.org
This website includes the latest state-level health data and various health care topics. State and category pages include a "Facts At-A-Glance" fact sheet displaying relevant indicators and can be customized to easily compare data between any two states or to the nation as a whole.

Key Questions About Medicaid And Its Role in State/Federal Budgets and Health Reform
This short paper summarizes key issues about Medicaid, including the structure, financing and purpose of the Medicaid program, its role in the federal budget and state budgets, and how the significant expansion of the program under health reform is expected to work.

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House Republican Budget Plan- State-By-State Impact of Changes in Medicaid Financing -- May 2011

This analysis examines the projected state-by-state impact on Medicaid enrollment and spending of converting the program to block grant financing and eliminating the program's expansion under the health reform law, as called for by the House Budget Plan.

Federal Core Requirements And State Options In Medicaid: Current Policies And Key Issues -- April 2011

This issue brief presents an overview of the current Medicaid program framework of federal core requirements and state options, with a focus on eligibility, benefits and cost sharing, care delivery and provider payment, long-term services and supports, and dual eligibles.

Physician Willingness and Resources to Serve More Medicaid Patients: Perspectives from Primary Care Physicians -- April 2011

This issue brief from the Kaiser Commission on Medicaid and the Uninsured analyzes data from a nationally representative survey of physicians to assess which adult-care primary care physicians are most likely to respond to health reform’s changes by serving additional Medicaid beneficiaries. It also profiles key aspects of their practices, patient care resources, and constraints on their capacity.

Medicaid Policy Options for Meeting the Needs of Adults with Mental Illness under the Affordable Care Act -- April 2011

The Kaiser Commission on Medicaid and the Uninsured convened an expert roundtable discussion in November 2010 to discuss Medicaid policy options available under the health reform law to help meet the needs of adults with mental illness.

Summary of New Health Reform Law -- April 2011
This summary reflects provisions of the comprehensive health reform legislation, the Patient Protection and Affordable Care Act, signed into law in March 2010, as changed by subsequent legislation.

Comparison of Medicaid Provisions in Deficit-Reduction Proposals -- April 2011
This document provides a brief description of the key Medicaid changes that have been recommended as part of broad-based deficit- and debt-reduction packages.

Implications Of A Federal Block Grant Program For Medicaid -- April 2011

This issue brief examines the implications for beneficiaries, providers, states, localities and the federal government of converting Medicaid into a federal block grant program.

A Profile of Health Insurance Exchange Enrollees -- March 2011
This report provides a demographic profile of those individuals expected to gain health insurance through the exchanges in 2014 under health reform.

Determining Income for Adults Applying for Medicaid and Exchange Coverage Subsidies: How Income Measured With a Prior Tax Return Compares to Current Income at Enrollment -- March 2011

This issue brief examines key issues regarding the timing of income used to determine eligibility for Medicaid and advance payments of premium tax credits to purchase coverage through new Health Insurance Exchanges under health reform.

Improving Access to Adult Primary Care in Medicaid: Exploring the Potential Role of Nurse Practitioners and Physician Assistants -- March 2011
This brief provides basic information about nurse practitioners and physician assistants and considers their potential to increase the supply of primary care as Medicaid expands under health reform to cover more low-income adults.

This analysis examines the projected state-by-state impact on Medicaid enrollment and spending of converting the program to block grant financing and eliminating the program's expansion under the health reform law, as called for by the House Budget Plan.

This issue brief presents an overview of the current Medicaid program framework of federal core requirements and state options, with a focus on eligibility, benefits and cost sharing, care delivery and provider payment, long-term services and supports, and dual eligibles.

This issue brief from the Kaiser Commission on Medicaid and the Uninsured analyzes data from a nationally representative survey of physicians to assess which adult-care primary care physicians are most likely to respond to health reform’s changes by serving additional Medicaid beneficiaries. It also profiles key aspects of their practices, patient care resources, and constraints on their capacity.

The Kaiser Commission on Medicaid and the Uninsured convened an expert roundtable discussion in November 2010 to discuss Medicaid policy options available under the health reform law to help meet the needs of adults with mental illness.

This summary reflects provisions of the comprehensive health reform legislation, the Patient Protection and Affordable Care Act, signed into law in March 2010, as changed by subsequent legislation.

This document provides a brief description of the key Medicaid changes that have been recommended as part of broad-based deficit- and debt-reduction packages.

This issue brief examines the implications for beneficiaries, providers, states, localities and the federal government of converting Medicaid into a federal block grant program.

This report provides a demographic profile of those individuals expected to gain health insurance through the exchanges in 2014 under health reform.

This issue brief examines key issues regarding the timing of income used to determine eligibility for Medicaid and advance payments of premium tax credits to purchase coverage through new Health Insurance Exchanges under health reform.

This brief provides basic information about nurse practitioners and physician assistants and considers their potential to increase the supply of primary care as Medicaid expands under health reform to cover more low-income adults.

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State Health Policy

States play a major role in the delivery and financing of health care and public health in the United States. Insurance regulation, Medicaid policy and financing of public health services, and many reproductive health policies are under state jurisdiction. States operate their own Medicaid programs within broad federal guidelines, the State Children’s Health Insurance Program (SCHIP) for low-income children, and in some cases also offer additional health care programs such as discount drug programs for seniors.

In recent years, states have been facing major budget shortfalls. These fiscal constraints have broad implications for many aspects of the health care financing and delivery system. Recent reductions to Medicaid coverage and benefit packages have been a reversal from the programs expansions of the late 1990s when states experienced unprecedented budget surpluses. State legislatures are also playing an increasingly important role in health policy, enacting legislation on issues that have been controversial and slow-moving at the national level, such as patients’ rights and reproductive health.

The Foundation’s work in state health policy cuts across nearly all of the Foundation’s policy priority areas. The Kaiser Commission on Medicaid and the Uninsured analyzes state Medicaid and SCHIP programs, and tracks changes states are making to their Medicaid programs as a result of their deteriorating fiscal conditions. The California Health Policy Program provides information and analysis about health policy issues and key trends in the nation's largest and most diverse state. Nearly all of the Foundation’s priority areas collect and conduct analyses on state-based policies. Much of this information is presented in State Health Facts Online, a web-based interactive database, including demographic information, health insurance coverage rates, Medicaid and Medicare enrollment, spending and policies, private insurance mandates, health care financing and delivery information, as well as disease and mortality statistics.