Medicaid
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Medicaid Per Capita Cap Would Shift Costs to States and Undermine Key Part of Health Reform
May 8, 2013
Two prominent congressional Republicans have proposed placing a “per capita cap” on federal Medicaid funding, under which the federal government would no longer cover a fixed share of each state’s overall Medicaid costs but instead would limit each state to a fixed dollar amount per beneficiary.[1] The per capita cap … -
Policy Basics: Introduction to Medicaid
Updated May 8, 2013
What Is Medicaid? Created by Congress in 1965, Medicaid is a public insurance program that provides health coverage to low-income families and individuals, including children, parents, pregnant women, seniors, and people with disabilities. Medicaid is funded jointly by the federal government and … -
Online Services for Key Low-Income Benefit Programs
Revised May 1, 2013
Virtually all states have made basic program information on the five main state-administered low-income benefit programs — SNAP (Supplemental Nutrition Assistance Program, formerly known as Food Stamps), Medicaid, CHIP (Children’s Health Insurance Program), TANF (Temporary Assistance for Needy Families), and child care assistance … -
President Obama’s Deficit-Reduction Package and Other Proposals in the 2014 Budget
April 11, 2013
The President’s 2014 budget is presented in two parts. One part includes the package of deficit- reduction policies that the President included in his last offer to Speaker Boehner during the “fiscal cliff” negotiations in December 2012. This package would reduce the deficit by $1.8 trillion over the next decade … -
Ryan Block Grant Proposal Would Cut Medicaid by Nearly One-Third by 2023 and More After That
March 26, 2013
The Medicaid block grant proposal in the budget plan proposed by House Budget Committee Chairman Paul Ryan, which the House of Representatives passed on March 21, would cut federal Medicaid (and the Children’s Health Insurance Program, or CHIP) funding by 31 percent by 2023, because the funding would no longer keep pace with health … -
Ryan Roundup 2013: Everything You Need to Know About Chairman Ryan’s Latest Budget
March 22, 2013
Below is a compilation of the CBPP analyses and blog posts on House Budget Committee Chairman Paul Ryan’s budget, which the House has passed. Overview/General Statement: Robert Greenstein, President, on Chairman Ryan’s Budget Plan March 12, 2013 “When House Budget Committee Chairman Paul Ryan released his previous budget last … -
Ryan Budget Would Undermine Safety Net’s Work Supports
March 21, 2013
House Budget Committee Chairman Paul Ryan justifies the massive cuts he proposes in programs for low- and moderate-income Americans in part by claiming that the current safety net “can create a powerful disincentive to get ahead.”[1] He uses this argument to defend converting both Medicaid and the Supplemental Nutrition … -
An Apples-to-Apples Comparison of the Deficit-Reduction Figures in the House and Senate Budget Plans
March 19, 2013
The House and Senate are scheduled to consider the budget resolutions that their respective budget committees approved last week. These two budgets — one drafted by House Budget Committee Chair Paul Ryan, the other by Senate Budget Committee Chair Patty Murray — offer sharply contrasting visions.[1] Yet they are not … -
Paul Van de Water Testimony: Financing Medicare and Medicaid
March 19, 2013
Chairman Pitts, Ranking Member Pallone, and members of the subcommittee, I appreciate the invitation to appear before you today on the importance of preserving Medicare and Medicaid. Budgetary entitlements of many kinds are designed to guarantee Americans adequate protection in case of illness, disability, or economic misfortune. Efforts … -
Chairman Ryan Gets 66 Percent of His Budget Cuts from Programs for People With Low or Moderate Incomes
March 15, 2013
House Budget Committee Chairman Paul Ryan’s new budget plan would get at least 66 percent of its $5 trillion in non-defense budget cuts over ten years (relative to a continuation of current policies) from programs that serve people of limited means, standing a core principle of the Simpson-Bowles fiscal commission on its head. Not much … -
Commentary: Murray’s More Evenhanded Approach to Deficit Reduction Contrasts Sharply With Ryan’s
March 14, 2013
The budget that Senate Budget Committee Chair Patty Murray released yesterday stands in sharp contrast to the one that her House counterpart, Paul Ryan, released on Tuesday. As I wrote Tuesday, his budget is extreme.[1] Hers is more balanced and appropriate to meet the nation’s economic and fiscal challenges. The … -
Statement by Robert Greenstein, President, On Chairman Ryan’s Budget Plan
March 12, 2013
When House Budget Committee Chairman Paul Ryan released his previous budget last year, I wrote that for most of the past half century, its extreme nature would have put it outside the bounds of mainstream discussion. It was, I wrote, “Robin Hood in reverse — on … -
Deficit Reduction Should Not Increase Poverty and Hardship
March 11, 2013
Executive Summary With President Obama and lawmakers of both parties vowing to achieve further deficit reduction, the stakes are high for low- and moderate-income Americans. If policymakers heavily target programs that serve vulnerable Americans, they will run the risk of increasing poverty and hardship and reducing opportunity for … -
Testimony of Robert Greenstein, President, Center on Budget and Policy Priorities, Before the Senate Committee on Finance
February 26, 2013
Mr. Chairman and distinguished members of the Finance Committee, I appreciate the invitation to testify here today. As we all know, the nation faces fiscal and economic challenges, and we will have to make some tough decisions to put the budget on a more sustainable fiscal course and to do so without hindering a still-too-weak economic … -
Comparison of Benefits for Poor Families to Middle-Class Incomes Is Deeply Flawed
February 25, 2013
Senator Jeff Sessions (R-AL) recently posted to the Senate Budget Committee website a document that implies that programs targeted to low-income people provide lavish benefits that raise the typical poor household’s standard-of-living above that of the typical middle-income household.[1] The Sessions release, however, is deeply … -
Testimony of Robert Greenstein, President, Before Senate Budget Committee
February 13, 2013
I appreciate the invitation to testify today on the impact of federal budget decisions on families and communities. This is an important matter. As you know, the nation will have to make tough decisions to put the budget on a more sustainable fiscal course. The issue is not only whether policymakers act to secure adequate … -
Commentary: How Effective Is the Safety Net?
February 6, 2013
Nicholas Kristof published an important column in the New York Times recently about young children in some poor communities who face greatly diminished opportunities by the time they’re just 2 years old.[1] “Many low-income children never reach the starting line,” he notes. Kristof points out that there are no magic … -
“Boehner Rule” Linking Debt-Ceiling Increase to Spending Cuts Is Dangerous Policy
January 25, 2013
House Speaker John Boehner has argued that “any increase in the debt limit has to be accompanied by spending reductions that equal or exceed it.”[1] The Budget Control Act (BCA) of 2011, which ended the previous debt-limit showdown, paired a $2.1-trillion increase in the debt ceiling with spending cuts of similar size.[2] … -
Achieving Further Deficit Reduction Solely Through Spending Cuts Entails Cutting Entitlements That Benefit the Poor and Middle Class While Shielding the Biggest Entitlements for the Wealthy
January 9, 2013
Since President Obama and Congress enacted the “fiscal cliff” budget deal, congressional Republican leaders have vowed not to raise a dollar more in taxes for deficit reduction. All further deficit reduction, they say, must come from budget cuts, primarily from entitlement programs. That, however, would spare the broad … -
Commentary: Next Round on the Deficit
January 7, 2013
In recent days, policymakers, pundits, and the media have debated whether the “fiscal cliff” budget deal was a victory or defeat for the President or congressional Republicans, progressives or conservatives, rich or poor, the economy or the deficit — you name it. Most of the commentary is unpersuasive, however, for … -
Coordinating Human Services Programs with Health Reform Implementation
Updated December 11, 2012
Executive Summary By making affordable health care available to millions of low-income, uninsured Americans, the Affordable Care Act (ACA) will go a long way towards helping families who struggle on a daily basis to afford life’s most basic necessities. Health care reform’s impact on low-income people’s lives, however, goes beyond … -
Statement of Robert Greenstein, President, in Response to Republican Budget Offer
December 4, 2012
House Republican leaders portray the deficit-reduction offer that they issued yesterday as a fair middle ground. It isn’t. On the crucial issue of revenues, the new Republican offer proposes $800 billion over ten years. Contrast that with the plan that Erskine Bowles, Alan Simpson, and some members of their commission issued in December 2010, … -
Testimony before the New Jersey Senate Health, Human Services and Senior Citizens Committee
November 19, 2012
Good afternoon. I appreciate the opportunity to testify today. My name is January Angeles and I am a Senior Policy Analyst at the Center on Budget and Policy Priorities, a non-partisan research and policy organization based in Washington, DC. Founded in 1981, the Center conducts … -
Are Low-Income Programs Enlarging the Nation’s Long-Term Fiscal Problem?
Revised November 2, 2012
Several conservative analysts and some journalists lately have cited figures showing substantial growth in recent years in the cost of federal programs for low-income Americans. A recent report the Congressional Research Service prepared for Senator Jeff Sessions (R-AL) provides one such set of figures.[1] These figures can create … -
Moving “Dual Eligibles” Into Mandatory Managed Care and Capping Their Federal Funding Would Risk Significant Harm to Poor Seniors and People With Disabilities
October 10, 2012
As policymakers seek to reduce federal budget deficits, they may face proposals to reduce spending on low-income Medicare beneficiaries who also are eligible for Medicaid (the “dual eligibles”) by 1) requiring them to receive both their Medicare- and Medicaid-covered services through a single managed care plan that would operate … -
Medicaid Per Capita Cap Would Shift Costs to States and Place Low-Income Beneficiaries at Risk
October 4, 2012
Some policymakers have recently proposed placing a “per capita cap” on federal Medicaid funding, under which the federal government would no longer cover a fixed share of each state’s overall Medicaid costs but instead would limit each state to a fixed dollar amount per beneficiary.[1] A per capita cap would represent … -
Romney Budget Proposals Would Necessitate Very Large Cuts in Medicaid, Education, Health Research and Other Programs
Updated September 24, 2012
Governor Mitt Romney’s proposals to cap total federal spending at 20 percent of gross domestic product (GDP) and boost defense spending to 4 percent of GDP would require very large cuts in other programs, both entitlements and discretionary programs. This update of an earlier analysis is based on updated economic and budget … -
Uninsured Rate Fell or Held Steady in Almost Every State Last Year, New Census Data Show
September 21, 2012
The share of residents without health coverage fell in 20 states last year, Census data released yesterday show, while rising in just one. This improvement largely reflect increased private coverage among young adults — helped by a health reform provision allowing them to stay on their parents’ insurance plans until age 26 … -
2011’s Decline in Uninsured is Largest in 13 Years, but Median Income Fell, Inequality Widened, and Poverty Stayed Flat
September 17, 2012
The Census Bureau last week released a mixed set of data about poverty, income, and health insurance coverage in 2011.[1] On the positive side, the number of Americans without health insurance dropped by 1.3 million and the share of uninsured Americans fell by more than in any year since 1999. Young adults took advantage of a … -
Number of Uninsured Fell in 2011, Largely Due to Health Reform and Public Programs
September 13, 2012
The Census Bureau announced yesterday that, in 2011, the number of uninsured Americans fell for the first time in four years, and the percentage of Americans without health insurance experienced the largest single-year drop since 1999. The Census data suggest that health reform and other federal policies are responsible for a significant … -
Statement of Robert Greenstein, President, on Census’ 2011 Poverty, Income, and Health Insurance Data
September 12, 2012
Today’s Census data contained the good, the fair, and the ugly. The good news is that the number of uninsured Americans dropped by 1.3 million and the share of Americans without insurance fell by more than in any year since 1999; the fair news is that the poverty rate stayed flat after … -
Media Briefing: Examining the 2011 Census Data on Poverty, Health Insurance Coverage, and Income
September 12, 2012
The Center on Budget and Policy Priorities held a conference call briefing to examine the Census Bureau data for 2011 on poverty, health insurance coverage, and income trends.
Robert Greenstein, the Center’s President, was joined by Jared Bernstein, Senior Fellow, to discuss the new data.
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The Census Bureau’s Upcoming Report on Health Insurance Coverage in 2011: What to Watch For
September 10, 2012
On September 12, the Census Bureau will release estimates of the number of Americans with and without health insurance coverage in 2011, based on its annual Current Population Survey. Other survey data and historical trends provide clues as to what the Census data are likely to show. Preliminary data from the Centers for Disease … -
How Health Reform’s Medicaid Expansion Will Impact State Budgets
Revised July 25, 2012
Shortly after the Supreme Court ruled that states can choose whether to adopt the health reform law’s Medicaid expansion to cover low-income parents and other adults, some governors declared that they will forgo the expansion, claiming it would place a heavy financial burden on their states.[1] Claims that states will bear a … -
Statement of Robert Greenstein, President: Court Decision Will Allow Health Reform to Bring Major Benefits to the Nation, Especially If States Do Their Job
June 28, 2012
Today’s Supreme Court decision allows the nation to reap the very substantial benefits of the Affordable Care Act: health insurance coverage for millions of uninsured Americans, important consumer protections for millions of insured Americans whose coverage has serious gaps, and the promise of progress in slowing the growth of health care costs. States and the federal government should move … -
Statement by Robert Greenstein, President, on Speaker Boehner's Recent Remarks Concerning the Debt Limit
May 16, 2012
No one should underestimate the significance of House Speaker John Boehner's declaration yesterday that he will block an increase in the debt limit next winter unless policymakers match each dollar of debt limit increase with at least a dollar in budget cuts, with no revenue increases. This … -
Romney Budget Proposals Would Require Massive Cuts in Medicare, Medicaid, and Other Programs
Revised May 12, 2012
This report has been superseded by a new version, dated September 24, 2012, that reflects updated data and other information. Click to view the new analysis. Governor Mitt Romney’s proposals to cap total federal spending, boost defense spending, cut taxes, and balance the budget would require extraordinarily large cuts in other programs, both … -
House Budget Bills Would Target Programs for Lower-Income Families While Breaking Last Summer's Bipartisan Deal
Updated May 10, 2012
The House Budget Committee approved on May 7 a package of two bills that would alter the bipartisan deal between President Obama and congressional leaders that was reflected in last summer’s Budget Control Act (BCA). It would eliminate the “sequestration” (automatic cuts) in discretionary programs scheduled for 2013 as … -
Toomey Budget Similar to House-Passed Ryan Budget
May 9, 2012
The Senate may take up, as early as this week, a budget proposal from Senator Patrick J. Toomey (R-PA)[1] that is similar in most important respects to the budget resolution from House Budget Committee Chairman Paul Ryan (R-WI), which the House passed on March 29. [2] Like the Ryan budget, the Toomey plan (S. Con. Res. 37) would protect and extend tax cuts that … -
House Bill Would Cut Medicaid Funding for Puerto Rico by About $5.5 Billion Through 2019
April 25, 2012
The House Energy and Commerce Committee is scheduled to pass legislation on April 25 that would cut federal Medicaid funding for the Commonwealth of Puerto Rico by about $5.5 billion through 2019, relative to current law. The provision is part of legislation that House Republicans are assembling, and plan to bring to the House floor in … -
Medicaid Maintenance-of-Effort Requirement Does Not Stop States from Fighting Fraud
Updated April 24, 2012
Affordable Care Act provisions requiring states to maintain their eligibility standards and procedures for Medicaid and the Children’s Health Insurance Program do not impede states’ efforts to ensure program integrity and reduce fraud, waste, and abuse, contrary to claims of House members who seek their repeal. Moreover, … -
What if Chairman Ryan’s Medicaid Block Grant Had Taken Effect in 2001?
April 20, 2012
House Budget Committee Chairman Paul Ryan’s proposal to convert Medicaid to a block grant, which the House recently passed as part of Chairman Ryan’s overall budget plan, would have cut federal Medicaid funds to most states by more than 35 percent by 2010 — and to several of them by more than 50 percent — if it had been … -
Testimony: Robert Greenstein Before the House Budget Committee Hearing on Strengthening the Safety Net
April 17, 2012
Thank you for the invitation to testify today. I am Bob Greenstein, President of the Center on Budget and Policy Priorities, a policy institute located here in Washington. I also served many years ago as Administrator of the Food and Nutrition Service at USDA, which operates the Supplemental Nutrition Assistance Program (SNAP, … -
Draconian Republican Study Committee Budget Would Cut Federal Medicaid Funding Nearly in Half by 2022
March 28, 2012
The House Republican Study Committee has proposed an alternative budget to the plan designed by House Budget Committee Chairman Paul Ryan; both will be considered on the House floor this week. As part of its budget, the RSC proposes to end Medicaid and the Children’s Health Insurance Program (CHIP), and also to repeal the … -
Cooper-LaTourette Budget Significantly to the Right of Simpson-Bowles Plan
March 28, 2012
Reps. Jim Cooper (D-TN) and Steven LaTourette (R-OH) unveiled a budget plan on March 27 that they call the “Simpson-Bowles Budget.” It departs significantly, however, from the Bowles-Simpson commission plan in key respects — raising taxes much less, cutting much more from non-security discretionary programs and less from defense and … -
Federal Government Will Pick Up Nearly All Costs of Health Reform’s Medicaid Expansion
Updated March 28, 2012
For updated data, view this report: How Health Reform’s Medicaid Expansion Will Impact State Budgets July 12, 2012 Claims that states will bear a significant share of the costs of the Affordable Care Act’s (ACA) Medicaid expansion — and that this will place a heavy financial burden on states — do not hold up under scrutiny. … -
Ryan Medicaid Block Grant Would Cut Medicaid by One-Third by 2022 and More After That
March 27, 2012
The Medicaid block-grant proposal in the Ryan budget that the House of Representatives will vote on this week would cut federal Medicaid funding by 34 percent by 2022 (on top of repealing the health reform law’s Medicaid expansion) because the funding would no longer keep pace with health care costs or with expected Medicaid … -
Blog Post: Ryan Roundup, 2012: Everything You Need to Know About Chairman Ryan's Budget
March 23, 2012
Below is a compilation of the CBPP blog posts to date on House Budget Committee Chairman Paul Ryan’s new budget. Check back here frequently, as we will update this list as we put out new material. http://bit.ly/RyanPosts Overview/General Greenstein Statement March 21, 2012 "The new Ryan budget is a … -
Blog Post: Low-Income Programs Would Bear the Brunt of Ryan Cuts
March 23, 2012
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Chairman Ryan Gets 62 Percent of His Huge Budget Cuts from Programs for Lower-Income Americans
March 23, 2012
House Budget Committee Chairman Paul Ryan’s budget plan would get at least 62 percent of its $5.3 trillion in nondefense budget cuts over ten years (relative to a continuation of current policies) from programs that serve people of limited means. This stands a core principle of President Obama’s fiscal commission on its head and … -
Blog Post: Greenstein on the Ryan Budget
March 21, 2012
We’ve issued a statement from Robert Greenstein on the budget from House Budget Committee Chairman Paul Ryan. Here’s the opening: The new Ryan budget is a remarkable document — one that, for most of the past half-century, would have been outside the bounds of mainstream discussion due to its extreme nature. In essence, this budget is … -
Statement of Robert Greenstein, President, on Chairman Ryan's Budget Plan
March 21, 2012
The new Ryan budget is a remarkable document — one that, for most of the past half-century, would have been outside the bounds of mainstream discussion due to its extreme nature. In essence, this budget is Robin Hood in reverse — on steroids. It would likely produce the largest redistribution of income from the bottom to the top in modern U.S.… -
Blog Post: Ryan’s Rx for Medicaid Would Add Millions to the Uninsured and Underinsured
March 20, 2012
House Budget Committee Chairman Paul Ryan’s new budget again proposes to radically restructure Medicaid by converting it into a block grant and to slash federal funding by about one-fifth over the next decade (as well as to repeal health reform’s Medicaid expansion). All told, it would add tens of millions of Americans to the ranks of the uninsured and underinsured. Repealing the … -
Blog Post: A First Look at the Ryan Budget
March 20, 2012
We’ve issued a brief analysis of House Budget Committee Chairman Paul Ryan’s new budget plan. Here’s the opening: House Budget Committee Chairman Paul Ryan’s new budget plan specifies a long-term spending path under which, by 2050, most of the federal government aside from Social Security, health care, and defense would cease to … -
CBO Shows Ryan Budget Would Set Nation on Path to End Most of Government Other Than Social Security, Health Care, and Defense By 2050
March 20, 2012
House Budget Committee Chairman Paul Ryan’s new budget plan specifies a long-term spending path under which, by 2050, most of the federal government aside from Social Security, health care, and defense would cease to exist, according to figures in a Congressional Budget Office analysis released today. [1] The CBO report, prepared at Chairman … -
Claimed State Savings from Rhode Island’s Medicaid Cap Heavily Overblown, Report Shows
March 16, 2012
Rhode Island has operated its Medicaid program since 2009 under a waiver that caps the federal financing available to the state. Some proponents of converting the Medicaid program nationally to a block grant have argued that the waiver — and its Medicaid funding cap — have generated substantial savings for Rhode Island, … -
State Considerations on Adopting Health Reform's "Basic Health" Option
March 13, 2012
The Affordable Care Act (ACA) is expected to reduce the number of uninsured people by 34 million by 2021, by providing new options for low- and moderate-income people to obtain affordable, comprehensive health coverage through Medicaid and through tax credit subsidies to help them buy coverage in the new health insurance exchanges. [1] … -
Contrary to "Entitlement Society" Rhetoric, Over Nine-Tenths of Entitlement Benefits Go to Elderly, Disabled, or Working Households
February 10, 2012
Some conservative critics of federal social programs, including leading presidential candidates, are sounding an alarm that the United States is rapidly becoming an “entitlement society” in which social programs are undermining the work ethic and creating a large class of Americans who prefer to depend on government benefits rather … -
Romney's Charge That Most Federal Low-Income Spending Goes for "Overhead" and "Bureaucrats" Is False
Updated January 23, 2012
Presidential candidate Mitt Romney has endorsed a proposal to eliminate major federal assistance programs for low-income Americans and turn them over to the states, often with deep funding cuts. But the rationale he offered for doing so in this past Sunday’s “Meet the Press” debate — that the federal bureaucracy … -
Senate’s Balanced Budget Amendment Could Force Deep Cuts in Aid to States
December 14, 2011
The Republican-sponsored version of a constitutional balanced budget amendment, which the Senate voted on today, would require enormous federal budget cuts, very likely resulting in dramatic reductions in federal grants to states and localities for services ranging from education to highway maintenance to public safety. The attached … -
Allowing Insurers to Withhold Data on Enrollees’ Health Status Could Undermine Key Part of Health Reform
December 12, 2011
Risk adjustment is one of the critical elements of health reform (i.e., the Affordable Care Act, or ACA) that’s designed to encourage insurers to compete based on price and quality — not on attracting the healthiest enrollees and deterring those in poorer health, as they typically do today in the individual and small-group … -
The Senate’s Balanced Budget Amendment Would Require Extreme Budget Cuts
December 5, 2011
The constitutional balanced budget amendment (BBA) that the Senate is expected to consider this month would, like any version of a BBA, risk serious harm to the economy by requiring that the budget be balanced even during an economic downturn. But this BBA, in particular, would do far more damage because it also would prevent the … -
Program Cuts Under a Balanced Budget Amendment: How Severe Might They Be?
November 15, 2011
The constitutional balanced budget amendment that the House is expected to consider this week could force Congress to cut all programs by an average of 17.3 percent by 2018. If revenues are not raised (the House-passed budget resolution assumes no increase above current-policy levels) and all programs are cut by the same percentage, … -
Plan From Toomey, Other Republicans Not a First Step Toward Balanced Deficit Reduction
November 10, 2011
Senator Pat Toomey and other Republicans on the Joint Select Committee on Deficit Reduction (“Supercommittee”) portray their new offer to raise close to $300 billion in revenues (under a plan to reduce deficits by about $1.5 trillion over ten years) as a significant concession, and some observers have suggested it represents a … -
Democrats Offer Significant Concessions
Revised November 1, 2011
The new deficit-reduction plan from several Democrats on the congressional Joint Select Committee on Deficit Reduction (the "supercommittee") marks a dramatic departure from traditional Democratic positions — and actually stands well to the right of plans by the co-chairs of the bipartisan Bowles-Simpson commission and the … -
Republican Plan Contains Minuscule Revenue Increase Alongside Deep Cuts in Medicare and Medicaid
October 31, 2011
The latest proposal by Republicans on the congressional Joint Select Committee on Deficit Reduction (the "supercommittee") contains virtually no new revenue and deep cuts in Medicare and Medicaid. In those respects, it represents little change from earlier Republican budget proposals. It stands in contrast to last week's … -
Statement: James R. Horney, Vice President Of Federal Fiscal Policy, on President Obama’s Budget Package
September 19, 2011
President Obama proposed a balanced and well-designed package today that would boost economic growth and jobs in the short run while stabilizing federal debt as a share of the economy after 2013. By keeping federal debt held by the public from growing as a share of the economy, the President's … -
Poverty Rate Second-Highest in 45 Years; Record Numbers Lacked Health Insurance, Lived in Deep Poverty
September 14, 2011
Driven by the persistent weakness in the economy, the poverty rate in 2010 reached its second-highest point since 1965, median income declined, and the number and percentage of Americans without health insurance stood at record highs, the Census Bureau said yesterday. The share of Americans in "deep poverty" — with incomes … -
Statement: Robert Greenstein, President, on Census’ 2010 Poverty, Income, and Health Insurance Data
September 13, 2011
Today's Census report shows that in 2010, the share of all Americans and the share of children living in poverty, the number and share of people living in "deep poverty," and the number without health insurance all reached their highest level in many years — in some cases, in … -
Media Briefing: Examining the New 2010 Census Data on Poverty, Health Insurance Coverage, and Income
September 13, 2011
The Center on Budget and Policy Priorities held a conference call briefing for journalists Tuesday, September 13, at 1:30 p.m. (ET) to examine the new Census Bureau data for 2010 on poverty, health insurance coverage, and income trends that will be released that morning.
Duration: 21:12
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The Census Bureau’s Upcoming Report on Health Insurance
September 9, 2011
On September 13, the Census Bureau will release estimates of the number and percentage of Americans with, and without, health insurance coverage in 2010. Historical trends and other survey data suggest that: The number and share of Americans without health coverage are likely to … -
Statement: Robert Greenstein, President, on New Debt Ceiling Agreement
Updated August 2, 2011
The new debt ceiling agreement will achieve the essential goal of avoiding a potentially catastrophic default in the days ahead. But to say that the deal is likely to lead to highly unbalanced results would be an understatement. The deal places the nation on a disturbing policy course and sets what may become important precedents that are cause … -
Statement: Robert Greenstein, President, on House Speaker Boehner’s New Budget Proposal
Updated July 27, 2011
House Speaker John Boehner’s new budget proposal would essentially require, as the price of raising the debt ceiling again early next year, a choice between deep cuts in the years immediately ahead in Social Security and Medicare benefits for current retirees, repeal of health reform’s coverage expansions, or wholesale … -
Testimony: Robert Greenstein, President, on “Deficit Reduction: A Review of Key Issues”
July 26, 2011
Mr. Chairman and members of the Committee, thank you for the invitation to testify here today. As you well know, the nation is on an unsustainable fiscal course, and substantial changes in policy will be needed to right the ship. As a number of bipartisan commission have recommended over the past year, policymakers should aim … -
Greenstein Statement on the “Cut, Cap, and Balance Act” That the House Will Consider on July 19
Updated July 16, 2011
The “Cut, Cap, and Balance Act” that the House of Representatives will vote on next week stands out as one of the most ideologically extreme pieces of major budget legislation to come before Congress in years, if not decades. It would go a substantial way toward enshrining Grover … -
TANF’s Inadequate Response to Recession Highlights Weakness of Block-Grant Structure
July 14, 2011
Leading conservatives in Congress – including House Budget Committee Chairman Paul Ryan – as well as some conservative activists and commentators [1] have recently cited welfare reform and the TANF block-grant structure as a model for reshaping the federal-state funding relationship in other programs for low-income … -
A Tempest in a Teapot
July 13, 2011
A few weeks ago, some news articles suggested that a large and costly “glitch” in the health reform law would allow several million middle-income people to receive Medicaid, which would greatly swell budget deficits. House Majority Leader Eric Cantor claimed that the provision in question, under which Medicaid … -
CHIP's Success Not an Argument for Block-Granting Medicaid
June 29, 2011
Some proponents of converting Medicaid to a block grant have attributed the success of the Children’s Health Insurance Program (CHIP) in extending coverage to millions of low-income uninsured children to the program’s financing structure, which provides states with fixed allotments rather than open-ended federal financing.[1] … -
Health Care Providers Would Face Deep Cuts in Payments and Higher Uncompensated Care Costs Under Medicaid Block Grant
June 28, 2011
The proposal in the House-passed budget plan to convert Medicaid to a block grant would weaken the nation’s health care infrastructure by making it difficult for a multitude of providers — including hospitals, nursing homes, doctors, and pharmacies — to remain economically viable and to continue to deliver … -
Medicaid and the Uninsured: Online Applications for Medicaid and/or CHIP
June 27, 2011
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Proposal to Establish Federal Medicaid “Blended Rate” Would Shift Significant Costs to States
June 24, 2011
An Obama Administration proposal that’s on the table for budget negotiators would reduce federal Medicaid expenditures by reducing the federal share of Medicaid and CHIP costs, shifting costs to states and likely prompting states to cut payments to health care providers and to scale back the health services that Medicaid covers for … -
Lower-Than-Expected Medicare Drug Costs Reflect Decline in Overall Drug Spending and Lower Enrollment, Not Private Plans
May 6, 2011
Some supporters of the House budget plan’s proposal to replace Medicare with a voucher to purchase private health insurance claim that reliance on private insurers can lower costs.[1] They cite the fact that the costs of Medicare Part D, which took effect in 2006, have been lower than the Congressional Budget Office predicted … -
Testimony: Paul Van de Water, Senior Fellow, on Budget Enforcement Mechanisms
May 4, 2011
Mr. Chairman, Senator Hatch, and members of the committee, I appreciate the invitation to appear before you today. The federal budget is on an unsustainable path. If we continue current policies — including a further extension of the 2001 and 2003 tax cuts and AMT relief — deficits will remain high throughout the … -
Ryan Medicaid Block Grant Would Cause Severe Reductions in Health Care and Long-Term Care for Seniors, People with Disabilities, and Children
May 3, 2011
House Budget Committee Chairman Paul Ryan’s budget plan, which the House passed on April 15, would dramatically restructure Medicaid by converting it to a block grant and cutting the program’s funding sharply. According to the Congressional Budget Office, the Ryan budget would reduce federal funding by 35 percent in 2022 … -
Chairman Ryan Gets Nearly Two-Thirds of His Huge Budget Cuts From Programs for Lower-Income Americans
Updated April 20, 2011
House Budget Committee Chairman Paul Ryan’s budget plan would get nearly two-thirds of its $4.5 trillion in budget cuts over 10 years from programs that serve people of limited means, which violates basic principles of fairness and stands a core principle of President Obama’s fiscal commission on its head. The plan … -
Statement of Robert Greenstein, President, on Chairman Ryan’s Budget Plan
Updated April 20, 2011
Chairman Ryan’s sweeping budget plan has been labeled “courageous,” but it’s a cowardly budget in a crucial respect. It proposes a dramatic reverse-Robin-Hood approach that gets the lion’s share of its budget cuts from programs for low-income Americans — the politically and economically weakest group in … -
Out-of-Pocket Medical Costs Would Skyrocket for Low-Income Seniors and People with Disabilities Under the Ryan Budget Plan
April 15, 2011
House Budget Committee Chairman Paul Ryan’s (R-WI) budget proposal to convert Medicare into a system of vouchers and to block-grant Medicaid would substantially increase out-of-pocket costs for millions of low-income seniors and people with disabilities who are “dually eligible” for both programs. Under current law, Medicaid pays the Medicare premiums — and in … -
Proposed Cap on Federal Spending Would Force Deep Cuts in Medicare, Medicaid, and Social Security
Revised April 15, 2011
A prominent proposal by Senators Bob Corker (R-TN) and Claire McCaskill (D-MO) to limit total federal spending to no more than 20.6 percent of the Gross Domestic Product (GDP), which is attracting increasing attention, may sound benign, but it would inevitably force enormous cuts in Medicare, Medicaid, and possibly Social Security. The … -
Statement: Robert Greenstein on President Obama's Deficit-Reduction Plan
April 13, 2011
President Obama made an important contribution today to efforts to address the nation’s long-term fiscal problems, proposing a plan to reduce deficits by about $4 trillion over the next 12 years and meet the essential goal of stabilizing the national debt so that it rises no faster than … -
What if Ryan's Medicaid Block Grant Had Taken Effect in 2000?
April 12, 2011
House Budget Committee Chairman Paul Ryan’s radical proposal to convert Medicaid to a block grant, which the House will consider this week as part of Ryan’s sweeping budget plan, would have cut federal Medicaid funds to most states by more than 25 percent by 2009 and to several of them by more than 40 percent if it … -
CBO Report: Ryan Plan Specifies Spending Path That Would Nearly End Most of Government Other Than Social Security, Health Care, and Defense by 2050
April 7, 2011
House Budget Committee Chairman Paul Ryan's budget plan specifies a long-term spending path that means that, by 2050, most of the federal government aside from Social Security, health care, and defense would literally cease to exist, according to figures in a Congressional Budget Office report[1] that was released on Tuesday. CBO's … -
Media Briefing: A Greater Understanding of Rep. Ryan's Budget Plan
April 7, 2011
Robert Greenstein, James Horney, and Paul Van de water discuss emerging new findings from the Center and from the Congressional Budget Office about House Budget Committee Chairman Paul Ryan's plan.
Duration 22:18
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Ryan Plan’s “Path to Prosperity” Is Just for the Wealthy
April 6, 2011
House Budget Committee Chairman Paul Ryan’s name for his budget — “The Path to Prosperity” — is a cruel joke. One of this nation’s core beliefs is that if you work hard and act responsibly, you can get ahead, raise a family, and have a decent life. That was never more true than in the three decades after World War II, when the path to … -
CBO Confirms Ryan’s Medicaid Block Grant Would Likely Harm States, Beneficiaries, and Providers
April 6, 2011
The majority of the $1.4 trillion in Medicaid cuts over the next ten years in House Budget Committee Chairman Paul Ryan’s budget would come from converting the program into a block grant. The non-partisan Congressional Budget Office (CBO) issued an analysis yesterday finding that block-granting Medicaid would shift costs to states, beneficiaries, and health care … -
Republican Study Committee Bill Would Require Deepest Cuts in Programs for the Poor in U.S. History
April 5, 2011
Legislation unveiled last month by the Republican Study Committee, the powerful caucus that includes 176 House Republican members, would require the most severe cuts in programs for the poor in the nation’s history. Introduced by RSC Chair Jim Jordan (R-OH), Tim Scott (R-SC), and RSC Budget and Spending Task Force Chair … -
Ryan’s Cowardly Budget
April 5, 2011
The Center has just issued a statement on House Budget Committee Chairman Paul Ryan’s budget plan and a brief analysis showing that the plan would get about two-thirds of its more than $4 trillion in budget cuts over 10 years from programs that serve people of limited means. . -
Off the Charts Blog Post: Chairman Ryan’s Baseless Attack on SNAP/Food Stamps
April 5, 2011
Falsely claiming that the nation’s most important anti-hunger program — SNAP, formerly called food stamps — is experiencing “relentless and unsustainable growth,” House Budget Committee Chairman Paul Ryan calls for converting it into a block grant. The truth is that SNAP’s recent growth is temporary and reflects the … -
Off the Charts Blog Post: Ryan’s Rx for Medicaid Means Millions More Uninsured or Underinsured Seniors, People with Disabilities, and Children
April 4, 2011
House Budget Committee Chairman Paul Ryan (R-WI) will unveil a budget tomorrow that would cut Medicaid by as much as $1 trillion over the next 10 years and convert it into a block grant. He and others will likely claim that these changes would merely rein in “out-of-control” Medicaid costs while letting states stretch their reduced federal … -
Media Briefing: Principles and Cautions for Deficit Reduction
March 24, 2011
Robert Greenstein, President, and James R. Horney, Vice President for Fiscal Policy discuss a major new report, which suggests a framework for a comprehensive deficit reduction package, discusses the appropriate mix of tax and program savings for it, recommends some important ways to achieve those savings, explains the effects that such a package should have on poverty and inequality, and highlights some misguided proposals that policymakers should avoid.
Duration: 20:13
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A Framework for Deficit Reduction: Principles and Cautions
March 24, 2011
The nation is on an unsustainable fiscal course, and policymakers need to make major changes in policy. As a number of bipartisan panels have recommended over the past year, policymakers should aim to stabilize the debt as a share of the economy (the Gross Domestic Product) so the debt does not rise relentlessly as a share of the …
