Medicaid
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Administration Policy Change Threatens Health Care Coverage for Poor Infants
Revised December 11, 2006
Since 1984, federal Medicaid law has required that states provide one year of automatic Medicaid eligibility to babies whose mothers are sufficiently poor that the baby’s birth was covered by Medicaid.[2] For the past 22 years, these babies have been able to get check-ups and other health care services that can be … -
Medicaid Commission Recommendations Raise Serious Concerns
November 16, 2006
On November 8, the Medicaid commission created by the Administration last year released a “chairman’s mark” setting forth broad recommendations designed to “promote Medicaid’s long-term fiscal sustainability, while also emphasizing quality of care.” The commission will consider these recommendations at its final meeting on November 16 and 17. In … -
Medicaid Costs Are Growing More Slowly Than Costs for Medicare or Private Insurance
November 13, 2006
Are Medicaid expenditures growing “out of control”? This paper reports new data showing that Medicaid expenditures did not grow at all in fiscal year 2006 and are expected to grow only modestly in 2007. There are good reasons to be concerned about projected increases in Medicaid expenditures over the long term, since health … -
Coverage of Parents Helps Children, Too
October 20, 2006
The nation has made an important commitment to reducing the number of uninsured children. Over the past decade, the creation of the State Children’s Health Insurance Program (SCHIP) and related changes made by states in their Medicaid programs have boosted children’s enrollment and led to a marked reduction in the … -
Is Medicaid Responsible for the Erosion of Employer-Based Health Coverage?
September 22, 2006
The Census Bureau recently reported that employer-sponsored health insurance coverage in the United States has continued to erode. Between 2000 and 2005, the percentage of Americans with job-based insurance slipped from 63.6 percent to 59.5 percent. Michael Cannon, director of health policy studies at the Cato Institute, has blamed … -
The Illusion of Choice: Vulnerable Medicaid Beneficiaries Being Placed In Scaled-Back “Benchmark” Benefit Packages
September 14, 2006
The Deficit Reduction Act, signed into law in February 2006, permits states to vary the benefit packages they offer to some groups of Medicaid beneficiaries.[1] States can require most children and parents to enroll in new “benchmark” benefit packages that do not provide all the benefits covered by regular Medicaid. … -
Documenting Citizenship and Identity Using Data Matches
September 1, 2006
Under the Deficit Reduction Act of 2005 (DRA), U.S. citizens must document their citizenship and identity when applying for Medicaid or renewing their coverage. The new requirement, which took effect on July 1, could jeopardize the health coverage of substantial numbers of eligible citizens who are unable to secure the required … -
Budget Process Bill Would Result In Deep Cuts In Medicare and Medicaid
Revised August 9, 2006
The Senate Budget Committee has approved a bill (S. 3521) that would radically alter federal budget procedures and could lead to deep cuts over time in the vast majority of domestic programs, including Medicaid, Medicare, and SCHIP. While the odds are slim that the legislation will be considered by the full Senate this year, the … -
Administration Medicaid Rule Would Put Pressure On States To Reduce Benefits Or Eligibility Or To Lower Payments To Providers Reduce Health Care Spending
June 13, 2006
Medicaid, which provides health and long-term care insurance to more than 50 million low-income Americans, is paid for jointly by the federal government and the states. States have the option of raising some of their share of Medicaid expenditures by using revenue from taxes on hospitals, nursing homes, managed care organizations, … -
West Virginia’s Medicaid Changes Unlikely To Reduce State Costs Or Improve Beneficiaries’ Health
May 31, 2006
The federal Deficit Reduction Act of 2005 (DRA), signed into law in February 2006, gives states new options to scale back health-care benefits for children and parents enrolled in Medicaid.[1] On May 3, 2006, West Virginia received federal approval to provide a scaled-back basic benefit package for most children and parents in its … -
The Slowdown In Medicaid Expenditure Growth
March 16, 2006
It is sometimes claimed that Medicaid expenditures are “out of control.” A careful analysis of recent data and projections indicates, however, that Medicaid growth has slowed considerably in the last year or so, even before the enactment of the Deficit Reduction Act of 2005. Both the Administration and the Congressional … -
Survey Indicates Deficit Reduction Act Jeopardizes Medicaid Coverage For 3 To 5 Million U.S. Citizens
Revised February 17, 2006
The Deficit Reduction Act signed by the President on February 8th contains a new mandate requiring U.S. citizens covered by Medicaid to prove their citizenship by submitting a birth certificate or passport (or a limited set of similar documents) or else lose their Medicaid coverage. Beginning July 1, 2006, this provision will apply … -
Press Release: Administration’s Health Savings Accounts Proposals Would Cause Net Increase In Number Of Uninsured
February 15, 2006
A new analysis by one of the nation’s leading health economists finds that the Administration’s proposals to expand tax breaks for Health Savings Accounts (HSAs) would cause a net increase in the number of uninsured Americans. The analysis, conducted by Jonathan Gruber of M.I.T., projects that while 3.8 million previously uninsured people would gain health coverage through HSAs as a result of the President’s proposals, 4.4 million people would … -
The Administration’s Medicaid Proposals Would Shift Federal Costs To States
February 14, 2006
In its new budget, the Administration proposes net federal Medicaid funding cuts equal to $14 billion over the next five years and $35.5 billion over ten years through a combination of legislative changes and regulatory action. [1] These reductions follow on the heels of significant federal Medicaid cuts ($4.9 billion over five … -
New Congressional Budget Office Estimates Indicate Millions of Low-Income Beneficiaries Would Be Harmed by Medicaid Provisions in Budget Bill
January 29, 2006
On January 27, the Congressional Budget Office issued a new analysis of the Medicaid provisions of the budget reconciliation conference agreement,[1] on which the House of Representatives is expected to vote February 1. The conference agreement, which the Senate passed 51-50 in late December with Vice President Cheney breaking the … -
New Survey Finds 3 To 5 Million Citizens’ Medicaid Coverage Jeopardized By Budget Reconciliation Bill
January 26, 2006
On February 1, the House of Representatives is scheduled to vote on the budget reconciliation agreement, which contains a little-noticed mandate requiring U.S. citizens covered by Medicaid to prove their citizenship by submitting a birth certificate or passport or lose their Medicaid coverage. … -
Press Release: South Carolina’s Revised Medicaid Plan Unlikely To Cut State’s Costs
January 11, 2006
New details contained in South Carolina’s revised proposal to replace its Medicaid program with a system of state-funded personal health accounts show the plan is unlikely to save the state money even as it deprives many beneficiaries of needed health care services, according to a new analysis by the Center on Budget and Policy Priorities. … -
Still Risky Business: South Carolina’s Revised Medicaid Waiver Proposal
January 11, 2006
On November 16, 2005, South Carolina requested federal permission to make radical changes in its Medicaid program. The request, which took the form of a proposed waiver of federal Medicaid rules, would affect more than 700,000 low-income South Carolina children, parents, and people with disabilities.[1] The November proposal revises … -
Assessing the Effects of the Budget Conference Agreement on Low-Income Families and Individuals
Revised January 9, 2006
Some Congressional leaders are claiming that the low-income provisions in the conference agreement on the budget reconciliation bill are modest and will not harm vulnerable families. Many of the legislation’s key provisions were altered behind closed doors in weekend negotiations, and the legislation was not released until after 1:00 the morning of December 19, just hours before … -
State Budgets Would Be Squeezed Under Budget Conference Agreement
Revised January 6, 2006
The budget reconciliation conference agreement which passed the Senate would have a significant impact on state budgets. The agreement includes numerous changes to low-income programs in which states share costs with the federal government, such as Medicaid, Child Support Enforcement, and TANF. On the whole, CBO estimates indicate that over the next five years, the loss to states from reductions in … -
New Requirement for Birth Certificates or Passports Could Threaten Medicaid Coverage for Vulnerable Beneficiaries
January 5, 2006
The Deficit Reduction Act, which was signed by the President on February 8th, contains a provision that would require all citizens applying for Medicaid or renewing their coverage to produce a passport or birth certificate to prove they are U.S. citizens. There would be no exceptions for any Medicaid applicants or beneficiaries, not even individuals … -
Press Release: New Documentation Rule Threatens Medicaid Coverage For Many
January 5, 2006
A bill nearing final passage in Congress that would cut programs such as Medicaid, student loans, and child support enforcement contains a little-noticed provision that would require all citizens applying for Medicaid to produce a passport or a birth certificate to prove they are U.S. citizens. The …
