Medicaid
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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 … -
Podcast: Radical Medicaid Proposals Could Add Millions to Ranks of Uninsured
March 24, 2011
Edwin Park, Vice President for Health Policy, discusses how Medicaid block grant proposals would harm seniors, children, and people with disabilities, as well as states.
Duration: 4:59
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Rhode Island’s Global Waiver Not a Model For How States Would Fare Under a Medicaid Block Grant
Updated March 22, 2011
In recent months, proponents of converting Medicaid into a block grant have cited a Medicaid waiver demonstration project in Rhode Island as evidence that a block grant would produce substantial federal and state savings while giving states greater flexibility over their Medicaid programs. [1] These claims, however, are off the mark.… -
Ryan-Rivlin Plan Would End Guaranteed Medicare, Shift Medicaid Costs To States And Beneficiaries
Revised March 22, 2011
Rep. Paul Ryan (R-WI), chair of the House Budget Committee, and Alice Rivlin, former director of the Congressional Budget Office and the Office of Management and Budget, issued a proposal in November that would make deep reductions in Medicare and Medicaid benefits and fundamentally alter the nature of those programs.[1] The proposal … -
Testimony: Paul Van de Water, Senior Fellow, Before the Committee on the Budget
March 17, 2011
Mr. Chairman, Mr. Van Hollen, and members of the committee, I appreciate the invitation to appear before you today to discuss health and retirement security. Our landmark public programs — Social Security, Medicare, and Medicaid — are bulwarks in defending the well-being of America’s seniors and people with disabilities.… -
Hatch-Upton Report On Costs to States of Expanding Medicaid Relies On Seriously Flawed Estimates
March 16, 2011
Senate Finance Committee Ranking Member Orrin Hatch (R-UT) and House Energy and Commerce Committee Chairman Fred Upton (R-MI) recently released a report purporting to estimate the net cost to states of expanding Medicaid under the Affordable Care Act. [1] The report claims it provides, on a state-by-state basis, the best estimates of … -
Testimony of Paul N. Van de Water, Senior Fellow, Before the Committee on Finance
March 16, 2011
Mr. Chairman, Senator Hatch, and members of the committee, I appreciate the invitation to appear before you today. When Congress was about to enact health reform last March, the Congressional Budget Office (CBO) estimated that the legislation would reduce the deficit — modestly in its first ten years, but substantially in the … -
Medicaid Block Grant Would Produce Disparate and Inequitable Results Across States
March 10, 2011
Some policymakers, including House Energy and Commerce Committee Chairman Fred Upton and House Budget Committee Chairman Paul Ryan, are considering converting Medicaid to a block grant to produce large federal budget savings. For example, a block-grant proposal that Ryan co-authored last fall would reduce federal Medicaid spending by … -
Podcast: Improving the Delivery of Key Work Supports at this Critical Moment
March 8, 2011
Stacy Dean, Vice President for Food Assistance Policy, and Dottie Rosenbaum, Senior Analyst, discuss the Work Support Strategies Initiative and their report on improving the delivery of key services to needy families.
Duration: 8:36
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House Bill Means Fewer Children in Head Start, Less Help for Students to Attend College, Less Job Training, and Less Funding for Clean Water
Updated March 1, 2011
Some 157,000 at-risk children up to age 5 could lose education, health, nutrition, and other services under Head Start, while funds for Pell Grants that help students go to college would fall by nearly 25 percent, under a bill passed by the House that would cut current-year non-security discretionary funding by an average of 14.3 percent.… -
Media Briefing: Medicaid, Health Reform, and the States
February 28, 2011
Judith Solomon, Vice President for Health Policy, Edwin Park, Vice President for Health Policy, and Robert Greenstein, the Center’s President, will discuss proposals to block grant the Medicaid program and repeal its maintenance of effort requirements.
Duration: 20:00
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Improving the Delivery of Key Work Supports
February 24, 2011
For more than 15 years, federal and state governments have been working together in earnest to simplify enrollment in public benefit programs. Their work has been driven by the fact that the share of people who participate in public programs has not kept pace with the need; by a desire to make full use of the federal … -
Repealing Health Reform’s Maintenance of Effort Provision Could Cause Millions of Children, Parents, Seniors, and People With Disabilities to Lose Coverage
Updated February 24, 2011
The Affordable Care Act requires states to maintain their current Medicaid and Children’s Health Insurance Program eligibility standards until 2014, when new, nationwide Medicaid eligibility standards take effect and state-based health insurance exchanges will begin operating. However, citing state budget problems, a number of … -
Medicaid Block Grant Would Shift Financial Risks and Costs to States
February 23, 2011
Some states may mistakenly believe that proposals to convert Medicaid into a block grant or otherwise cap federal funding would make their Medicaid costs more predictable and stable over time. In reality, a block grant is intended to provide predictability for the federal government by replacing the current financing … -
House GOP Plan Cuts Non-Security Discretionary Programs 15 Percent Through End of Fiscal Year
February 4, 2011
House Republican leaders announced yesterday the next steps in their plan to impose deep cuts in non-security discretionary (annually appropriated) programs. Under the plan, non-security programs would shrink, on average, by 15.4 percent below current funding under the continuing resolution (which expires on March 4) and 19.4 percent below what President Obama proposed … -
Media Briefing: The Corker-McCaskill Proposal to Cap Total Federal Spending: Is It Sound Policy?
February 1, 2011
Executive Director, Robert Greenstein, and Senior Fellow, Paul Van de Water discuss the “Commitment to American Prosperity Act” that would set a binding spending cap of 20.6% of the Gross Domestic Product.
Duration: 16:59
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Corker-McCaskill Spending Cap Doesn’t Account for Basic Changes in Society and Government
February 1, 2011
The proposal from Senators Bob Corker (R-TN) and Claire McCaskill (D-MO) to limit total federal spending to 20.6 percent of gross domestic product (GDP), the average from 1970 to 2008, would force draconian cuts in Social Security, Medicare, and many other programs while making it harder for the nation to recover from recession. That’s because the proposal, which … -
Medicaid Block Grant or Funding Caps Would Shift Costs to States, Beneficiaries, and Providers
January 6, 2011
Proposals to convert Medicaid into a block grant or otherwise cap its funding are receiving renewed attention in the emerging debate over cutting federal spending. For example, Rep. Fred Upton (R-MI), the new chair of the House Energy and Commerce Committee, reportedly has already discussed block-granting Medicaid with some …
