Health Archive
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House Health Bill’s High-Income Surcharge is Sound and Well Targeted
Updated November 20, 2009
A 5.4 percent surcharge on couples with incomes over $1 million, a key financing feature of the House health reform bill, is sound and well targeted. It would affect just a fraction of 1 percent of taxpayers, a group whose incomes have soared and tax burdens have fallen in recent years, and would have only a modest impact on small businesses. … -
House Health Reform Bill Expands Coverage and Lowers Health Cost Growth, While Reducing Deficits
Updated November 20, 2009
The comprehensive health reform legislation that House Democratic leaders unveiled on October 29 would make significant progress in three critical areas: expanding health coverage and ensuring that such coverage is affordable, slowing the growth in health care costs, and instituting essential reforms in the health insurance market. Moreover, the … -
Statement: Robert Greenstein, Executive Director, on the New Senate Health Reform Bill
November 19, 2009
The new Senate health bill marks a major step toward comprehensive, fiscally responsible health reform. It would extend health insurance coverage to 31 million Americans who lack it, reduce the budget deficit, and put long-term downward pressure on health care costs. The bill would reduce deficits by an estimated $130 billion over the 2010-2019 period and by … -
Changes in Senate Health Bill Make Coverage More Affordable for Millions of Moderate-Income Families, Although not for Those on Low End of Subsidy Scale
November 19, 2009
Executive Summary The health reform bill that Senate leaders unveiled on November 18 makes health coverage more affordable for millions of households of modest means, as compared to the bill that the Senate Finance Committee approved last month. The amounts that many families and individuals would pay for coverage would be less than under the … -
Senate Health Bill Improves Employer Responsibility Provision
November 19, 2009
The “employer responsibility” provisions of the health reform bill that Senate leaders unveiled yesterday reflect notable progress in lessening the disincentives that the Senate Finance Committee health bill would have created for employers to hire workers from low- or moderate-income families. Significant disincentives to hire or retain … -
Senate Health Reform Bill Is Fiscally Responsible
November 19, 2009
The health reform bill that Senate leaders unveiled yesterday meets two rigorous fiscal tests: it reduces deficits over the next decade and beyond, and it puts long-term downward pressure on health care costs. The bill would reduce deficits by an estimated $130 billion over the 2010-2019 period and by about one-quarter of one percent of GDP in the decade … -
Podcast: Understanding the House Health Reform Bill
November 17, 2009
The House health reform bill and the next steps for Congress in moving forward with reform are discussed by Senior Fellow, Judy Solomon.
Duration: 4:46
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Increasing Medicare Tax on High-Wage Earners Could Help Pay for Health Reform and Strengthen Medicare’s Finances
November 13, 2009
Increasing the Medicare payroll tax on high-wage earners would represent a sound and well-targeted way of paying for health reform. It would also improve the solvency of Medicare’s Hospital Insurance (HI) trust fund and thereby strengthen this critical program, which provides health coverage for 46 million seniors and persons with disabilities. … -
Video: Fox Business Network Interviews Chuck Marr on the Cost of Health Reform
November 12, 2009
Fox Business Network Interviews Chuck Marr on the Cost of Health Reform
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Excise Tax on Very High-Cost Health Plans Is a Sound Element of Health Reform
Revised November 10, 2009
An excise tax on very high-cost health plans, which the Senate Finance Committee included in its health reform bill, represents a sound way to help pay for health reform. The excise tax finances nearly a quarter of the costs of the Finance Committee bill over the first ten years ($201 billion out of $829 billion) and makes a major contribution to the … -
House Health Bill Would Expand, Strengthen Coverage for Children and Families
November 6, 2009
The health reform bill that House Democratic leaders introduced on October 29 (H.R. 3962) would provide affordable, comprehensive health insurance coverage to 36 million Americans who otherwise would be uninsured, according to the Congressional Budget Office. [1] This is 7 million more otherwise-uninsured people than CBO estimates would gain coverage under … -
House Health Reform Bill Would Help Ensure Affordable, Quality Coverage for Older Adults Aged 55-64
Updated November 2, 2009
The House health reform bill (H.R. 3962)[1] unveiled last week would reduce the ranks of the uninsured by 36 million by 2019 as compared to under current law, the Congressional Budget Office says, meaning that 96 percent of the non-elderly population would have health insurance.[2] One particularly vulnerable subset of the … -
House Health Reform Bill Would Strengthen Medicare
Updated November 2, 2009
The comprehensive health reform bill (H.R. 3962)[1] unveiled by House Democratic leaders on October 29 includes a number of significant changes to the Medicare program that would enhance benefits and improve the quality of care, as well as shore up the program’s finances.[2] Much of the discussion of Medicare in the health reform debate has focused, however, on various proposals … -
Podcast: Understanding the Senate Finance Committee's Health Reform Bill
October 27, 2009
The Senate Finance Committee’s health reform plan is discussed by Senior Fellow, Judy Solomon.
Duration: 4:06
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Video: Bob Greenstein Discusses Controlling Costs in Senate Health Reform Bill on PBS’ Nightly Business Report
October 27, 2009
Video Clip: Bob Greenstein Discusses Controlling Costs in Senate Health Reform Bill on PBS’ Nightly Business Report
Duration: 2:22
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Provision Under Consideration for Merged Senate Health Bill Would Harm Needy Families:
October 26, 2009
A family of three earning $27,465 a year before taxes — that is, at 150 percent of the poverty line — would have to pay $1,318 a year for health coverage under a proposal that Senate negotiators are considering for a merged health reform bill that they would bring to the Senate floor. This is more than such a family would pay under either … -
Video: Judith Solomon Discusses Affordability, Individual and Employee Mandates in Health Reform on Fox Business News
October 26, 2009
Duration: 6:07
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Finance Committee Makes Flawed Employer Requirement in Health Reform Bill Still More Problematic
Revised October 21, 2009
The health reform bill that the Senate Finance Committee approved this week, while a major step forward as a whole, contains a requirement that could inhibit the hiring of individuals from low-income families and would place cumbersome burdens on employers. The provision would require employers who do not offer health coverage to pay substantial … -
Statement: Robert Greenstein, Executive Director, on the Senate Finance Committee’s Health Reform Plan
October 13, 2009
The Senate Finance Committee’s approval of an ambitious health reform plan marks a major step toward enactment of legislation to extend health care to tens of millions of people who lack it, strengthen insurance protections for millions more who are underinsured or face exorbitant charges, and begin to address the nation’s most serious … -
Finance Committee Health Reform Bill Makes Improvements, But Still Falls Short of What Is Needed for Many People to Afford Health Care
October 13, 2009
The health reform bill that the Senate Finance Committee approved today includes significant improvements, compared to the original chairman’s mark, in making health care coverage affordable to low- and moderate-income households. It could, however, still leave many such households facing fairly steep insurance premiums and cost-sharing … -
What Level of Coverage Will Health Reform Likely Provide? The Basics of Actuarial Value
October 13, 2009
Each of the major health reform proposals Congress is considering sets standards for the coverage that the insurance plans offered through new health insurance exchanges would provide. To measure whether an insurance plan meets these standards, the bills rely on the use of “actuarial value.” This analysis explains the concept of actuarial … -
Coalition Makes Flawed Arguments Against Proposal to Help Finance Health Reform by Maintaining Current Value of Itemized Deductions for Wealthy Households
Revised October 13, 2009
A coalition consisting of several trade associations for foundations and some nonprofit organizations along with a number of large charities has raised objections to a proposal that would help finance improved health coverage for low- and moderate-income people by maintaining the value of itemized deductions for wealthy Americans at its current … -
Senate Finance Committee Health Reform Bill Is Fiscally Responsible
Revised October 13, 2009
A fundamental principle of the bill that the Senate Finance Committee approved today is that it is budget neutral — that is, its costs are fully offset. It pays for the costs of expanding health coverage to the uninsured by redirecting spending and tax subsidies from less productive uses elsewhere in the health sector. Several of the offsets are … -
Tax Offsets in Baucus Health Plan Are Sound But Can Be Improved
September 18, 2009
The health reform proposal by Senate Finance Committee Chairman Max Baucus would place a 35-percent excise tax on the value of health plans in excess of $8,000 for singles and $21,000 for families, starting in 2013; these thresholds would be indexed for inflation in later years. The excise tax is a sound way to help pay for health reform, but it … -
Statement: Robert Greenstein, Executive Director, on Chairman Baucus’ Health Reform Plan
September 16, 2009
Senator Baucus’ plan is a major contribution to the health care debate, as it would extend coverage to tens of millions of uninsured Americans and improve insurance for millions of Americans who already have coverage — through reforms that deal with matters such as pre-existing conditions — and do so while fully offsetting the costs, … -
Podcast: The Budget Reconciliation Process
September 15, 2009
The budget reconciliation process in Congress is explained by Director of Federal Fiscal Policy, Jim Horney.
Duration: 4:43
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Ending Medicare Advantage Overpayments Would Strengthen Medicare
September 14, 2009
One of the key cost-saving provisions Congress is considering as part of health reform legislation would eliminate the large overpayments Medicare makes to the private “Medicare Advantage” health plans that serve some Medicare beneficiaries. While private plans ostensibly were brought into Medicare to reduce costs, they … -
“Upcoding” Problem Exacerbates Overpayments to Medicare Advantage Plans
Revised September 14, 2009
Private plans were brought into Medicare on the theory that they could deliver Medicare services at lower cost. However, the Medicare Payment Advisory Commission (MedPAC) — Congress’s expert advisory body on Medicare payment policy — has found that Medicare pays private plans 14 percent more than it costs to … -
Poverty Rose, Median Income Declined, and Job-Based Health Insurance Continued to Weaken in 2008
September 10, 2009
Poverty increased, median household income fell, and the percentage of Americans with employer-based health coverage continued to decline in 2008, according to Census data for 2008 issued today. The figures reflect the initial effects of the recession. Median household income declined 3.6 percent in 2008 after adjusting for … -
Private Health Coverage Declined, Became Less Secure in 2008
September 10, 2009
The Census Bureau reported today that 46.3 million U.S. residents lacked health insurance in 2008, an increase of 632,000 over the previous year. [1] Nearly 6.6 million more people were uninsured in 2008 than in 2001, when the previous recession hit bottom. The proportion of the population without health insurance climbed to … -
Statement: Greenstein on Census’ 2008 Health Insurance and Poverty Data
September 10, 2009
Today’s grim Census Bureau report shows the nation lost substantial ground in 2008 on poverty, median income, and the number of people who are uninsured. Several aspects of the Census report stand out. The number of people living in poverty jumped by 2.6 million to 39.8 million — the highest since 1960. The poverty rate … -
Podcast: Examining the New 2008 Census Data on Poverty, Income, and Health Insurance Coverage
September 10, 2009
Robert Greenstein discusses today’s grim Census Bureau report that shows the nation lost substantial ground in 2008 on poverty, median income, and the number of people who are uninsured. Several aspects of the Census report are highlighted.
Duration: 11:59
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Podcast: High-Income Surcharge Can Help Pay for Health Reform
August 25, 2009
Chuck Marr, director of federal tax policy, discusses the need for health reform and one option to help pay for it: a surcharge on high-income households under consideration by the House of Representatives.
Duration: 4:43
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An Excise Tax on Insurers Offering High-Cost Plans Can Help Pay for Health Reform
August 7, 2009
The federal government provides substantial tax subsidies for health insurance, especially for high-cost insurance plans for people with high incomes. The Senate Finance Committee is considering placing an excise tax on insurance companies that offer very high-cost health insurance plans. This proposal would help achieve two important objectives: … -
Podcast: Health Reform — Examining the Flaws of the Proposed “Free Rider” Employer Requirement Provision
August 5, 2009
This podcast discusses an employer mandate proposal known as “free rider” that the Senate Finance Committee negotiators have agreed to include in their forthcoming health reform legislation. It also discusses alternative, better-designed approaches to an employer responsibility requirement, which is a necessary component of health care reform.
Duration: 21:45
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Coburn-Ryan Health Bill Would Jeopardize Coverage for Many, While Failing To Reduce the Number of Uninsured Significantly
July 30, 2009
The Patients’ Choice Act, introduced by Senator Tom Coburn (R-OK) and Representative Paul Ryan (R-WI), would likely fail to make major progress in reducing the number of uninsured Americans. It also would make affordable, comprehensive coverage less available for many who currently have coverage. Plan Would … -
House Health Bill’s High-Income Surcharge: A Reasonable Approach
Revised July 30, 2009
Reforming the health care system to provide universal health coverage is an urgent priority. But, facing huge projected budget deficits that have the nation on an unsustainable fiscal path, the White House and Congress must enact a health reform plan that is also fully financed and that reduces the growth rate of health care … -
Allowing Multiple Insurance Exchanges in a Single Area Would Make It Harder to Obtain Affordable, Good-Quality Coverage
July 8, 2009
The new insurance exchanges that policymakers are contemplating as part of national health reform could greatly improve people’s access to affordable, decent-quality health insurance, reduce insurers’ ability to “cherry pick” healthy enrollees, and help reduce administrative costs within the health insurance market. But allowing … -
Senate Finance Committee Faces Difficult Choices In Lowering Cost of Health Bill
July 1, 2009
The Senate Finance Committee is seeking to reduce the cost of its health reform bill to approximately $1 trillion over ten years. It faces difficult choices in doing so. Among the modifications it is considering are changes in the subsidies intended to enable low- and moderate-income families and individuals to afford insurance. … -
Some Media Reports Mischaracterize CBO Estimate of Senate “HELP” Health Reform Bill
June 16, 2009
The news media are widely reporting that, according to a partial and preliminary Congressional Budget Office (CBO) analysis, health reform legislation that the Senate Committee on Health, Education, Labor, and Pensions (HELP) is developing would cut the number of uninsured by only 16 … -
Reducing Medicaid and Medicare Drug Costs Could Help Pay For Health Reform
June 11, 2009
By lowering the costs that Medicaid and Medicare pay for prescription drugs, Congress could generate substantial savings to help pay for comprehensive health reform that achieves universal coverage. Prescription drugs are critical to providing effective health care; for many people, they are important to maintaining health and preventing … -
Curbing Flexible Spending Accounts Could Help Pay For Health Care Reform
Revised June 10, 2009
Congress should consider scaling back or eliminating health care flexible spending accounts (FSAs) [1] as part of its effort to pay for health care reform. This paper, which is part of a series of papers on proposals to help pay for health reform, outlines several ways in which Congress could curtail FSAs. FSAs are designed to allow employees to pay … -
Maintaining Current Value of Itemized Deductions For High-Income Taxpayers Could Help Pay For Health Care Reform
June 10, 2009
If Congress rejects the President’s proposal to help pay for health care reform by limiting the value of itemized deductions for high-income filers, it should at least prevent those subsidies from expanding in 2011, as they would under current law. Simply keeping the value of itemized deductions for filers in the top two brackets at … -
Limiting the Tax Exclusion for Employer-Sponsored Insurance Can Help Pay for Health Reform
Revised June 4, 2009
Limiting the tax exclusion for employer-sponsored health insurance could provide significant revenues for health reform without eroding employer-sponsored insurance or causing other undesirable side effects — if the cap and the rest of the health reform legislation are well designed and contain several key features that past proposals have lacked. … -
Taxing High-Sugar Soft Drinks Could Help Pay For Health Care Reform
May 27, 2009
By establishing a tax on high-sugar soft drinks, Congress could help finance health care reform that extends health insurance to all Americans and slows the growth of health care costs, while also improving Americans’ health. This paper, which is part of a series of papers on proposals to help pay for health … -
Reversing the Erosion in Alcohol Taxes Could Help Pay for Health Care Reform
May 27, 2009
To help pay for health care legislation that extends health insurance to all Americans and slows the growth of health care costs, Congress should consider reversing the substantial real decline in recent decades in federal excise taxes on alcohol. This paper, which is part of a series of papers on proposals to help pay for health reform, outlines three options … -
Designing Benefit Standards for a Health Insurance Exchange
May 21, 2009
To make a choice of affordable, comprehensive health plans available to individuals and small businesses under health reform, it is crucial to set benefit standards to ensure that all plans in a health insurance exchange cover a comprehensive array of services. Well-designed benefit standards should help prevent … -
Ensuring Affordable Health Coverage and Health Care Services in an Insurance Exchange
May 21, 2009
A health care reform proposal that requires everyone to obtain health insurance must establish mechanisms to make both health coverage and health care services affordable. Low- and moderate- income people who receive subsidies to help them afford the premiums for coverage can still end up not getting the health … -
2009 Trustees’ Report Underscores Urgency of Health Reform, Medicare Changes
May 18, 2009
The 2009 annual report of Medicare’s trustees underscores the need for system-wide reform of health care financing that will slow the growth of health care costs in both Medicare and the private sector and extend health coverage to the uninsured. [1] In evaluating the new report, it is … -
Podcast: The 2009 Social Security and Medicare Trustees' Reports
May 12, 2009
The Social Security and Medicare Trustees' report on Medicare underscores the urgency of health care reforms to slow health care cost growth, starting with President Obama’s proposed Medicare reforms. The Trustees’ report shows Social Security doesn’t face an immediate crisis but does require changes, and the sooner they’re made, the better.
Duration 14:58
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Statement: Robert Greenstein on Trustees’ Report on Medicare
May 12, 2009
The new trustees’ disturbing report on Medicare underscores the urgency that Congress enact health care reform that slows the growth of health care costs, while extending coverage to the uninsured. In particular, the report should prod Congress to adopt the President’s proposed … -
Statement: Robert Greenstein to Health Reform Financing Roundtable of the Senate Finance Committee
May 12, 2009
Thank you for inviting me to discuss health care reform financing issues. This is an important aspect of health care reform. Financing is Critical Some 46 million Americans are uninsured, a problem that other western industrialized nations have been able to address. In addition, rising health care costs … -
Online Information About Key Low-Income Benefit Programs
Revised April 27, 2009
Virtually all states have made information regarding the five main state-administered low-income benefit programs — food stamps, Medicaid, SCHIP, TANF and child care — available to the public via the internet. There is significant variation between what online information is provided … -
New Children's Health Law Reduces the Harmful Impact of Documentation Requirement
April 23, 2009
The Children’s Health Insurance Program Reauthorization Act of 2009 (CHIPRA) enacted in February contains several provisions to reduce the harmful impact of Medicaid’s citizenship documentation requirement, which has caused many eligible citizen children to lose or be denied coverage … -
Insuring All Americans Is a Critical Component of an Efficient, High Quality Health Care System
April 21, 2009
Health care reform should have two key goals — containing health care costs while improving its quality, and extending coverage to the 46 million Americans who are uninsured. These two goals fit together, because extending coverage is a necessary, but not sufficient, condition to containing costs. Stated another … -
Fact Sheet: Using a Health-Insurance Exchange to Pool Risk and Protect Enrollees
April 14, 2009
Several leading health-reform proposals include a new entity — often called an “exchange” — that would offer a choice of health insurance plans to individuals and, if designed well, provide insurance options that are … -
Scoring Health Legislation
April 1, 2009
The National Institute for Health Care Management Foundation has released a new edition of Expert Voices, Scoring Health Legislation by Paul N. Van de Water, PhD, Senior Fellow, Center on Budget and Policy Priorities. The fate of legislative proposals in the U.S. Congress often hinges on how much they are estimated to increase or decrease the federal budget deficit. Currently, the Congressional Budget Office … -
Proposal to Cap Deductions for High-Income Households Would Reduce Charitable Contributions by Only 1.9 Percent
Revised March 31, 2009
The President’s 2010 budget proposes to limit the tax subsidy for deductible expenses of the most affluent Americans and to use the additional revenue to help finance national health reform, including universal coverage. This proposal has been attacked on the grounds that it would lead to substantial reductions in charitable contributions and hit … -
Rules of the Road: How an Insurance Exchange Can Pool Risk and Protect Enrollees
March 31, 2009
Several leading proposals for major health reform include a new entity — sometimes called an “exchange” — that would offer a choice of health insurance plans to individuals and, if designed well, provide insurance options that are affordable, comprehensive, and easy for consumers to compare. The proposals on … -
Mississippi’s “Face-To-Face” Rule Blocks Coverage of Eligible People, Not Fraud
March 25, 2009
Since 2005, Mississippi has required low-income adults, including parents trying to secure health coverage for their children, to travel to a state office for a face-to-face meeting in order to receive or renew benefits in Medicaid and the Children’s Health Insurance Program. Mississippi is the only state requiring face-to-face … -
Medicaid and CHIP Eligibility Is Protected For Jobless Families That Receive Boost in Unemployment Benefits
March 20, 2009
An estimated 17.9 million jobless workers who become unemployed in 2009 will see their unemployment benefits increase by $25 per week under the American Recovery and Reinvestment Act (ARRA).[1] While unemployment benefits typically are included as income when determining eligibility for Medicaid and CHIP, ARRA excludes this additional $25 per week from the … -
Limiting Itemized Deductions for Upper-Income Taxpayers Would Have Little Effect on Small Business, Charities, Housing
March 12, 2009
Despite persistent claims to the contrary, the President’s proposal to cap the value of itemized deductions at 28 percent would have only small effects on small business, charitable giving, and homeownership. That’s because the proposal, which would save $318 billion over the next ten years to help finance health care reform, would affect only those tax … -
States Should Tap New Tools to Help Medicaid Beneficiaries Maintain Coverage
March 12, 2009
States should adopt two important new options, enacted in February under the American Recovery and Reinvestment Act (ARRA), that would help more low-income Medicaid beneficiaries maintain their health coverage when they reenter the workforce or see their earnings increase, while also lowering states’ administrative costs. Under the Transitional Medical Assistance (TMA) program, … -
Podcast: Examining the Administration's 2010 Budget
February 27, 2009
This podcast discusses the President’s budget outline for fiscal year 2010.
Robert Greenstein discusses the priorities in the budget, as well as specific initiatives in major areas such as health care, taxes, and climate change. They also examine the budget’s implications for the federal deficit and debt and fiscal responsibility, and evaluate whether the budget’s numbers are honest or rely on gimmicks.
Duration: 20:54
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Video: Greenstein Debates the Budget Plan on the Newshour with Jim Lehrer
February 26, 2009
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Improving Medicaid as Part of Building on the Current System to Achieve Universal Coverage
February 24, 2009
The U.S. health care system suffers from a number of problems. Almost 46 million individuals were uninsured in 2007, an increase of 6 million people since 2001. Employer-based coverage, the primary source of health insurance across the nation, continues to erode. Costs continue to rise and bear primary responsibility for the … -
Curbing Medicare Advantage Overpayments Could Benefit Millions of Low-Income and Minority Americans
February 19, 2009
More than 25 million Americans belonging to minority groups lack health coverage; minorities constitute 34 percent of the nation’s population but nearly 55 percent of the uninsured. Enactment of comprehensive health reform that achieves universal coverage would therefore disproportionately benefit minorities. One way to help finance … -
Recovery Act Provides Much-Needed, Targeted Medicaid Assistance To States
February 13, 2009
The American Recovery and Reinvestment Act includes an $87 billion temporary increase in the share of Medicaid that the federal government would pay over nine calendar quarters (October 1, 2008, through December 31, 2010). It would provide three elements of Medicaid fiscal relief assistance to states, as outlined below.… -
Measure in House Recovery Package — But Not Senate Package — Would Help Unemployed Parents Receive Health Coverage
February 9, 2009
The economic recovery package that the House passed on January 28 would establish a temporary option for states to provide Medicaid coverage to certain workers (and their families) who have become unemployed during this recession. This provision, which is not in the Senate package, would help address a problem many parents face … -
Preliminary Analysis of Medicaid Assistance for States In the Senate Economic Recovery Package
Updated January 30, 2009
This analysis is being updated in accordance with the legislative process and will be reposted here shortly. -
Senate’s Medicaid Assistance For States Less Targeted Than In House Recovery Bill
Updated January 30, 2009
The economic recovery package passed by the House of Representatives includes an approximately $88 billion temporary increase in the share of the Medicaid program paid by the federal government over nine calendar quarters (October 1, 2008 through December 31, 2010).[1] The states urgently need this type of assistance; states on their own are not able to provide critically needed … -
Challenges of Providing Health Coverage for Children and Parents in a Recession
January 27, 2009
http://www.kff.org/medicaid/upload/7855.pdf -
Senate SCHIP Bill, Like the House Bill, Would Provide Health Insurance to 4.1 Million Uninsured Children
January 26, 2009
By 2013, some 4.1 million children who otherwise would be uninsured would have health care coverage under children’s health insurance legislation that the Senate is scheduled to begin considering today. These figures are from the Congressional Budget Office. The Senate bill (S. 275), which was reported by the Senate … -
CBO Estimates Show SCHIP Bill Would Provide Health Insurance to 4.1 Million Uninsured Children
January 14, 2009
By 2013, a total of 4.1 million children who would otherwise be uninsured would have health care coverage under children’s health insurance legislation the House is scheduled to consider today. These figures come from the Congressional Budget Office. The Senate Finance Committee is scheduled to consider similar legislation … -
Louisiana's Medicaid Waiver Proposal
December 17, 2008
In the Louisiana Health Care Reform Act of 2007, the Louisiana legislature put the state on a path intended to transform how Medicaid beneficiaries and low-income uninsured people get health care services. The Act directed the state Department of Health and Hospitals (DHH) to establish a “medical home system of care” with the goal of improving patient … -
Policy Basics: Introduction to Medicaid
December 17, 2008
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, seniors, and people with disabilities. Medicaid is funded jointly by the federal government and the states. Each state operates its own Medicaid program within … -
The Long-Term Fiscal Outlook Is Bleak
December 16, 2008
This report updates the Center on Budget and Policy Priorities’ projections of federal spending, revenues, deficits, and debt through 2050. These projections — like the projections the Center issued in January 2007 and the projections by other institutions such as the Congressional Budget Office (CBO), Government Accountability … -
Podcast: Long Term Deficit Projections Highlight Need for Action
December 16, 2008
This podcast discusses a report that provides updated long-term federal budget projections. The report describes the factors driving the big increases in deficits and debt projected for the next several decades, such as rapidly rising health care costs and revenues that are inadequate to cover even current expenditures. This podcast features the Center's Executive Director Robert … -
An Examination of the Wyden-Bennett Health Reform Plan
September 24, 2008
Click here for an up-to-date listing of recent Center health reform analyses. Introduction and Executive Summary The U.S. health care system suffers from a number of serious problems. According to the latest Census data, 45.7 million individuals were without health insurance in 2007, an increase of 5.9 million people since 2001. Employer-based coverage, the … -
Rhode Island's Medicaid Proposal Would Put Beneficiaries at Risk and Undermine the Federal-State Partnership
September 4, 2008
On August 8, Rhode Island applied for federal permission to radically transform its Medicaid program in ways that could profoundly affect beneficiaries.[1] If approved, the proposal could also set a national precedent that would affect low-income people in other states who rely on Medicaid to obtain needed health care. The proposal … -
Poverty and Share of Americans Without Health Insurance Were Higher in 2007 - And Median Income for Working-Age Households Was Lower - Than at the Bottom of Last Recession
August 26, 2008
The number of Americans in poverty climbed by 816,000 in 2007, while the poverty rate remained statistically unchanged, overall median income rose modestly, and the number and percentage of Americans without health insurance fell somewhat, according to Census data issued today. But the poverty rate remained higher, median income for working-age … -
Robert Greenstein on Census' 2007 Income, Poverty, and Health Insurance Data
August 26, 2008
Despite modest improvements in overall median income and health insurance coverage, the new Census data are disquieting. Though 2007 was the sixth (and likely the final) year of an economic expansion, 4.4 million more Americans were poor, the median income of non-elderly households was $1,100 lower, and nearly 6 million more Americans were uninsured than in 2001 — … -
Medicare Changes Can Complement Health Reform
July 31, 2008
The U.S. health care system faces well known problems: 47 million people without health insurance, rapidly rising costs that consume 16 percent of the country’s economic output, and uneven quality of care. At the same time, Medicare — the federal program that provides health coverage for older Americans and … -
Statement by Edwin Park, Senior Fellow, on the President's Veto of the Medicare "Doctor Fix" Bill
July 15, 2008
Contrary to the President’s claim today, the Medicare bill would not “harm beneficiaries by taking private health plan options away from them.” It would merely slow the explosive growth in private fee-for-service plans, the most overpaid and least efficient private Medicare plans. Under the bill, overall enrollment in Medicare … -
A Balanced Approach to Restoring Fiscal Responsibility
July 9, 2008
In a recent paper, “Taking Back Our Fiscal Future,” a group of policy analysts from several Washington think tanks proposed a radical change in budget procedures related to Social Security, Medicare, and Medicaid as a way to address budget deficits projected for future decades. They urged Congress to establish 30-year budgets, or caps, for these programs. The White House would conduct a review every five years. If it projected that expenditures would exceed the caps, the programs would face automatic cuts or related tax increases.
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Policy Points: Controversial Provision of "Doctor Fix" Bill Would Improve Medicare and Help Keep Bill Deficit-Neutral
July 7, 2008
When the Senate returns from its July 4th recess, it is expected to reconsider H.R. 6331, the Medicare “doctor fix” bill that failed to advance by one vote last month. Despite overwhelming bipartisan support in the House (which passed it by a 355-59 vote), the bill stalled in the … -
New Georgia and Florida Health Plans Unlikely to Reduce Ranks of Uninsured
July 1, 2008
This year, Georgia and Florida — states in which the percentage of people who are uninsured is well above the national average of 18 percent — have enacted legislation aimed at decreasing the number of uninsured residents. Georgia created new tax breaks for high-deductible health plans, while Florida will allow private … -
Expanding Medicaid a Less Costly Way to Cover More Low-Income Uninsured Than Expanding Private Insurance
June 26, 2008
Average medical expenditures[1] per person are lower under public programs like Medicaid or the State Children’s Health Insurance Program (SCHIP) than under private insurance, according to new research published by Health Affairs.[2] The new research, by Leighton Ku of George Washington University and Matthew Broaddus of the Center on Budget and Policy … -
Improving the Medicare Savings Programs Would Help Low-Income Seniors Cope With Higher Medical Expenses
May 20, 2008
Bipartisan Senate negotiators are crafting Medicare legislation that would avert a cut in physician payments scheduled to take effect at the end of June. This legislation could also include long-overdue improvements to the Medicare Savings Programs, which help low-income Medicare beneficiaries pay their premiums and cost-sharing. … -
GAO Study Again Confirms Health Savings Accounts Primarily Bneedit High-Income Individuals
May 19, 2008
A new Government Accountability Office (GAO) report indicates that Health Savings Accounts are used disproportionately by affluent households. Its findings also suggest that HSAs are being used extensively as tax shelters.[1] What Are Health Savings Accounts and Why Are They Attractive as Tax Shelters? Established by the 2003 … -
Missouri's Proposed Voting Requirement Could Disenfranchise More Than 200,000 U.S. Citizens
May 15, 2008
Missouri’s legislature is considering a constitutional amendment permitting the state to require residents to provide documentary proof of their U.S. citizenship in order to vote. If implemented, it risks disenfranchising large numbers of Missouri residents who are U.S. citizens. The amendment does not specify the forms … -
Statement by Robert Greenstein on the House Supplemental Funding Bill
May 15, 2008
The House supplemental funding bill makes important changes to domestic policy by temporarily extending unemployment benefits and imposing a moratorium on harmful Medicaid regulations. The unemployment measure would provide, on a temporary basis, an extra 13 weeks of jobless benefits to workers … -
Informing the Debate About Curbing Medicare Advantage Overpayments
May 13, 2008
Bipartisan Senate negotiators are now working on the details of Medicare legislation that would avert a cut in physician payments scheduled to take effect at the end of June. This legislation could also serve as an opportunity to curb, at least to a modest extent, overpayments to private insurance plans that … -
Delaying Adminstration's Medicaid Regulations Will Not Weaken the Program's Fiscal Integrity
April 25, 2008
The Bush Administration has threatened a veto of H.R. 5613, the “Protecting the Medicaid Safety Net Act of 2008,” which the House passed 349-62 on April 23.[1] The bill would place a moratorium until April 1, 2009 on seven Medicaid regulations that the Administration has issued over the past year. H.R. 5613 would delay … -
Trustees Reports Show Social Security Shortfall Manageable, Medicare's Problems More Daunting
Revised April 2, 2008
The annual reports of the Social Security and Medicare trustees project the financial status of these two programs for the next 75 years. The new reports confirm that policymakers will need to take action to keep Social Security and Medicare on a sound financial footing. In evaluating the new reports, the reader should keep several … -
Statement By Robert Greenstein Executive Director On The New Reports From The Social Security And Medicare Trustees
March 25, 2008
Today’s reports demonstrate again that policymakers will need to take action to shore up Social Security and Medicare finances, with the challenge being more modest in Social Security and more daunting in Medicare. Social Security The reports show that Social Security will be able to pay full benefits until 2041 and to pay 75 … -
Administration Moves to Withdraw Key Health Services from Children and Adults with Mental Illness and Other Disabilities
Revised March 21, 2008
On August 13, 2007, the Centers for Medicare and Medicaid Services issued a proposed regulation that would eliminate federal Medicaid funding for important services provided to adults and children with disabilities (particularly those with mental illness), as well as other beneficiaries. The rule would significantly limit states’ … -
Administration’s Medicaid Regulations Will Weaken Coverage, Harm States, and Strain Health Care System
Revised March 4, 2008
Over the last year, the Department of Health and Human Services (HHS) has issued a series of Medicaid regulations that could significantly affect health care at the state and local level. [1] These regulations, most of which alter longstanding Medicaid policies, do not require congressional approval. In fact, in some cases Congress … -
The President's Budget and the Medicare “Trigger”
Revised February 15, 2008
Today, the President submitted legislation to Congress that would ostensibly keep general revenues from covering more than 45 percent of overall Medicare costs in each year through at least 2013. Congress is supposed to consider the President’s proposal or a comparable proposal to avoid exceeding the 45-percent limit. Some have … -
President's Budget May Provide States With Inadequate Funding To Maintain Current SCHIP Programs
February 7, 2008
December 2007, Congress extended the expiring State Children’s Health Insurance Program through March 2009. As part of his fiscal year 2009 budget, the President proposes to reauthorize SCHIP through the end of fiscal year 2013. The budget proposal would provide an additional $19.7 billion to states for their SCHIP …
