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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 … -
Non-Defense Discretionary Programs Will Face Serious Pressures Under Current Funding Caps
Revised December 6, 2012
President Obama and Congress achieved $1.5 trillion in discretionary program cuts over the next ten years primarily by setting tight caps on annual discretionary funding in the Budget Control Act (BCA) of 2011.[1] Congress adhered to those caps in 2012 in writing its appropriations bills for that year, but has yet to enact final … -
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 … -
Health Reform Law Makes Clear That Subsidies Will Be Available in States with Federally Operated Exchanges
July 16, 2012
Some health reform opponents claim that the Affordable Care Act’s (ACA) premium tax credits to help low- and moderate-income uninsured people buy coverage through the new health insurance exchanges are only available in states that have set up their own exchanges, not in states with federally operated exchanges. A group of … -
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 … -
Limitation on Use of Tax-Advantaged Health Accounts Should Not Be Repealed
June 5, 2012
The House will consider legislation this week to repeal the health reform law’s limitation on the use of flexible spending accounts (FSAs) and other tax-advantaged accounts to buy over-the-counter medicines. The limitation makes sense both as tax policy and as health policy and should not be repealed. (The bill, H.R. 436, … -
House Legislation Would Cause 350,000 People to Forgo Health Coverage and Could Jeopardize Health Reform
June 5, 2012
The House is set to consider legislation this week that would make a change in the subsidies that health reform (the Affordable Care Act) provides to help low- and moderate-income people buy health insurance, causing 350,000 of them to forgo coverage and making it harder for health reform’s insurance exchanges to work effectively. The … -
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 … -
Lower-Than-Expected Medicare Drug Costs Mostly Reflect Lower Enrollment and Slowing of Overall Drug Spending, Not Reliance on Private Plans
May 14, 2012
The House-passed budget would convert Medicare to a "premium support" voucher to purchase private health insurance or traditional Medicare.[1] Some supporters of premium support — most notably House Budget Committee Chairman Paul Ryan, who designed the House proposal — claim that reliance on private insurers would lower Medicare costs. As … -
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 … -
Testimony of Paul N. Van de Water - Senior Fellow, Center on Budget and Policy Priorities - Before the Subcommittee on Oversight Committee on Ways and Means U.S. House of Representatives
April 25, 2012
Mr. Chairman, Ranking Member Lewis, members of the subcommittee, I appreciate the invitation to appear before you today. The Affordable Care Act (ACA) includes a number of spending reductions and tax increases designed to assure that expanding health coverage does not drive up the deficit. Some provisions limit the use of tax-advantaged … -
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, … -
Medicare Is Not “Bankrupt”
Updated April 24, 2012
Claims by some policymakers that the Medicare program is nearing “bankruptcy” are misleading. Although Medicare faces major financing challenges, the program is not on the verge of bankruptcy or ceasing to operate. Such charges represent misunderstanding (or misrepresentation) of Medicare’s finances. … -
Media Briefing: Understanding the Annual Reports of the Social Security and Medicare Trustees
April 23, 2012
The Center on Budget and Policy Priorities held a conference call briefing on Monday, April 23 at 4:00 pm (ET) to discuss the 2012 reports of the Social Security and Medicare Trustees.
Paul Van de Water, Senior Fellow at the Center and one of Washington’s leading experts on both Social Security and Medicare, and Robert Greenstein, President of CBPP discussed what the reports say about the long-term financial status of Social Security and Medicare.
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Statement of Paul Van de Water, Senior Fellow, on the 2012 Medicare Trustees’ Report
April 23, 2012
The new report from Medicare’s trustees shows little change from last year’s report in the near-term outlook for the program, while indicating that the program continues to face significant financing challenges in the long run. The projected date of insolvency for Medicare’s … -
The False Choice of National Defense Versus Helping the Poor
April 20, 2012
House committees this week approved sharp cuts in the Supplemental Nutrition Assistance Program (SNAP, formerly known as food stamps), the elimination of the Social Services Block Grant, and other cuts that would harm large numbers of low- and moderate-income Americans.[1] Proponents claim the cuts are needed to generate enough savings … -
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 … -
Provision in House Reconciliation Bill Would Cause 350,000 People to Forgo Health Coverage and Could Jeopardize Health Reform
April 18, 2012
The package of changes that the House Ways and Means Committee approved today in response to reconciliation instructions in the House budget resolution includes a change in the Affordable Care Act’s subsidies that would cause 350,000 people to forgo coverage and make it more difficult for the health reform law’s insurance … -
Letter: Improving the Strength and Solvency of Medicare
April 18, 2012
The Honorable Phil Gingrey, M.D. U.S. House of Representatives Washington, D.C. 202515 Dear Congressman: We are pleased to respond to the letter of March 22 from you and your colleagues asking our views on how to improve the “strength and solvency of Medicare.” We divide our response into three parts: some background … -
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, … -
Medicare in the Ryan Budget
March 28, 2012
The budget resolution developed by House Budget Committee Chairman Paul Ryan (R-WI) would make significant changes to Medicare. It would replace Medicare’s current guarantee of coverage with a premium-support voucher, raise the age of eligibility from 65 to 67, and reopen the “doughnut hole” in Medicare’s coverage of … -
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 … -
What You Need to Know About Premium Support
March 19, 2012
The budget resolution that House Budget Committee Chairman Paul Ryan (R-WI) will unveil this week is expected to include a Medicare premium support proposal fashioned by Ryan and Senator Ron Wyden (D-OR). Although billed as a kinder, gentler form of premium support, the Ryan-Wyden plan has the same basic features as earlier premium … -
Media Briefing: Should IPAB Be Repealed?
March 19, 2012
The Center on Budget and Policy Priorities held a conference call briefing discuss the Independent Payment Advisory Board (IPAB), a health care cost-control mechanism created by the Affordable Care Act (ACA), in advance of a House vote to repeal it.
Uwe Reinhardt, a leading authority on health care economics, and Peter Orszag, former director of the White House Office and Management and Budget who has focused on health care cost containment issues, joined the Center’s Paul Van de Water to discuss IPAB’s potential to help preserve and improve Medicare and rein in cost growth.
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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, … -
Independent Payment Advisory Board Will Help Reduce Health Costs
March 15, 2012
The health reform legislation enacted in 2010 (the Affordable Care Act, or ACA) establishes the Independent Payment Advisory Board, or IPAB — a presidentially appointed commission that will help slow the growth of Medicare costs if those costs are projected to exceed a specified target level.[1] Other cost-control measures included …
