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Off the Charts Blog: In Case You Missed It...
May 17, 2013
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Paul Van de Water Testimony: Health Reform’s Health Insurance Tax
May 9, 2013
Mr. Chairman, Ranking Member Hahn, and members of the subcommittee, I appreciate the invitation to appear before you today. The Affordable Care Act (ACA) will extend health insurance coverage to 27 million people and help assure that Americans have access to affordable coverage. And it will do so in a fiscally responsible way. In … -
Medicaid Per Capita Cap Would Shift Costs to States and Undermine Key Part of Health Reform
May 8, 2013
Two prominent congressional Republicans have proposed placing a “per capita cap” on federal Medicaid funding, under which the federal government would no longer cover a fixed share of each state’s overall Medicaid costs but instead would limit each state to a fixed dollar amount per beneficiary.[1] The per capita cap … -
Policy Basics: Introduction to Medicaid
Updated May 8, 2013
What Is Medicaid? Created by Congress in 1965, Medicaid is a public insurance program that provides health coverage to low-income families and individuals, including children, parents, pregnant women, seniors, and people with disabilities. Medicaid is funded jointly by the federal government and … -
Obama Proposal to Limit Tax Breaks for High-Income Households Would Reduce Total Charitable Contributions By a Modest 1.6 to 3.0 Percent
Revised April 30, 2013
The President’s fiscal year 2014 budget includes a proposal from previous Obama budgets to limit the tax subsidies that affluent Americans take for deductible expenses and some other tax expenditures. After the President made this proposal in previous budgets, some critics contended it would lead to substantial reductions in … -
Commentary: Think Obama’s Medicare Savings Aren’t Significant? Take a Closer Look.
April 23, 2013
Commentators, pundits, and some policymakers routinely say that while the President’s new budget takes useful steps to reduce the cost of health care programs, the steps are small and rather timid. This judgment seems rooted in the belief that the budget’s changes affecting Medicare beneficiaries, which save a modest $64 … -
Policy Basics: Federal Payroll Taxes
Updated April 15, 2013
The federal government levies payroll taxes primarily on wages and self-employment income and uses most of the revenue to fund Social Security, Medicare, and other social insurance benefits. Federal payroll taxes generated $845 billion in 2012, or 35 percent of all federal revenues (see “Policy Basics: Where Do Federal Tax Revenues Come From?”). … -
President Obama’s Deficit-Reduction Package and Other Proposals in the 2014 Budget
April 11, 2013
The President’s 2014 budget is presented in two parts. One part includes the package of deficit- reduction policies that the President included in his last offer to Speaker Boehner during the “fiscal cliff” negotiations in December 2012. This package would reduce the deficit by $1.8 trillion over the next decade … -
Making Health Care More Affordable: The New Premium and Cost-Sharing Assistance
Updated April 3, 2013
Under the new health reform law, people of modest means will get help paying for health insurance premiums and “cost-sharing” expenses — costs that people with insurance have to pay out-of-pocket like co-payments for doctor visits and hospital care — beginning in 2014. This help will come in the form of … -
Ryan Block Grant Proposal Would Cut Medicaid by Nearly One-Third by 2023 and More After That
March 26, 2013
The Medicaid block grant proposal in the budget plan proposed by House Budget Committee Chairman Paul Ryan, which the House of Representatives passed on March 21, would cut federal Medicaid (and the Children’s Health Insurance Program, or CHIP) funding by 31 percent by 2023, because the funding would no longer keep pace with health … -
Ryan Roundup 2013: Everything You Need to Know About Chairman Ryan’s Latest Budget
March 22, 2013
Below is a compilation of the CBPP analyses and blog posts on House Budget Committee Chairman Paul Ryan’s budget, which the House has passed. Overview/General Statement: Robert Greenstein, President, on Chairman Ryan’s Budget Plan March 12, 2013 “When House Budget Committee Chairman Paul Ryan released his previous budget last … -
Ryan Budget Would Undermine Safety Net’s Work Supports
March 21, 2013
House Budget Committee Chairman Paul Ryan justifies the massive cuts he proposes in programs for low- and moderate-income Americans in part by claiming that the current safety net “can create a powerful disincentive to get ahead.”[1] He uses this argument to defend converting both Medicaid and the Supplemental Nutrition … -
An Apples-to-Apples Comparison of the Deficit-Reduction Figures in the House and Senate Budget Plans
March 19, 2013
The House and Senate are scheduled to consider the budget resolutions that their respective budget committees approved last week. These two budgets — one drafted by House Budget Committee Chair Paul Ryan, the other by Senate Budget Committee Chair Patty Murray — offer sharply contrasting visions.[1] Yet they are not … -
Statement by Robert Greenstein, President, On Unifying the District of Columbia’s Health Insurance Marketplace
March 19, 2013
“The DC Health Benefits Exchange Board’s recent decision to move to a unified health insurance market over the next two years will make it easier for small businesses to give their employees quality, affordable health insurance. “Starting in 2014, under the Affordable Care … -
Paul Van de Water Testimony: Financing Medicare and Medicaid
March 19, 2013
Chairman Pitts, Ranking Member Pallone, and members of the subcommittee, I appreciate the invitation to appear before you today on the importance of preserving Medicare and Medicaid. Budgetary entitlements of many kinds are designed to guarantee Americans adequate protection in case of illness, disability, or economic misfortune. Efforts … -
Medicare in Ryan’s 2014 Budget
March 15, 2013
The Medicare proposals in the 2014 budget resolution developed by House Budget Committee Chairman Paul Ryan (R-WI) are essentially the same as those in last year’s Ryan budget. Once again, Chairman Ryan proposes to replace Medicare’s guarantee of health coverage with a premium-support voucher and raise the age of eligibility … -
Chairman Ryan Gets 66 Percent of His Budget Cuts from Programs for People With Low or Moderate Incomes
March 15, 2013
House Budget Committee Chairman Paul Ryan’s new budget plan would get at least 66 percent of its $5 trillion in non-defense budget cuts over ten years (relative to a continuation of current policies) from programs that serve people of limited means, standing a core principle of the Simpson-Bowles fiscal commission on its head. Not much … -
Commentary: Murray’s More Evenhanded Approach to Deficit Reduction Contrasts Sharply With Ryan’s
March 14, 2013
The budget that Senate Budget Committee Chair Patty Murray released yesterday stands in sharp contrast to the one that her House counterpart, Paul Ryan, released on Tuesday. As I wrote Tuesday, his budget is extreme.[1] Hers is more balanced and appropriate to meet the nation’s economic and fiscal challenges. The … -
Statement by Robert Greenstein, President, On Chairman Ryan’s Budget Plan
March 12, 2013
When House Budget Committee Chairman Paul Ryan released his previous budget last year, I wrote that for most of the past half century, its extreme nature would have put it outside the bounds of mainstream discussion. It was, I wrote, “Robin Hood in reverse — on … -
Deficit Reduction Should Not Increase Poverty and Hardship
March 11, 2013
Executive Summary With President Obama and lawmakers of both parties vowing to achieve further deficit reduction, the stakes are high for low- and moderate-income Americans. If policymakers heavily target programs that serve vulnerable Americans, they will run the risk of increasing poverty and hardship and reducing opportunity for … -
Excise Tax on Medical Devices Should Not Be Repealed
Updated March 11, 2013
Bills introduced in the House (H.R. 523) and Senate (S. 232) would repeal the 2.3-percent excise tax on medical devices that policymakers enacted in 2010 to help pay for health reform. The provision is sound, however, and the arguments against the tax don’t withstand scrutiny. The tax does not single out the medical … -
Paul Van de Water Testimony: Health Reform’s Tax Provisions Are Sound Health and Tax Policy
March 5, 2013
Mr. Chairman, Ranking Member Lewis, and members of the subcommittee, I appreciate the invitation to appear before you today. The Affordable Care Act (ACA) will extend health insurance coverage to 27 million people and help assure that Americans have access to affordable coverage. And it will do so in a fiscally responsible way. In … -
Testimony of Robert Greenstein, President, Center on Budget and Policy Priorities, Before the Senate Committee on Finance
February 26, 2013
Mr. Chairman and distinguished members of the Finance Committee, I appreciate the invitation to testify here today. As we all know, the nation faces fiscal and economic challenges, and we will have to make some tough decisions to put the budget on a more sustainable fiscal course and to do so without hindering a still-too-weak economic … -
Comparison of Benefits for Poor Families to Middle-Class Incomes Is Deeply Flawed
February 25, 2013
Senator Jeff Sessions (R-AL) recently posted to the Senate Budget Committee website a document that implies that programs targeted to low-income people provide lavish benefits that raise the typical poor household’s standard-of-living above that of the typical middle-income household.[1] The Sessions release, however, is deeply … -
Testimony of Robert Greenstein, President, Before Senate Budget Committee
February 13, 2013
I appreciate the invitation to testify today on the impact of federal budget decisions on families and communities. This is an important matter. As you know, the nation will have to make tough decisions to put the budget on a more sustainable fiscal course. The issue is not only whether policymakers act to secure adequate … -
State Policy Decisions in Exchange Implementation
Updated February 12, 2013
The Affordable Care Act (ACA) establishes a health insurance exchange in every state. Exchanges are new competitive marketplaces offering an array of comprehensive health insurance plans for eligible small businesses and individuals, some of whom may qualify for federal tax credits to help cover the cost of coverage. Each exchange will be operated either by the state as a … -
Commentary: How Effective Is the Safety Net?
February 6, 2013
Nicholas Kristof published an important column in the New York Times recently about young children in some poor communities who face greatly diminished opportunities by the time they’re just 2 years old.[1] “Many low-income children never reach the starting line,” he notes. Kristof points out that there are no magic … -
“Boehner Rule” Linking Debt-Ceiling Increase to Spending Cuts Is Dangerous Policy
January 25, 2013
House Speaker John Boehner has argued that “any increase in the debt limit has to be accompanied by spending reductions that equal or exceed it.”[1] The Budget Control Act (BCA) of 2011, which ended the previous debt-limit showdown, paired a $2.1-trillion increase in the debt ceiling with spending cuts of similar size.[2] … -
Online Services for Key Low-Income Benefit Programs
Revised January 11, 2013
Virtually all states have made basic program information on the five main state-administered low-income benefit programs — SNAP (Supplemental Nutrition Assistance Program, formerly known as Food Stamps), Medicaid, CHIP (Children’s Health Insurance Program), TANF (Temporary Assistance for Needy Families), and child care assistance … -
Achieving Further Deficit Reduction Solely Through Spending Cuts Entails Cutting Entitlements That Benefit the Poor and Middle Class While Shielding the Biggest Entitlements for the Wealthy
January 9, 2013
Since President Obama and Congress enacted the “fiscal cliff” budget deal, congressional Republican leaders have vowed not to raise a dollar more in taxes for deficit reduction. All further deficit reduction, they say, must come from budget cuts, primarily from entitlement programs. That, however, would spare the broad … -
Commentary: Next Round on the Deficit
January 7, 2013
In recent days, policymakers, pundits, and the media have debated whether the “fiscal cliff” budget deal was a victory or defeat for the President or congressional Republicans, progressives or conservatives, rich or poor, the economy or the deficit — you name it. Most of the commentary is unpersuasive, however, for …
