Medicaid/CHIP: Spending and Budgets - Kaiser Family Foundation

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Medicaid/CHIP: Spending & Budgets

Fact Sheet: American Recovery and Reinvestment Act (ARRA): Medicaid and Health Care Provisions
A concise examination of federal assistance for state Medicaid programs and other key health provisions in the $787 billion economic stimulus package enacted in February 2009.

Medicaid and State Budgets: From Crunch to Cliff
This fact sheet discusses the status of Medicaid and state budgets in light of the continuing recession and the federal fiscal relief provided to state Medicaid programs through the American Recovery and Reinvestment Act (ARRA).

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Health Reform Issues: State Financing and Medicaid -- October 2009
This issue brief highlights some of the potential benefits and costs to the states associated with a significant expansion of Medicaid of the sort proposed in leading health reform bills in Congress.

Medicaid and State Budgets: From Crunch to Cliff -- October 2009

This fact sheet discusses the status of Medicaid and state budgets in light of the continuing recession and the federal fiscal relief provided to state Medicaid programs through the American Recovery and Reinvestment Act (ARRA).

State Fiscal Conditions & Medicaid -- September 2009

This fact sheet summarizes the relationship of Medicaid with state budgets and discusses the current fiscal situation in the states and how it is affecting Medicaid programs.

Medicaid Expenditures Increased by 5.3% in 2007, Led By Acute Care Spending Growth -- September 2009

This brief presents analysis of the latest available Medicaid spending and enrollment data to examine recent trends in program enrollment, total spending, spending by service, and spending per enrollee. The focus is on spending changes between 2006 and 2007, with historical context also provided.

Federal Support for Health Information Technology in Medicaid: Key Provisions in the American Recovery and Reinvestment Act -- August 2009

The American Recovery and Reinvestment Act of 2009 (ARRA) includes an unprecedented nearly $47 billion federal investment in health information technology initiatives. This e-health snapshot provides an overview of the health information technology provisions in the law that have direct implications for Medicaid.

Rising Health Pressures in an Economic Recession -- August 2009

These reports and a video shed light on the recession's rising toll on American families and the public programs that many depend on to fill the gap during times of crisis. They include a look at the lives of ordinary Americans who are struggling to cope with lost jobs and health coverage, and examinations of the strains on Medicaid and hospital emergency departments.

Struggling With Financing: The Recession and National Health Reform Dominate State Medicaid Concerns -- August 2009

This report draws on interviews with state Medicaid directors to examine the prospect of Medicaid cuts in some states, the impact of federal stimulus funding and the ways directors see health reform affecting their programs.

Explaining Health Care Reform: How Might a Reform Plan Be Financed? -- July 2009
This brief explains the likely sources of added costs under health reform, the types of financing measures being considered, and some of the key questions likely to be addressed by how a plan is financed.

CHIP TIPS: New Federal Funding Available to Cover Immigrant Children and Pregnant Women -- July 2009

This brief, the fifth in a series, examines a new option under the Children's Health Insurance Program Reauthorization Act of 2009 that allows states to receive federal funds for providing Medicaid and CHIP coverage to lawfully residing immigrant children and pregnant women regardless of when they entered the country.

Explaining Health Care Reform: What is Medicaid? -- June 2009
This brief explains the role of Medicaid in the health care system and addresses some key questions and issues related to Medicaid that could emerge in the context of current health reform discussions.

This issue brief highlights some of the potential benefits and costs to the states associated with a significant expansion of Medicaid of the sort proposed in leading health reform bills in Congress.

This fact sheet summarizes the relationship of Medicaid with state budgets and discusses the current fiscal situation in the states and how it is affecting Medicaid programs.

This brief explains the likely sources of added costs under health reform, the types of financing measures being considered, and some of the key questions likely to be addressed by how a plan is financed.

This brief explains the role of Medicaid in the health care system and addresses some key questions and issues related to Medicaid that could emerge in the context of current health reform discussions.

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Medicaid/SCHIP: Spending and Budgets
States play a major role in the delivery and financing of health care in the United States, primarily through the Medicaid program, which is the second-largest program in state budgets. Since 2001, state revenues have fallen dramatically at the same time that Medicaid spending has increased. States’ deteriorating fiscal conditions have placed major pressure on states to implement ways to reduce spending growth in their Medicaid programs. In fiscal years 2003 and 2004, every state and the District of Columbia put in place new Medicaid cost containment strategies, including increasing beneficiary co-payments, restricting eligibility, limiting benefits and reducing payments to providers. The Kaiser Commission on Medicaid and the Uninsured provides timely analysis of the changes states are making, including biennial 50-state surveys of states’ Medicaid cost containment activity, in-depth analysis of the factors behind Medicaid spending growth, and analytic perspectives on the driving forces behind the state budget crisis.