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State Health Policy: State Budgets




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This redesigned and updated website provides the latest state-level data on demographics, health, and health policy, including health coverage, access, financing, and state legislation and budgets.

New Analysis Shows Effect of Rising Unemployment on Health Coverage, Medicaid and SCHIP Spending and Enrollment
Every one percentage point rise in the unemployment rate leads to a 1.1 million increase in the uninsured population and a one million increase in Medicaid and SCHIP enrollment, according to a new Kaiser analysis. Another report analyzes the history of Medicaid during recent economic downturns.
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Medicaid Home and Community-Based Service Programs - Data Update -- November 2009 KCMU Material
This report presents a summary of the main trends to emerge from the latest (2006) expenditures and participant data for the three main Medicaid Home and Community-Based Service programs: optional 1915 (the letter "c") HCBS waivers; the mandatory home health benefit; and the optional state plan personal care services benefit. 
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 KCMU Material
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).
The Crunch Continues: Medicaid Spending, Coverage and Policy in the Midst of a Recession -- September 2009 KCMU Material
Our annual 50-state survey finds that number of people on Medicaid and state spending on the program are climbing sharply as a result of the recession, straining state budgets and pressuring officials to curb costs despite increased financial help from the federal government through the American Recovery and Reinvestment Act (ARRA).
State Fiscal Conditions & Medicaid -- September 2009 KCMU Material
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.
Federal Support for Health Information Technology in Medicaid: Key Provisions in the American Recovery and Reinvestment Act -- August 2009 KCMU Material
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.
American Recovery and Reinvestment Act (ARRA): Medicaid and Health Care Provisions -- March 2009 KCMU Material
This fact sheet examines the assistance for Medicaid programs and key health provisions in the American Recovery and Reinvestment Act (ARRA), signed into law by President Obama on February 17, 2009. It includes a breakdown of additional federal allocations to states for Medicaid costs under the act.
Reports Examine Impact of Economic Turmoil on Health Coverage and State Medicaid Programs -- January 2009 KCMU Material Video/Audio
The Kaiser Family Foundation issued several new reports looking at how the recession and growing unemployment is affecting people's health coverage and state Medicaid programs. The new reports were released in conjunction with an Alliance for Health Reform briefing.
Rising Unemployment, Medicaid and the Uninsured -- January 2009 KCMU Material
This policy brief analyzes the relationship between increases in the unemployment rate and changes in the number of people covered by employer-sponsored health insurance, Medicaid, the State Children’s Health Insurance Program and non-group insurance policies, as well as the financial implications for government budgets.
Medicaid in a Crunch: A Mid-FY 2009 Update on State Medicaid Issues in a Recession -- January 2009 KCMU Material
This report relays the perspective of leading state Medicaid directors to describe the fiscal strain on Medicaid and other safety-net programs as enrollment swells and state tax revenues shrink, raising the prospect of program cutbacks. It augments the most recent Medicaid budget survey report that was based on a survey and interviews with all state Medicaid directors in July and August 2008, at the beginning of state fiscal year 2009.
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State Responses to Budget Crisis in 2004: An Overview of Ten States
An overview and case studies examining how ten states responded to their budget crisis in fiscal year 2004: Alabama, California, Colorado, Florida, Massachusetts, Michigan, New Jersey, New York, Texas, and Washington.
Medicaid Spending Growth: Results from a 2002 Survey
A report of findings from a 50 state survey of Medicaid directors, identifying state Medicaid spending trends and how states are responding to them for FY 2003 budgets.
The Future of Medi-Cal: Challenges at the Federal, State, and County Level
An overview of how California and other states are attempting to preserve a meaningful set of benefits under Medicaid during the current budget crisis.
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