Medicaid Enrollment & Spending Growth: FY 2017 & 2018

Issue Brief
  1. The Kaiser Family Foundation State Health Facts. Total Monthly Medicaid and CHIP Enrollment. (September 2017) http://www.kff.org/health-reform/state-indicator/total-monthly-medicaid-and-chip-enrollment/?currentTimeframe=0&sortModel=%7B%22colId%22:%22Location%22,%22sort%22:%22asc%22%7D.

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  2. The Kaiser Family Foundation analysis of Centers for Medicare and Medicaid Services, Form CMS-64 Data, accessed September 2017. http://www.kff.org/medicaid/state-indicator/federalstate-share-of-spending/?dataView=1&currentTimeframe=0&sortModel=%7B%22colId%22:%22Location%22,%22sort%22:%22asc%22%7D.

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  3. Centers for Medicare and Medicaid Services. National Health Expenditures (Washington, DC: Centers for Medicare and Medicaid Services, December 2015). http://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-andReports/NationalHealthExpendData/NationalHealthAccountsHistorical.html.

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  4. National Association of State Budget Officers, The Fiscal Survey of States (Washington, DC: National Association of State Budget Officers, Spring 2016), http://www.nasbo.org/mainsite/reports-data/fiscal-survey-of-states.

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  5. Lucy Dadayan and Don Boyd, State Revenue Report #108: Volatility in State Tax Revenues; Mounting Fiscal Uncertainties (September 2017).http://www.rockinst.org/pdf/government_finance/state_revenue_report/2017-09-19-srr_108.pdf.

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  6. Lucy Dadayan and Don Boyd, State Revenue Report #108: Volatility in State Tax Revenues; Mounting Fiscal Uncertainties (September 2017).http://www.rockinst.org/pdf/government_finance/state_revenue_report/2017-09-19-srr_108.pdf.

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  7. The House Energy and Commerce CHIP Bill (Helping Ensure Access for Little Ones, Toddlers, and Hopeful Youth by Keeping Insurance Delivery Stable Act of 2017) that was passed out of Committee on October 4, 2017 included a provision to remove the $2 billion DSH cut for FY2018 and adds federal DSH cuts of $8 billion in FY2026 and $8 billion in FY2027 (currently set to expire in 2025).  https://www.kff.org/medicaid/fact-sheet/comparison-of-key-provisions-in-the-senate-and-house-chip-bills/

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Methodology
  1. Centers for Medicare and Medicaid Services, Medicaid & CHIP Monthly Application, Eligibility Determinations, and Enrollment Reports. (Washington, DC: Centers for Medicare and Medicaid Services, June 2016), http://www.medicaid.gov/medicaid-chip-program-information/program-information/medicaid-and-chip-enrollment-data/medicaid-and-chip-application-eligibility-determination-and-enrollment-data.html.

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  2. Laura Snyder, Robin Rudowitz, Eileen Ellis and Dennis Roberts, Medicaid Enrollment: June 2013 Data Snapshot (Washington, DC: Kaiser Commission on Medicaid and the Uninsured, January 29, 2014), https://www.kff.org/medicaid/issue-brief/medicaid-enrollment-june-2013-data-snapshot/.

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Appendix
  1. The Kaiser Family Foundation State Health Facts. Data Source: 81 Fed. Reg. 80078 – 80080 (Nov. 15, 2016), https://www.kff.org/medicaid/state-indicator/federal-matching-rate-and-multiplier/.

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  2. Kaiser Commission on Medicaid and the Uninsured estimates based on the data reported in: National Association of State Budget Officers, State Expenditure Report – Examining Fiscal 2014-2016 State Spending (Washington, DC: National Association of State Budget Officers, November 2016), http://www.nasbo.org/reports-data/state-expenditure-report.

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  3. To be eligible for ARRA funds, states could not restrict eligibility or tighten enrollment procedures in Medicaid or CHIP.

    Vic Miller, Impact of the Medicaid Fiscal Relief Provisions in the American Recovery and Reinvestment Act (ARRA) (Washington, DC: Kaiser Commission on Medicaid and the Uninsured, October 2011), https://www.kff.org/medicaid/issue-brief/impact-of-the-medicaid-fiscal-relief-provisions/.

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