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Governors’ Proposed Budgets for FY 2019: Focus on Medicaid and Other Health Priorities

Appendix Table 1: Key Policy Proposals in Governors’ Proposed Budgets for FY 2019
States Medicaid Spending Cuts Medicaid Spending Enhancements Medicaid Work Requirements Governor Proposed Initiatives to Fight the Opioid Epidemic (Within or Outside of Medicaid) Governor Proposed Initiatives to Enhance Behavioral Health Services (Within or Outside of Medicaid)
Alabama X – Gov. Proposed X
Alaska X
Arizona X – Pending X
Arkansas X – Approved
California X X
Colorado X X X X
Connecticut X X
Delaware X
DC^
Florida X X X
Georgia X X X
Hawaii X X
Idaho X X X
Illinois X X
Indiana* X – Approved X
Iowa X X X
Kansas** X X – Pending X X
Kentucky X – Approved X
Louisiana X
Maine* X X – Pending
Maryland X X X
Massachusetts X X
Michigan
Minnesota X X X
Mississippi X X – Pending X X
Missouri X X X X
Montana*
Nebraska
Nevada*
New Hampshire* X – Pending X X
New Jersey** X X
New Mexico
New York X X X X
North Carolina*
North Dakota* X
Ohio* X – Gov. Proposed
Oklahoma X – Gov. Proposed
Oregon*
Pennsylvania X X
Rhode Island X X X
South Carolina X X – Gov. Proposed X X
South Dakota X X – Gov. Proposed
Tennessee X X
Texas***
Utah X X – Pending X X
Vermont X X X
Virginia** X X X
Washington X X X
West Virginia X
Wisconsin* X X – Pending X
Wyoming X X
Totals 11 23 15 32 21
NOTES: The level of detail presented in governors’ proposed budget documents varies significantly and in most cases does not capture all of the activity in a given state. Medicaid work requirements column include states with approved Section 1115 work requirement waivers, states with work requirement waiver applications pending at CMS, and states where governors proposed seeking a work requirement waiver in their proposed budget, state-of-the-state speech, or other public statements. ◊The Louisiana governor expressed some support for the concept of a Medicaid work requirement in early 2018, but this was not included in his proposed budget or state of the state address. The version of a bill passed by the state House on March 2 that originally included a Medicaid work requirement was altered before passage to promote (but not condition Medicaid eligibility on) work. ◊The Virginia governor’s proposed budget includes a “clean” ACA Medicaid expansion without a work requirement, but the governor has expressed some openness to adding a work requirement if necessary as a compromise in order to adopt expansion (as proposed in the budget plan passed by the VA House of Delegates in late February 2018). ^The District of Columbia had not released a proposed budget for FY 2019 at the time of this analysis (DC’s budget year does not begin until October 1, 2018).  *Governors in 11 states (including Texas) with 2-year budgets in place covering FY 2019 did not propose supplemental budgets for FY 2019. **In three states, legislative addresses by incoming governors were reviewed rather than the State of the State (SOS) addresses of outgoing governors. ***Texas had no SOS address in 2018 and the Governor did not propose a supplemental budget for the FY 2019 budget already in place.

SOURCE: Kaiser Family Foundation and Health Management Associates analysis of governors’ proposed budgets for FY 2019, April 2018.

Appendix Table 2: Links to Governors’ FY 2019 Proposed Budgets and State of the State Address Transcripts
States Governor Link to Proposed Budget Link to State of the State
Alabama Kay Ivey (R) FY 2019 Budget Proposal FY 2019 State of the State Speech
Alaska Bill Walker (I) FY 2019 Budget Proposal FY 2019 State of the State Speech
Arizona Doug Ducey (R) FY 2019 Budget Proposal FY 2019 State of the State Speech
Arkansas Asa Hutchinson (R) FY 2018-2019 Supplemental Budget Proposal FY 2019 State of the State Speech
California Jerry Brown (D) FY 2019 Budget Proposal FY 2019 State of the State Speech
Colorado John Hickenlooper (D) FY 2019 Budget Proposal FY 2019 State of the State Speech
Connecticut Dan Malloy (D) FY 2019 Proposed Budget Adjustments FY 2019 State of the State Speech
Delaware John Carney (D) FY 2019 Budget Proposal FY 2019 State of the State Speech
DC Mayor Muriel Bowser (D)
Florida Rick Scott (R) FY 2019 Budget Proposal FY 2019 State of the State Speech
Georgia Nathan Deal (R) FY 2019 Budget Proposal FY 2019 State of the State Speech
Hawaii David Ige (D) FY 2019 Supplemental Budget Proposal FY 2019 State of the State Speech
Idaho C.L. “Butch” Otter  (R) FY 2019 Budget Proposal FY 2019 State of the State Speech
Illinois Bruce Rauner (R) FY 2019 Budget Proposal FY 2019 State of the State Speech
Indiana Eric Holcomb (R) FY 2019 State of the State Speech
Iowa Kim Reynolds  (R) FY 2019 Budget Proposal FY 2019 State of the State Speech
Kansas Jeff Colyer (R) FY 2019 Budget Proposal FY 2019 Joint Address – New Gov. Colyers
Kentucky Matt Bevin (R) FY 2019 -2020 Budget Proposal FY 2019 State of the State Speech
Louisiana John Bel Edwards (D) FY 2019 Budget Proposal FY 2019 Regular Session Remarks
Maine Paul LePage (R) FY 2019 State of the State Speech
Maryland Larry Hogan (R) FY 2019 Budget Proposal FY 2019 State of the State Speech
Massachusetts Charlie Baker (R) FY 2019 Budget Proposal FY 2019 State of the State Speech
Michigan Rick Snyder (R) FY 2019 Budget Proposal FY 2019 State of the State Speech
Minnesota Mark Dayton (D) FY 2018-2019 Supplemental Budget Proposal FY 2019 State of the State Speech
Mississippi Phil Bryant (R) FY 2019 Budget Proposal FY 2019 State of the State Speech
Missouri Eric Greitens (R) FY 2019 Budget Proposal FY 2019 State of the State Speech
Montana Steve Bullock (D)
Nebraska Pete Ricketts (R) FY 2018-2019 Budget Adjustments Proposal FY 2019 State of the State Speech
Nevada Brian Sandoval (R)
New Hampshire Chris Sununu (R) FY 2019 State of the State Speech
New Jersey Phil Murphy (D) FY 2019 Budget Proposal FY 2019 Budget Address – New Gov. Murphy
New Mexico Susana Martinez (R) FY 2019 Budget Proposal FY 2019 State of the State Speech
New York Andrew Cuomo (D) FY 2019 Budget Proposal FY 2019 State of the State Speech
North Carolina Roy Cooper (D)
North Dakota Doug Burgum (R) FY 2019 State of the State Speech
Ohio John Kasich (R) FY 2019 State of the State Speech
Oklahoma Mary Fallin (R) FY 2019 Budget Proposal FY 2019 State of the State Speech
Oregon Kate Brown (D) FY 2019 State of the State Speech
Pennsylvania Tom Wolf (D) FY 2019 Budget Proposal FY 2019 State of the State Speech
Rhode Island Gina Raimondo (D) FY 2019 Budget Proposal FY 2019 State of the State Speech
South Carolina Henry McCaster (R) FY 2019 Budget Proposal FY 2019 State of the State Speech
South Dakota Dennis Daugaard (R) FY 2019 Budget Proposal FY 2019 State of the State Speech
Tennessee Bill Haslam (R) FY 2019 Budget Proposal FY 2019 State of the State Speech
Texas Greg Abbott (R)
Utah Gary R. Herbert (R) FY 2019 Budget Proposal FY 2019 State of the State Speech
Vermont Phil Scott (R) FY 2019 Budget Proposal FY 2019 State of the State Speech
Virginia Ralph Northam (D) FY 2019-2020 Budget Proposal FY 2019 Joint Address – New Gov. Northam
Washington Jay Inslee (D) FY 2018-2019 Supplemental Budget Proposal FY 2019 State of the State Speech
West Virginia Jim Justice (R) FY 2019 Budget Proposal FY 2019 State of the State Speech
Wisconsin Scott Walker (R) FY 2019 State of the State Speech
Wyoming Matthew Mead (R) FY 2019-2020 Budget Proposal FY 2019 State of the State Speech
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