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Medicaid Expenditures and State Budgets: Past, Present, and Future

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  • Marton, James
  • Wildasin, David E.

Abstract

Medicaid spending has become a major element in state budgets and support from federal Medicaid grants is now a main source of state government funding. We discuss recent, ongoing, and prospective reforms of intergovernmental finances and regulations, including the 1996 welfare reform, the introduction of Medicare Part D, Section 1115 waivers, SCHIP reauthorization, and a shift to block grant funding for Medicaid. Each would alter the current assignment of responsibilities between the state and federal governments, the viability of which is questionable due to current and future interstate demographic and policy variation, population aging, and federal fiscal imbalances.

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Bibliographic Info

Article provided by National Tax Association in its journal National Tax Journal.

Volume (Year): 60 (2007)
Issue (Month): 2 (June)
Pages: 279-304

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Handle: RePEc:ntj:journl:v:60:y:2007:i:2:p:279-304

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Cited by:
  1. Rosella Levaggi, 2008. "Decentralisation vs fiscal federalism in the presence of impure public goods," Working Papers, University of Brescia, Department of Economics 0812, University of Brescia, Department of Economics.
  2. Datta, Anusua & Vandegrift, Donald, 2011. "Effects of welfare reform and the state children’s health insurance program on medicaid and total health expenditures," MPRA Paper 36486, University Library of Munich, Germany.
  3. David Wildasin, 2007. "Pre-Emption: Federal Statutory Intervention in State Taxation," Working Papers, University of Kentucky, Institute for Federalism and Intergovernmental Relations 2007-05, University of Kentucky, Institute for Federalism and Intergovernmental Relations.
  4. Richard F. Dye, 2008. "The dynamic between municipal revenue sources and the state-local relationship in New England," New England Public Policy Center Working Paper, Federal Reserve Bank of Boston 08-1, Federal Reserve Bank of Boston.
  5. Hikaru Ogawa & David E. Wildasin, 2007. "Think Locally, Act Locally: Spillovers, Spillbacks, and Efficient Decentralized Policymaking," CESifo Working Paper Series, CESifo Group Munich 2142, CESifo Group Munich.

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