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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.

Suggested Citation

  • Marton, James & Wildasin, David E., 2007. "Medicaid Expenditures and State Budgets: Past, Present, and Future," National Tax Journal, National Tax Association;National Tax Journal, vol. 60(2), pages 279-304, June.
    • Handle: RePEc:ntj:journl:v:60:y:2007:i:2:p:279-304
    DOI: 10.17310/ntj.2007.2.06
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    Cited by:

    1. David E. Wildasin, 2021. "Open-Economy Public Finance," National Tax Journal, University of Chicago Press, vol. 74(2), pages 467-490.
    2. Rosella Levaggi, 2008. "Decentralisation vs fiscal federalism in the presence of impure public goods," Working Papers 0812, University of Brescia, Department of Economics.
    3. 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 08-1, Federal Reserve Bank of Boston.
    4. Hikaru Ogawa & David E. Wildasin, 2009. "Think Locally, Act Locally: Spillovers, Spillbacks, and Efficient Decentralized Policymaking," American Economic Review, American Economic Association, vol. 99(4), pages 1206-1217, September.
    5. Wildasin, David E., 2007. "Pre–Emption: Federal Statutory Intervention in State Taxation," National Tax Journal, National Tax Association;National Tax Journal, vol. 60(3), pages 649-662, September.
    6. Rosella Levaggi & Francesco Menoncin, 2013. "Soft budget constraints in health care: evidence from Italy," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 14(5), pages 725-737, October.
    7. Marie Courtemanche & Joanne Connor Green, 2017. "The Influence of Women Legislators on State Health Care Spending for the Poor," Social Sciences, MDPI, vol. 6(2), pages 1-24, April.
    8. 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.

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