As states have faced large budget deficits, some politicians have laid the blame at Medicaid’s doorstep, saying that the program’s costs are growing “out of control” and that it is “crowding out” other priorities. While spending in Medicaid has grown as a result of increased enrollment due to the recession, most of this added spending has been born by the federal government. Although less frequently discussed, a greater challenge to state budgets during these difficult economic times has been the steep declines in revenues. In fact, state Medicaid spending and general revenues both declined during the last recession. This report examines the decline in state revenues and changes in Medicaid spending during the last two recessions to look more closely at what has been driving state budget deficits.
- The ACA has the potential to cut the number of uninsured children by 40%. (Source:Improving Coverage for Children Under Health Reform)
- The ACA has helped maintain or improve access to preventive services for 54% of children. (Source: ACA Protects and Improves Access to Preventive Care for Children)
- 47 states have applied for or received increased federal funds to make major upgrades to Medicaid enrollment systems (Source: Getting Into Gear for 2014)
- In 2011, 92% of children in the United States had health insurance coverage. (Source: Uninsured Children 2009-2011 Charting the Nation's Progress)
- In 2012, 26 statesmade improvements to their Medicaid and CHIP programs. (Source: Getting Into Gear for 2014)