Research & Reports
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Understanding Florida’s Medicaid Reform Legislation
Florida Senate Bill 838, signed into law in June 2005, permits Florida Governor Bush to seek a Section 1115 Medicaid waiver from the federal government to substantially restructure the state’s Medicaid program. This brief examines the legislation. This issue brief and presentation are part of the Florida’s Health at Risk project, a series of educational…
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Federal Medicaid Benefit Standards: Questions and Issues Raised By the NGA’s Preliminary Recommendations
Author: Cindy Mann In June 2005, the National Governor’s Association released a preliminary Medicaid reform proposal that, among other things, recommends that states be permitted to provide different groups of children and adults with different benefit plans. This issue brief summarizes the proposal’s benefit recommendations and identifies some of the key questions and issues they…
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A Success Story: Closing the Insurance Gap for America’s Children through Medicaid and SCHIP
After providing a brief background on Medicaid and SCHIP, this issue brief summarizes the available evidence to determine what the effect of the programs has been on the uninsured rate of low-income children. In addition, it examines the extent to which Medicaid and SCHIP provide children with access to needed care and whether the coverage…
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Cost Sharing In Medicaid: Issues Raised By the NGA’s Preliminary Recommendations
By Jocelyn Guyer In June 2005, the National Governor’s Association released a preliminary Medicaid reform proposal that, among other things, recommends changing Medicaid cost-sharing policies, largely to mirror those applied to children under SCHIP. This issue brief reviews the existing cost-sharing provisions in SCHIP and identifies key issues that arise from the proposal to apply…
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More Children Covered Thanks to Medicaid/CHIP
The number of uninsured children continued to decline in 2012. Although children are covered at much higher rates than most adults, they still lag behind seniors. Read CCF’s 50-state analysis “Children’s Health Coverage on the Eve of the Affordable Care Act” by clicking above.
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The New TennCare Waiver Proposal: What Is The Impact On Children?
This issue brief discusses the TennCare program and proposed amendments, submitted to the federal government in September 2004 and February 2005, to the state’s Section 1115 Medicaid waiver. It shows that although many of the proposed restrictions in benefits and cuts in eligibility explicitly apply to adults and not to children, the state also seeks…
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Issues to Consider in Governor Bush’s “Florida Medicaid Modernization Proposal”
This issue brief discusses Florida Governor’s Medicaid Modernization Proposal (released in January 2005), describing how the plan envisions that Medicaid costs will be reduced, how the new system will work, and what it will mean for beneficiaries and providers.
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New Developments in Medicaid Coverage: Who Bears Financial Risk and Responsibility?
This issue brief provides an overview of federal Medicaid waiver activity and reviews the implications for coverage and access to care. It explores how waivers give states federal approval to alter the way they provide coverage and/or deliver services to low-income populations.
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Financing Health Coverage: The State Children’s Health Insurance Program Experience
Despite SCHIP’s success in covering children, the program’s financing structure has been fraught with problems necessitating frequent revisions in the law and ongoing debate about how to address these problems. Financing issues have caused inequities and uncertainties across states, as well as projections that, in some states, children could lose coverage over the next few…
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The President’s Proposals For Medicaid and SCHIP: How Would They Affect Children’s Health Care Coverage?
On February 7, 2005, President Bush released his budget proposal for fiscal year 2006. The proposal reduces overall federal funding for Medicaid by at least $45 billion over ten years. It also anticipates, but does not spell out, policy changes that could have a major impact on children’s coverage. This issue brief analyzes the President’s…
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Families at Risk: Impact Of Lower Eligibility Limits for Parents of Husky A Children
In April 2003, Connecticut lowered the income eligibility level for working parents from 150 percent to 100 percent of the federal poverty level. This issue brief discusses the policy’s impact throughout the state. This issue brief is part of Families at Risk, a series of policy briefs exploring the consequences of changes to the Connecticut’s…
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Financing Under Federal Medicaid Section 1115 Waivers: Federal Policy and Implications for New Hampshire
This issue brief examines New Hampshire’s consideration of submitting a federal Section 1115 Medicaid waiver to restructure its Medicaid program. It reviews New Hampshire’s Medicaid program and the issues a waiver request raises, including whether it will change the way in which the federal government shares Medicaid costs with the state.
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Florida’s Medicaid Budget: Why Are Costs Going Up?
This issue brief examines Medicaid costs in Florida, exploring why costs have risen over the period of 2000-01 to 2004-05, how increases in Medicaid costs compare to increases in health care costs generally, and how Medicaid restructuring might impact these dynamics.
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Federal Medicaid Waiver Financing: Issues for California
Governor Schwarzenegger, in his fiscal year 2004-2005 budget, proposed to restructure California’s Medi-Cal program by obtaining a Section 1115 Medicaid waiver from the federal government. This issue brief focuses on the potential fiscal implications of Section 1115 waivers and some of the issues it could raise for California.
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The Role of Employer-Sponsored Health Coverage for Immigrants: A Primer
Although immigrant families are just as likely as native citizen families to have a full-time worker, they are far less likely to have access to employer-sponsored health coverage. Despite this, employer-sponsored health coverage remains an important source of insurance for immigrant families since their eligibility for public programs is restricted. This primer examines the role…
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What Could A Waiver To Restructure Medicaid Mean For Florida?
Florida’s Medicaid program provides health care coverage and services to over two million state residents and is the single largest source of federal money for the state. This issue brief highlights that any major changes to the way Medicaid is financed could have serious implications for Medicaid beneficiaries, providers, and the state’s health care system…
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Families at Risk: Implications of A Global Cap on Connecticut’s Federal Medicaid Funding
This issue brief focuses on how a global gap would fundamentally alter the financing structure of Connecticut’s Medicaid program, potentially leaving it with inadequate funds to meet the health care needs of its residents. This issue brief is part of Families at Risk, a series of policy briefs exploring the consequences of changes to the…
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Families at Risk: The Impact of Copayments and Reduced Benefits on Children in Husky A
In addition to charging monthly premiums, a Connecticut law passed in 2003 calls for a reduction in HUSKY A (Medicaid) EPSTD benefits and for cost-sharing on services for children. This issue brief describes the potential effects of these changes, showing the negative impact on the health of Connecticut’s poorest and sickest children. This issue brief…
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Medicaid and Block Grant Financing Compared
President Bush’s fiscal year 2004 budget proposes replacing Medicaid’s matching payment system with capped allotments or block grants. The proposal raises issues about the future of Medicaid and the differences between a block grant, in which federal funding is capped, and an entitlement, in which federal funding is provided on an as-needed basis. This issue…
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Families At Risk: The Impact of Premiums on Children and Parents in Husky A
Authors: Joan Alker and Judith Solomon Published by: Connecticut Health Foundation In August 2003, the Connecticut General Assembly passed the state’s budget for fiscal years 2004 and 2005, directing the Department of Social Services to impose premiums on families with incomes between 50 percent and 185 percent of the federal poverty level in HUSKY A,…
