Popular medicaid programs do battle with state budget pressures: Perspectives from twelve states

John F. Hoadley*, Peter Cunningham, Megan McHugh

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

22 Scopus citations

Abstract

Many are concerned that growth of state Medicaid and State Children's Health Insurance Program (SCHIP) spending, along with limited political clout among beneficiaries, make these programs extremely vulnerable in periods of serious state budget constraints. But observations based on Community Tracking Study site visits show that states have thus far largely avoided major cuts that would seriously harm beneficiaries' access, primarily because programs have more support among coalitions of public officials, health care providers, and local advocates than commonly assumed. However, the limits to this surprising level of support are exemplified by decisions in many states to shelve some planned future expansions indefinitely.

Original languageEnglish (US)
Pages (from-to)143-154
Number of pages12
JournalHealth Affairs
Volume23
Issue number2
DOIs
StatePublished - 2004

ASJC Scopus subject areas

  • Health Policy

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