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Association: Name: American Political Science Association URL: http://www.apsanet.org
Citation: URL: http://www.allacademic.com/meta/p152065_index.html Direct Link: HTML Code:

Schmeida, Mary., McNeal, Ramona. and Hale, Kathleen. "Facing Medicaid Budget Shortfall in 2006: State Context Influences Government Health Service Cut-Backs" Paper presented at the annual meeting of the American Political Science Association, Marriott, Loews Philadelphia, and the Pennsylvania Convention Center, Philadelphia, PA, Aug 31, 2006 <Not Available>. 2011-03-13 <http://www.allacademic.com/meta/p152065_index.html>

Schmeida, M. , McNeal, R. and Hale, K. M. , 2006-08-31 "Facing Medicaid Budget Shortfall in 2006: State Context Influences Government Health Service Cut-Backs" Paper presented at the annual meeting of the American Political Science Association, Marriott, Loews Philadelphia, and the Pennsylvania Convention Center, Philadelphia, PA Online <APPLICATION/PDF>. 2011-03-13 from http://www.allacademic.com/meta/p152065_index.html

Publication Type: Proceeding Abstract: Challenges in Medicaid implementation present a potential public policy crisis at the intersection of state fiscal policies and health care in a federal system. State budgets have been strained since the national economic downturn in 2001 and remain unstable as state Medicaid expenses continue to rise (Kaiser Commission on Medicaid and the Uninsured 2005). The integrity of the Medicaid program is threatened as Medicaid budget shortfalls have occurred in more than half the states, and are anticipated to occur in 40 states in 2006 (National Association of Budget Officers 2004). Devolution of responsibility from the federal government continues to present basic questions about state capacity to perform the functions devolved (Kincaid 1998). State revenues are an essential element of the Medicaid service delivery equation. However, it is not clear that state revenue streams can provide a sufficiently stable source of funds in the devolution environment (Tannenwald 2002). Lav, McNichol and Zahradnik (2005) argue that states may exist in structural deficit, with a chronic inability to grow along with growth in the economy and the cost of government (2005: 1). This paper tests the influence of state structural deficits along with other state contextual factors that may explain current state Medicaid budget shortfalls. The influence of state structural deficits and other contextual factors on Medicaid implementation has implications for state capacity to implement policy in the American federal system.

National-State Government Policy Cycles in American Federalism: Fluctuations in Policy Outputs

U.S. State Legislative Term Limits: Spending and Budget Deficit Effects

Term Limits, Legislative Structure, and Economic Policy: Fiscal Decisions in the American States