Redistribution of federal funding across states due to the financing of Medicaid and CHIP
- Collection:
- Health Policy and Services Research
- Series Title(s):
- U.S. health reform--monitoring and impact
- Author(s):
- Holahan, John, author Haley, Jennifer M., author
- Contributor(s):
- Robert Wood Johnson Foundation, issuing body. Urban Institute, issuing body.
- Publication:
- [Washington, DC] : Urban Institute, October 2020
- Language(s):
- English
- Format:
- Text
- Subject(s):
- Financing, Government Health Expenditures Medicaid United States Children's Health Insurance Program (U.S.)
- Genre(s):
- Technical Report
- Abstract:
- In this paper, we focus on how federal dollars for financing Medicaid and CHIP are distributed across states and how this distribution differs from states’ contributions to the federal treasury. We calculate total federal dollars paid to all states for Medicaid and CHIP, splitting the funds between traditional Medicaid/CHIP (including coverage for children and nonelderly adults, long-term care, and disproportionate share hospital payments) and Medicaid expansion to people with incomes up to 138 percent of the federal poverty level under the Affordable Care Act (ACA). We then examine how each state’s share of total federal Medicaid/CHIP spending differs from the share of federal individual and business taxes it pays. For example, if California contributes 13.3 percent of all federal taxes paid by individuals and businesses, we estimate how federal Medicaid/ CHIP payments to California under current law differ from what they would be if California received 13.3 percent of total federal spending on Medicaid/CHIP. We also assess how relative payments and contributions vary depending on whether a state has expanded Medicaid eligibility under the ACA, and we assess the federal Medicaid/CHIP funding distribution if every state had adopted the expansion.
- Copyright:
- Reproduced with permission of the copyright holder. Further use of the material is subject to CC BY-NC-DC license. (More information)
- Extent:
- 1 online resource (1 PDF file (11 pages))
- NLM Unique ID:
- 9918266099206676 (See catalog record)
- Permanent Link:
- http://resource.nlm.nih.gov/9918266099206676