RS22849
Medicaid Financing
May 28, 2008
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Summary
Combined federal and state spending on the Medicaid program currently exceeds $300 billion each year. It is the largest or second-largest item in state budgets, and is second only to Medicare in terms of federal spending on health care. This report provides background information on Medicaid financing and a discussion of current issues. Last year, Congress placed temporary moratoriums on the implementation of four controversial regulations that anticipate large reductions in federal spending for Medicaid. Legislation to further delay implementation of these and other regulations has been passed by the House and Senate (H.R. 2642), passed by the House (H.R. 5613), passed by the Senate (S. 1200), introduced in both chambers (H.R. 4355, S. 2460, H.R. 5173, S. 2578, S. 2819), and acknowledged with deficit-neutral reserve funds in the House, Senate, and conference agreement versions of the FY2009 budget resolution (H.Con.Res. 312, S.Con.Res. 70, and H.Rept. 110-659 accompanying S.Con.Res. 70). In response to the recent economic downturn, legislation that would provide state fiscal relief in the form of a temporary increase in the federal medical assistance percentage (FMAP, which determines federal share of most Medicaid costs) has also been introduced (S. 2586, H.R. 5268, S. 2620, S. 2819).
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Related Legislation:
- H.R.2642
- H.R.5613
- S.1200
- H.R.4355
- S.2460
- H.R.5173
- S.2578
- S.2819
- S.2586
- H.R.5268
- S.2620
- S.312
- S.CON.RES.70
