Opportunities and Concerns
This paper is intended to help policymakers consider the implications of reduced rates of Federal funding for Medicaid from a perspective of state implementation. We reviewed the experience of states in implementing earlier block grants and considered how states might administer a smaller Medicaid program. The paper identifies what kind of flexibility from Federal laws and regulations states might require to respond to slowed growth in Federal Medicaid expenditures.
To assist us in developing this paper, we convened a Medicaid Summit with leading health policy officials from the Executive and Legislative branches of state governments.