Medicaid is jointly financed by the federal and state governments, but each state designs and administers its own state program under broad federal guidelines. Accordingly, state variation in eligibility, covered services, and the delivery of, and reimbursement for, services is the rule rather than the exception. How is Congress to respond to the numerous proposals to move Medicaid forward into the near and long term? This report lays out some of these issues, explains the factors underlying them, and provides links to CRS products that can help Members of Congress and their staff prepare to discuss Medicaid’s role today and into the future.
This report discuses the welfare re-authorization legislation, Enactment of the Deficit Reduction Act (DRA) of 2005, the program operated under a series of 12 “temporary extension” measures.
Date: January 23, 2007
Creator: Falk, Gene; Gish, Melinda & Solomon-Fears, Carmen
Federal support for child care comes in many forms, ranging from grant programs to tax provisions. Some programs serve as specifically dedicated funding sources for child care services (e.g., the Child Care and Development Block Grant (CCDBG)), while for others (e.g., Temporary Assistance for Needy Families (TANF)), child care is just one of many purposes for which funds may be used. This report discusses budget proposals in areas related to child care and early childhood development in the 109th Congress.