Medicaid is a means-tested entitlement program that is largely designed and administered by states under broad federal rules. The programs are jointly financed by federal and state funds. Federal contributions to each state are based on a state’s willingness to finance covered medical services and a matching formula. The Centers for Medicare and Medicaid Services (CMS), within the U.S. Department of Health and Human Services (HHS), is responsible for federal oversight of the program. In FY2003, preliminary federal and state spending on Medicaid reached $275.5 billion, exceeding Medicare payments, net of premiums, by over $15 billion.
This report discuses the legislative action to reauthorize child care legislation that expired at the end of FY2002. The Child care reauthorization” is composed of two parts: legislation to reauthorize the Child Care and Development Block Grant (CCDBG) Act and legislation to extend mandatory funding appropriated under Section 418 of the Social Security Act.
The purpose of this report is to present a number of generally less broad legislative proposals related to child welfare financing have been introduced in the 108th Congress. Additional child welfare-related proposals designed to improve services, promote timely placement of children across state lines, and for other purposes, are described in this report.
This report describes existing federal programs that provide targeted assistance to homeless individuals and families, and discusses federal efforts to end homelessness. It also contains tables that outline funding levels for various related programs.
This report begins by describing the recent surge in unaccompanied child apprehensions. It discusses several factors widely associated with out-migration from El Salvador, Guatemala, and Honduras. The report then discusses three broad factors that may be attracting migrants to the United States: economic and educational opportunity, family reunification, and U.S. immigration policies. It concludes with caveats on the attribution of causes to this situation.
Improving the establishment and enforcement of medical child support has been hampered to some extent by factors such as high health care costs, a decline in employer-provided health insurance coverage, an increase in the share of health insurance costs borne by employees, and the large number of uninsured children. This report provides a legislative history of medical support provisions in Child Support Enforcement (CSE) programs, describes current policy with respect to medical child support, examines available data, and discusses some of the issues related to medical child support. This report will not be updated.
Federally supported child nutrition programs and related activities — including school meal programs and the Special Supplemental Nutrition Program for Women, Infants, and Children (the WIC program) — reach over 37 million children and almost 2 million lower-income pregnant/postpartum women. In FY2004, anticipated spending on these programs is $16.6 billion, and the FY2004 appropriations law (P.L. 108-199) supports this spending level (although with new appropriations of a lesser amount, some $16 billion). The Administration’s FY2005 revised budget request envisions spending a total of $17.15 billion, supported by new appropriations of $16.47 billion. The House FY2005 appropriations bill (H.R. 4766) would support spending of $16.97 billion with new appropriations of $16.29 billion.
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