Healthcare & Medicaid

 

Healthcare & Medicaid

Key healthcare and Medicaid issues create enormous financial and policy challenges for states.  The rapid growth in healthcare costs continues to be a significant fiscal issue for states.  In fiscal 2011, it is estimated that Medicaid comprised 23.6 percent of total state expenditures. There are also many challenges ahead as states move forward with implementing national health care reform. 

Staff Contact: Stacey Mazer

NASBO Publications

  • Most state budgets continue to grow at a moderate pace after several years of slow recovery following the Great Recession. For the first time, estimated state general fund spending and revenues in fiscal 2016 surpassed their fiscal 2008, pre-recession peak levels after adjusting for inflation. However, the progress has been uneven across states and long-term spending pressures remain in areas such as health care, education, pensions, and infrastructure. Watch webinar for an overview of the report.
  • Enacted state budgets for fiscal 2016 represent a sixth consecutive year of spending and revenue growth, according to this report. Forty-three states enacted general fund spending increases for fiscal 2016, helping to bolster core services such as K-12 education and health care. Overall, state fiscal conditions continue to be stable, but growth remains modest and long-term spending pressures continue to increase, often faster than state revenues. Watch Webinar for an Overview of the Report
  • Highlights include:- In fiscal 2015, total state spending increased at its fastest rate since 1992, primarily due to growth in federal Medicaid funds resulting from the Affordable Care Act (ACA).- Spending from states’ own funds moderately grew in fiscal 2015, while federal funds to states rapidly increased due to the ACA.- Medicaid represented over half of all federal funds to states in fiscal 2015.- State revenue growth accelerated in fiscal 2015, although it was hampered somewhat by the decline in oil prices.