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

  • State fiscal conditions are modestly improving in fiscal 2014 with spending and revenues projected to rise above fiscal 2013 levels. Signs of fiscal distress continue to subside, and most states expect revenue and spending growth in fiscal 2014. Tax collections outperformed projections in fiscal 2013, and revenues experienced steady gains in most states. Although revenues are expected to increase in fiscal 2014, states are not projecting a rise in tax collections comparable to the gains in fiscal 2013.
  • The latest edition of NASBO’s State Expenditure Report finds that for the first time in the history of the State Expenditure Report total state spending declined in fiscal 2012, due to the combination of state funds slowly increasing and federal funds rapidly declining. It is estimated that expenditures returned to more typical growth levels in fiscal 2013 as both state and federal funds moderately increased.
  • After several years of slow recovery in the national economy, fiscal distress is finally beginning to subside for most states. However, the unemployment rate continues to remain high and the economic recovery is relatively weak compared to other post-recessionary periods. Thus, state operating budgets likely will be constrained by elevated expenditure pressures and slow revenue growth in the upcoming fiscal year.