Budget Blog

  • On April 27-28, NASBO held a Medicaid Roundtable in Washington, DC in collaboration with the Kaiser Family Foundation. With budget directors and health care analysts from 35 states and territories in attendance, we had a robust discussion on a wide range of health care issues with a focus on Medicaid and state budgets.   The important role Medicaid plays in state budgets was discussed including how state budget officials look at Medicaid funding relative to other budget priorities. A number of states mentioned that the forecasted costs of the present Medicaid program were treated similarly to debt service ... More

  • The Congressional Budget Office (CBO) is expected to reveal its scoring this week of the House Republican proposal to repeal and replace the Affordable Care Act. One key feature that matters greatly to state budgets will be CBOs forecasts of the annual growth in Medicaid spending per enrollee and the annual growth in the Medical Consumer Price Index (CPI). In the current legislation, Medical CPI is applied to 2016 spending per enrollee to establish the federal fiscal year 2019 target per capita amounts for each states five enrollment groups (elderly, blind and disabled, children, non-expansion adults, and expansion ... More

  • State of the State speeches this year have been influenced by both the current fiscal and political landscape. Governors are contending with not only slow revenue growth and constrained spending, but also federal uncertainty in a number of areas including the possible repeal and replacement of the Affordable Care Act, the consideration of federal tax reform, and discussion regarding various infrastructure proposals. Although many states are facing tight fiscal conditions, governors highlighted a number of new proposals designed to help states grow and address current challenges. Click here to read an overview ... More

  • While there recently has been much discussion on the possibility of a new infrastructure initiative at the federal level, states have taken a number of steps to help address infrastructure and transportation needs over the past several years. NASBOs latest State Expenditure Report highlights the fact that states have recently increased transportation spending. In fact, transportation led the way in spending growth from state funds in both fiscal 2015 and fiscal 2016. In both years, transportation experienced larger gains in spending from states own fund sources (general funds and other state funds) than any other ... More

  • Interest in evidence-based policymaking and harnessing data to help solve problems continues to grow across all levels of government. At the federal level, Congress last year passed and President Obama signed a law ( P.L. 114-140 ) creating the Commission on Evidence-Based Policymaking. Sponsored by House Speaker Paul Ryan (R-WI) and Senator Patty Murray (D-WA), the legislation was enacted with strong bipartisan support. As outlined in the law, the Commission was set up to study and make recommendations on the following: how administrative data on federal programs and tax expenditures, as well as other related ... More