American federalism in practice : the formulation and by Michael Doonan PDF

By Michael Doonan

ISBN-10: 0815724837

ISBN-13: 9780815724834

ISBN-10: 0815724845

ISBN-13: 9780815724841

ISBN-10: 1299808417

ISBN-13: 9781299808416

American Federalism in perform is an important contribution to our realizing of up to date healthiness coverage in the US. consistently a tremendous subject, the difficulty holds distinctive foreign money this day given the prominence of well-being care in trendy political and financial panorama. Michael Doonan presents a special point of view on American federalism and U.S. overall healthiness coverage in explaining how intergovernmental kinfolk form public  Read more...

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15 Meetings of the National Governors Association and the National Conference of State Legislatures gave state representatives fresh chances to express their concerns. ”16 The consensus at the NGA was that the CMS had overstepped its bounds and hampered the ability of states to create their own programs. 17 While states pushed for flexibility to create their own programs, advocacy groups pushed for Medicaid-like protections. Groups such as the Children’s Defense Fund and Families USA wanted to use CHIP to help streamline the Medicaid program and bring more people into it.

Screening and Enrollment Screening and enrolling children in CHIP was complicated by the prohibition against letting Medicaid-eligible children into the program, a restriction included to prevent states from shifting kids from Medicaid to CHIP to get bigger payouts from the federal government. ” In the world of government agencies, the promise of “special attention” is essentially a threat. 37 States believed that this close association to the Medicaid program was antithetical to the original statute.

The Child Bill The Child Bill—the forerunner of CHIP, proposed by senators Kennedy and Hatch—combined an increase in the tobacco tax with expanded health insurance coverage for uninsured children. Senator Kennedy was the strategist behind the effort, and working with the conservative Senator Hatch was a critical part of his approach. 30 The bill, offered as an amendment to the budget bill on May 21, 1997, got off to an acrimonious start. The sponsors threatened a filibuster to force a vote that the Republican leadership wanted to avoid.

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American federalism in practice : the formulation and implementation of contemporary health policy by Michael Doonan


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