Issue Brief posted July 30, 2015
Medicaid at 50: Reform Is Needed to Better Serve Low-Income Health Care Needs
Medicaid, enacted along with Medicare in 1965, was created to provide health care for certain categories of low-income Americans. Over the past 50 years, the program has changed significantly. Not only has Medicaid eligibility expanded, so also has the scope of its care and services. Mounting fiscal, demographic, and structural challenges continue to strain the…
Issue Brief posted July 23, 2015
States Should Start Planning Now for the Post-ACA World
When the Supreme Court handed down its decision in King v. Burwell upholding the Obama Administration’s interpretation of the law, some concluded that the intense debate over the Affordable Care Act (ACA or Obamacare) was coming to an end. Not surprisingly, President Barack Obama encouraged that interpretation in his response to the Court’s decision, saying that “the…
Issue Brief posted February 27, 2015
King v. Burwell: An Opportunity for Congress and the States to Clear Away Obamacare’s Failed Policies
On March 4, the Supreme Court will hear oral arguments in King v. Burwell—a case challenging the Obama Administration’s IRS ruling granting premium support subsidies to those enrolled in federal exchanges under the Affordable Care Act (ACA). While a ruling against the Administration would preclude paying those subsidies to individuals who obtain coverage through the…
Backgrounder posted October 30, 2014
A Fresh Start for Health Care Reform
Despite President Barack Obama’s insistence that the national health care debate is over, and that he will not “re-litigate” the misnamed Patient Protection and Affordable Care Act (PPACA), the practical concerns, aggravated by implementation glitches and policy failures, guarantee that the debate over the PPACA is far from over.
In the next phase of the health care…
Issue Brief posted November 12, 2013
Principles for the Budget Conference
For the first time in years, lawmakers have agreed to convene in a budget conference to reconcile differences between their respective budget proposals, as presented by House Budget Committee chair Paul Ryan (R–WI) and Senate Budget Committee chair Patty Murray (D–WA). The two chambers’ budgets differ wildly in terms of taxes and the size of government.
Issue Brief posted June 10, 2013
If Obamacare Collapses: How States Can Protect Their Citizens
As the case against Obamacare continues to mount, states should be ready to act. Despite the President’s professions of confidence, recent concerns voiced by Members of Congress—added to lackluster support for and understanding of the law by the public—have further exposed Obamacare’s real and practical vulnerabilities.
In preparation for the likely collapse of Obamacare,…