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Financing Medicaid - Federalism and the Growth of America's Health Care Safety Net (Paperback): Shanna Rose Financing Medicaid - Federalism and the Growth of America's Health Care Safety Net (Paperback)
Shanna Rose
R959 Discovery Miles 9 590 Ships in 10 - 15 working days

Conventional wisdom holds that programs for the poor are vulnerable to instability and retrenchment. Medicaid, however, has grown into the nation's largest intergovernmental grant program, accounting for nearly half of all federal funding to state and local governments. Medicaid's generous open-ended federal matching grants have given governors a powerful incentive to mobilize on behalf of its maintenance and expansion, using methods ranging from lobbying and negotiation to creative financing mechanisms and waivers to maximize federal financial assistance. Perceiving federal retrenchment efforts as a threat to states' finances, governors, through the powerful National Governors' Association, have repeatedly worked together in bipartisan fashion to defend the program against cutbacks.

"Financing Medicaid" engagingly intertwines theory, historical narrative, and case studies, drawing on sources including archival materials from the National Governors' Association and gubernatorial and presidential libraries, Centers for Medicare and Medicaid Services data, the "Congressional Record, " and interviews.

Responsive States - Federalism and American Public Policy (Paperback): Andrew Karch, Shanna Rose Responsive States - Federalism and American Public Policy (Paperback)
Andrew Karch, Shanna Rose
R848 Discovery Miles 8 480 Ships in 10 - 15 working days

The US Constitution did not establish a clear division of responsibilities between the national government and state governments, so the distribution of policymaking authority is subject to constant renegotiation and debate. When national lawmakers introduce policy initiatives that implicate the states in important ways, why do state leaders sometimes respond with strong support and other times with indifference or outright hostility? Moving beyond the conventional story that state officials simply want money and autonomy from their national counterparts, this book explains how the states' responses over the short, medium, and long term are shaped by policy design, timing, and the interaction between the two. Reaching across different historical eras with in-depth case studies of policies such as Superfund, the No Child Left Behind Act, and the Patient Protection and Affordable Care Act, the book shows how federalism has influenced, and continues to influence, the evolution of American public policy.

Responsive States - Federalism and American Public Policy (Hardcover): Andrew Karch, Shanna Rose Responsive States - Federalism and American Public Policy (Hardcover)
Andrew Karch, Shanna Rose
R2,602 Discovery Miles 26 020 Ships in 10 - 15 working days

The US Constitution did not establish a clear division of responsibilities between the national government and state governments, so the distribution of policymaking authority is subject to constant renegotiation and debate. When national lawmakers introduce policy initiatives that implicate the states in important ways, why do state leaders sometimes respond with strong support and other times with indifference or outright hostility? Moving beyond the conventional story that state officials simply want money and autonomy from their national counterparts, this book explains how the states' responses over the short, medium, and long term are shaped by policy design, timing, and the interaction between the two. Reaching across different historical eras with in-depth case studies of policies such as Superfund, the No Child Left Behind Act, and the Patient Protection and Affordable Care Act, the book shows how federalism has influenced, and continues to influence, the evolution of American public policy.

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