Capitol Comments

Worst case scenarios abound if Congress fails to extend for another six months the enhanced Medicaid match begun by the 2009 stimulus. CSG’s recent survey found that over half the states have already counted on the extension, from January 1 until June 30, 2011, in their budget deliberations for FY 2011. The Senate appears poised to put the extension back in the so-called “tax extender” bill next week.

During times of recession, businesses cut back because of a lack of demand for their products, but not so for state governments. As states are losing revenue and having to make do with less—residents hit hard by the down economy often need government services more.

Idaho Rep. Maxine Bell knows what’s at stake with the new federal health care reform law.

“This is going to be an issue that could literally turn our budget upside down,” Bell said.

Former Massachusetts state Sen. Scott Brown was on the defensive.

His political opponent, Massachusetts Attorney General Martha Coakley, released an attack ad criticizing Brown’s candidacy for the U.S. Senate seat last year, attacking his Republican politics as well as his time in the state senate.

Today the Kaiser Family Foundation teamed up with Urban Institute and released state-by-state estimates of the costs to meet the Medicaid coverage expansion mandated for 2014.

The report modeled two scenarios. The “standard participation” scenario uses CBO data that estimates 57 percent of newly eligible uninsured persons will enroll in Medicaid with an overall $21 billion increase in state expenses...

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