State Budgets: Recent Trends and Outlook By Donald J. Boyd

Size: px
Start display at page:

Download "State Budgets: Recent Trends and Outlook By Donald J. Boyd"

Transcription

1 State Budgets: Recent Trends and Outlook By Donald J. Boyd BUDGET States are recovering from the recent fiscal crisis, but many will need to cut spending further or increase taxes to bring spending and revenue into line. In addition, states must confront fiscal pressures in Medicaid, elementary and secondary education, and other areas, and will face risks from actions to reduce the federal budget deficit. The Fiscal Crisis and How States Have Responded State tax revenue fell 10 percent between fiscal year 2000 and 2003, adjusted for inflation, population growth and legislated changes far more than the relatively mild recession would have suggested, and nearly twice as much as in the crises of the early 1980s and early 1990s. States were better prepared for this recession than the prior one. They buffered much of the initial revenue shock by drawing fund balances down from 10.4 percent of expenditures to 3.2 percent, a drop of 7.2 percentage points compared with only a 3.7 percent drop in the previous recession (when fund balances at the start were lower). States also garnered considerable nonrecurring revenue by issuing bonds that allowed them to convert annual tobacco settlement revenue into a few large payments. Drawing down balances and tapping nonrecurring revenue sources allowed states to push some of the problem off to future years. Elected officials and the public in most states have had little appetite for tax and fee increases. Cumulative increases in response to this crisis have amounted to only 3.5 percent of own-source revenue, down sharply from the 9 percent increases in each of the prior two crises. Spending cuts have been more popular: states have cut real per-capita general fund spending by about 6.4 percent from its 2001 peak, similar to reductions in the 1980s crisis but far deeper than in the early 1990s when states hardly cut aggregate spending at all. Tax revenue fell so far in this crisis that subsequent tax increases and economic growth have not been enough to raise revenue to its prior level. For the nation as a whole, state tax revenue in 2004 was still 6.7 percent below the 2000 pre-crisis peak, adjusted for inflation and population growth. 1 By contrast, four years after the last crisis hit real per-capita state tax revenue in 1994 was 6.8 percent above its 1990 pre-crisis peak (Figure A). Tax revenue has continued to recover in 2005, but assuming states hit their budgeted estimates they will still end the year more than 4 percent below The failure of state tax revenue to recover to precrisis levels despite tax increases and economic growth is widespread, as Figure B shows: 36 states had lower real per capita tax revenue in 2004 than in 2000, and the median for these shortfall states was 8.0 percent below States that are the furthest below 2000 generally rely heavily on income tax revenue or had economies that were hit disproportionately hard by the recession. Wyoming and several other states with large increases in revenue benefited from increases related to oil, natural gas and other natural resources that tend not to follow the national business cycle. Simply put, current state revenue structures cannot support as much spending as before the crisis. To be sure, states have cut spending, although it is difficult to measure quite how much. The earliest available data on state expenditures come from reports state budget offices provide to the National Association of State Budget Officers (NASBO). Unfortunately, these data generally serve the needs of the annual budget process and are not always classified the same way from year to year (or from state to state). In each of the last two recessions, the NASBO data tended to show considerably deeper cuts in state budgets than the more comprehensive and consistent expenditure data reported by the Census Bureau two years later. NASBO data might overstate spending cuts in this crisis as well, but we won t know for nearly two years. NASBO data show that total state general fund expenditures have declined by 3.3 percent between 2000 and 2004, adjusted for inflation and population growth. 2 However, this overstates cuts in recurring spending because it includes capital spending financed by the general fund as well as operating expenditures. States tend to scale general fund capital spending back sharply in crises, either deferring capital projects or financing them from other sources such as bonds and dedicated revenue. Although these cuts help to balance annual budgets, the spending can spring back sharply The Council of State Governments 401

2 Figure A: Real Per Capita State Government Tax Revenue Indexed to Pre-Crisis Peak, 2 Crises (actual revenue, not adjusted for legislation) index relative to prior peak Last crisis This crisis # of years from pre-crisis peak Sources: Taxes: Through 2002, cenfin database (Rockefeller Institute database of Census Bureau data). For 2003, Census state tax collections from their website (2002 tax data from this Census source matches 2002 from other Census sources, giving comfort that the 2002 to 2003 growth rate is appropriate). For 2004, growth rate from Rockefeller Institute Revenue Report tax data (as collected by Nick Jenny) applied to 2003 Census tax data. For 2005: assume that state budget offices forecasted growth rates (from NASBO s Fiscal Survey) for income, sales, and corporate taxes reflect what will happen to taxes as a whole (see below) Population: Through 2002, cenfin database. For 2003, 2004, from same census pop source. For 2005, assumed to grow 1% based on recent prior history the population data were pieced together from various Census Bureau sources and are all on a July 1 (not April 1) basis. Inflation: slgcwpi (state and local government chain-weighted price index) BEA. For 2005 (cy 2004), assumed to be 3 percent based on my earlier analysis of how inflation was running for the year. after the crisis ends. Between 2000 and 2004 state governments cut general fund capital spending by 48 percent in real per-capita terms reductions that probably will not be sustained. Table A removes general fund capital spending, showing just spending on operations. By this measure, spending fell by 2.9 percent between 2000 and 2004 well shy of the 6.7 percent tax revenue decline in the same period. 3 As the table shows, spending on Medicaid increased by 6.4 percent, while all other areas in aggregate were cut back. State support for higher education was cut particularly sharply, leading to double-digit tuition increases in many public universities. In about half of the states general fund spending grew faster than tax revenue between 2000 and 2004, adjusted for inflation and population growth, and by at least 5 percentage points faster in more than a dozen states. The implication is that despite improving revenue collections, many states still will need to raise taxes or cut spending further to keep budgets balanced. This is consistent with reports that approximately half the states faced gaps for FY 2006 at the time governors were preparing proposed budgets. 4 Spending Pressures Medicaid: After a brief slowdown in the late 1990s, Medicaid returned for several years to double-digit 402 The Book of the States 2005

3 Figure B: Percentage Change in Real Per Capita State Tax Revenue, 2000 to 2004 growth rates and now is the single-largest area of state government spending (including spending from state funds and federal funds), ahead of elementary and secondary education. The growth resulted from many factors that are difficult or impossible for states to control, including expensive and rapidly evolving technologies and drugs (which affect privately funded health care as well as public programs), and growth in enrollment of expensive-to-care-for disabled and dual eligible populations (individuals eligible both for Medicare and for Medicaid). In addition, state and federal policy choices to expand Medicaid to cover more low-income children and pregnant women and to reach out to potentially eligible populations and enroll them in Medicaid have contributed to spending increases. 5 Many of these forces will continue to drive Medicaid costs upward in coming years. In addition, the aging of the population will begin to have a significant impact. This is important because the average elderly Medicaid recipient costs more than seven times as much to care for as the average low-income adult or child. Economy.com forecasts the population aged 65 and over will grow by about 8.5 percent between 2005 and 2010, and growth will accelerate after that. By contrast, the under-65 population is expected to grow by 3.8 percent between 2005 and As the population ages, states may find it difficult to finance rapidly increasing demand for Medicaid-financed prescription drugs and expensive longterm care services. Many Southwestern and Mountain states are likely to feel this pressure soonest, with most facing growth in the next 10 years of 45 percent or more 6 (see Table B). The Council of State Governments 403

4 Table A: Real Per Capita General Fund Operating Expenditures Amount per capita (2004 $) Programs FY 2000 FY 2004 Percent change Total $1,821.2 $1, % Elementary and secondary education Medicaid Higher education All other Sources: National Association of State Budget Officers Expediture Report 2001 and 2003 (state expenditures), Bureau of Economic Analysis (state and local government chain-weighted price index), and Bureau of the Census (population). Table B: Projected Growth in Population Aged 65+: States Facing Fastest Growth, 2005 to 2010 State 2005 to to 2015 United States median 8.5% 24.7% Nevada Arizona Alaska Colorado Utah Idaho Georgia Washington Oregon Texas Source: Rockefeller Institute analysis of projections from economy.com. Analysts at the Centers for Medicare and Medicaid Services recently forecasted that state government Medicaid spending will continue to grow faster than the overall economy for the foreseeable future, rising at an average annual rate of 8.6 percent for the nation as a whole over the period from 2006 through percentage points faster annually than the economy is projected to grow, and 5.4 percentage points faster than population growth plus general price inflation. 7 Thus, even without major changes in federal participation Medicaid seems likely to strain state finances. Elementary and secondary education: Elementary and secondary education enrollment growth is slowing in most of the nation, although there will be pockets of rapid growth. Over the next five years, the number of children in the 5 19 age group is forecasted by Economy.com to decline in two-thirds of the states. Most of the significant exceptions are in the southwest or west Nevada, Arizona, Alaska, California and Texas all will see population in this age group increase by 5 percent or more over the next five years. However, the pressures to increase spending per pupil are larger than ever. Even before the No Child Left Behind Act (NCLB), states were raising graduation and learning standards, creating demand for updated textbooks and curricula, smaller class sizes, more highly qualified teachers, more academic intervention services, enhanced summer learning opportunities, and other supports, all of which cost money. NCLB will intensify these demands. In addition, almost every state has had its system of financing education challenged in court and about two-thirds of challenges in the past 15 years have been successful, creating additional pressure to spend more. The costs of meeting higher standards and responding to court challenges cannot be estimated with any confidence, but it is clear they could be very large. One recent study estimated statistically the costs of bringing low-performing school districts in Texas up to the statewide average on certain exams, and concluded that it would take a doubling of state aid to school districts in Texas to accomplish this. 8 The court-appointed referees in a New York lawsuit recently issued a report estimating an increased need of $5.6 billion annually in New York City, a more-than-40 percent increase. 9 Cost studies associated with litigation in other states also have concluded that spending increases would need to be very large. Some researchers argue that higher spending will not lead systematically to higher student achievement, but in the context of the existing education system it seems clear that states, school districts, parents, and courts will seek considerably higher spending. Higher education: Higher education is the thirdlargest spending category for the state-local sector. Public colleges and universities enroll more than 12 million students and account for more than 77 percent of all higher education enrollment. State 404 The Book of the States 2005

5 expenditures on higher education as a share of gross domestic product have fallen almost continuously since 1976, in part reflecting graduation of baby boomers from the higher education system and in part reflecting lower priority for higher education than for other services. State contributions to public higher education institutions were battered in the recent fiscal crisis real state appropriations for public higher education institutions fell by 7.8 percent between FY 2002 and FY 2004, and declined in 36 states, contributing to widespread double-digit increases in tuition. Labor markets are demanding that workers have more higher education the U.S. Department of Labor estimates that occupations in which threequarters or more of workers have at least some college education will constitute 43 percent of the new jobs in the decade from 2002 to 2012, despite accounting for only 29 percent of current jobs. 10 This labor market demand is likely to lead to higher college participation rates among people in the labor force of all ages. In addition, underlying demographic forces will drive up enrollment in some states, as baby boomers children exit high school and enter college. For the nation as a whole, this should place only mild pressure on the higher education system, but in some states the population in the largest college-going age group, year olds, will grow substantially. According to Economy.com, growth will be fastest in the Northeastern states and California and as a result these states may face additional pressure to finance higher education. Other important areas of state and local finance: Medicaid, elementary and secondary education, and higher education are the three largest areas in the typical state budget and all face spending pressure. Some smaller areas will face pressure as well, while others may provide fiscal savings. One notable area that could cause difficulty for some governments is employee pensions: state and local government pension fund earnings more than doubled relative to state and local budgets between 1990 and 2000, allowing governments to scale back contributions (with a lag) by more than 30 percent despite rising pension obligations. That trend has since reversed and many state and local governments now face rapidly rising pension contributions that are sometimes quite significant relative to their budgets. Federal Budget Cuts and Policy Changes Federal deficit-reducing actions will affect states in several important ways, including cuts in grant programs and proposals to restructure the federal tax system. The discussion below is based on the president s proposed budget; the final budget could impose larger cuts than those discussed here, or smaller cuts, but is likely to include significant cuts in any event. Federal grants to state and local governments were $423 billion in FY 2004, accounting for one quarter of the federal budget for domestic programs. Grants account for approximately 30 percent of all state government revenue and 4 percent of local government revenue. 11 Approximately one-third of federal grants are labeled mandatory and the rest are discretionary. Large well-known mandatory grant programs include Medicaid, Temporary Assistance to Needy Families and child nutrition programs. Large well-known discretionary programs include Title I education grants for the disabled, special education grants, and various public housing and community development grants. Cuts in Federal Grants Other than Medicaid The president s budget proposes sharp cuts in grants to state and local governments. In FY 2006, discretionary grants would be cut by 9.2 percent in real per capita terms, and grants for mandatory programs other than Medicaid would be cut by 5.8 percent. 12 Combined, these cuts would be equivalent to about a 2.4 percent reduction in state government tax revenue. The budget does not itemize cuts in grants beyond 2006, but it proposes caps on domestic discretionary spending that would lead to cuts between 2005 and 2010 of 16 percent, adjusted for inflation and population growth. If discretionary grants, which account for about one-third of domestic discretionary budget authority, share proportionately in these cuts and if cuts in non-medicaid mandatory grants are proportionate to cuts in non-medicaid mandatory entitlement programs, the recurring annual cut in these grants by 2010, in real per capita terms, would be the equivalent of about a 4 percent cut in state government tax revenue. Put in perspective, that would be a permanent drop in state government revenue that is almost as large as the cyclical tax revenue drop of the 1990s recession and a little less than half as large as the tax revenue decline in the recent fiscal crisis. These are large enough to get the attention of state governments, particularly since there would be no reason to expect grant revenue to bounce back in later years. The Council of State Governments 405

6 Medicaid Cuts and Restructuring 13 The president has proposed $45 billion in net federal Medicaid savings over the next 10 years, reflecting $60 billion of cuts and $15 billion in new initiatives. Most of the federal savings would result in higher costs to states, but some would result in state savings, for a net cost to states of $34 billion over 10 years. The largest changes that would provide savings to states include reductions in payments Medicaid will make to pharmacies and provisions that would make it harder for people seeking to enter nursing homes to shield assets from Medicaid. The largest changes that would shift costs from the federal government to states include limits on intergovernmental transfers (IGTs can allow states to increase federal reimbursement without increasing expenditures), limits on administrative expenditures, and restrictions on case management expenditures. The president s budget also proposed to increase outreach to and coverage of children, increasing federal and state expenditures. All told, Medicaid changes appear likely to increase state Medicaid expenditures by about 2 3 percent over 10 years. Federal Tax Reform Perhaps the largest risk is the possibility that the federal government will enact a major overhaul of the federal tax system, adopting a retail sales tax, a consumption tax or a value-added tax. Whatever the merits of these changes for the federal tax system and the nation s economy, all of these choices could create major and largely undiscussed problems for state and local government finances. Depending on very important details, these proposals could (a) eliminate the deductibility of state and local income and property taxes, raising the effective cost of state and local services and having dramatically different impacts across states, (b) tread into the traditional state-local terrain of sales taxes, making it difficult for state and local governments to raise revenue from these taxes, (c) make it impractically expensive for states to have their own income taxes if federal tax changes are in place of the existing federal income tax, and/or (d) raise the costs to states of maintaining and improving infrastructure, if municipal bond interest is no longer tax-exempt. Conclusions The recent recession is behind states, and state revenue is recovering. However, tax revenue fell so sharply during the recent fiscal crisis that despite economic recovery and recent tax increases, real per capita revenue remains below its prior peak in 70 percent of the states. States have raised taxes by far less in this crisis than in the prior one, and cut spending by more. They also drew down fund balances by more, and have relied heavily on tobacco bonds and other nonrecurring revenue. The net result is that many states still face budget gaps and are likely to need more spending cuts or tax increases to bring revenue and spending into balance. As states continue to work their way out of this hole, they will confront spending pressures from their own citizens and economies, and fiscal risks from actions to reduce the federal deficit. Medicaid is now the largest state spending area, and restraining price and utilization of health care will remain difficult. In addition, the impending growth in the elderly population also will place pressure on Medicaid over the next decade, and sooner in many Southwestern and Mountain states. States will face pressure to raise spending on elementary and secondary education in an effort to achieve higher standards, and will face labor market and demographic demands for additional spending on higher education. Federal budget cuts will add to fiscal pressures states face. The president s FY 2006 budget proposed cuts in discretionary grants and mandatory grants other than Medicaid that are the equivalent of about a 2.4 percentage point drop in tax revenue in 2006, and could grow to the equivalent of about a 4 percentage-point drop almost as large as the tax revenue drop in the 1990 recession, but presumably permanent. The federal budget also would cut Medicaid, exacerbating fiscal pressure on the states. Finally, if the federal government overhauls the federal tax system by moving toward a consumptionbased tax, it could make it extremely difficult for state and local governments to raise revenue. Debates over federal tax policy have so far paid very little attention to tax reform s impact on state and local governments. While the recovery in tax revenue is welcome news for state governments, they will need this revenue growth and more, or cuts in spending, to keep budgets in balance in coming years. Notes 1 For this purpose, I do not adjust for legislative changes because I am interested in how much states can spend revenue states actually collect. 2 General fund expenditures are a reasonably good indicator of spending supported by taxes and other revenue states raise from their own sources (excluding federal aid). Arguments can be made for alternative measures of state- 406 The Book of the States 2005

7 financed spending, but all have their flaws and I find this measure preferable for the purpose here. 3 Operating expenditures actually increased by 14 percent in nominal terms, but that is not a good measure of underlying pressures because it does not take into account the fact that prices and population have increased since Real per capita expenditures is a better measure. 4 See Elizabeth C. McNichol, State Fiscal Crisis Lingers, Center on Budget and Policy Priorities, Revised February 15, For an analysis of recent Medicaid spending growth, see John Holahan and Ghosh Arunabh, Understanding the Recent Growth in Medicaid Spending, 2000 to 2003, Health Affairs Web Exclusive, January 26, A more meaningful but less intuitive way to look at the data is to examine the change in the elderly population as a share of the total population. This does not alter in any significant way conclusions about which states will face pressures soonest, so I present the simpler approach. 7 Stephen Heffler, Sheila Smith, Sean Keehan, Christine Borger, M. Kent Clemens and Christopher Truffer, U.S. Health Spending Projections for , Health Affairs Web Exclusive, February 23, Andrew Reschovsky and Jennifer Imazeki, Financing Education So That No Child Is Left Behind: Determining the Costs of Improving Student Performance, Developments in School Finance 2003, (National Center for Education Statistics, 2004). 9 John D. Feerick, E. Leo Milonas and William C. Thompson, Report and Recommendations of the Judicial Referees, Supreme Court of the State of New York, Campaign for Fiscal Equity, Inc., et al., vs. The State of New York et al., Index No /93, Honorable Leland DeGrasse, November 30, Daniel E. Hecker, Occupational Employment Projections to 2012, Monthly Labor Review, (U.S. Bureau of Labor Statistics, February 2004). 11 Based on Census Bureau data for FY The Center on Budget and Policy Priorities has issued several reports on the impact of the federal budget on grants and on other domestic programs. This analysis is based on many of the same data sources as those analyses. There are two main reasons for differences in numbers between the analyses: I adjust for population growth, and I compare 2006 and later grants to grants in 2005 rather than to a projected baseline. Sources: Federal budget for FY 2006, unpublished OMB tables underlying federal budget, and Carlitz, Ruth, Domestic Discretionary Funding Levels for 2006 through 2010, Detailed Data, Center on Budget and Policy Priorities, February 28, This section draws heavily on Victoria Wachino, Andy Schneider and Leighton Ku, Medicaid Budget Proposals Would Shift Costs To States And Be Likely To Cause Reductions In Health Coverage, (Center on Budget and Policy Priorities, February 18, 2005). About the Author Donald J. Boyd is the director of fiscal studies at the Rockefeller Institute of Government of the State University of New York. His past positions include director of the economic and revenue staff for New York state s budget office, and director of the tax staff for New York s Assembly Ways and Means Committee. Boyd holds a Ph.D. in managerial economics for Rensselaer Polytechnic Institute. The Council of State Governments 407

STATE BUDGET DEFICITS PROJECTED FOR FISCAL YEAR By Nicholas Johnson and Bob Zahradnik

STATE BUDGET DEFICITS PROJECTED FOR FISCAL YEAR By Nicholas Johnson and Bob Zahradnik 820 First Street, NE, Suite 510, Washington, DC 20002 Tel: 202-408-1080 Fax: 202-408-1056 center@cbpp.org www.cbpp.org Revised February 6, 2004 STATE BUDGET DEFICITS PROJECTED FOR FISCAL YEAR 2005 By Nicholas

More information

THE SLOWDOWN IN MEDICAID EXPENDITURE GROWTH By Leighton Ku

THE SLOWDOWN IN MEDICAID EXPENDITURE GROWTH By Leighton Ku 820 First Street NE, Suite 510 Washington, DC 20002 Tel: 202-408-1080 Fax: 202-408-1056 center@cbpp.org www.cbpp.org March 17, 2006 THE SLOWDOWN IN MEDICAID EXPENDITURE GROWTH By Leighton Ku It is sometimes

More information

29 STATES FACED TOTAL BUDGET SHORTFALL OF AT LEAST $48 BILLION IN 2009 By Elizabeth C. McNichol and Iris J. Lav

29 STATES FACED TOTAL BUDGET SHORTFALL OF AT LEAST $48 BILLION IN 2009 By Elizabeth C. McNichol and Iris J. Lav 820 First Street NE, Suite 510 Washington, DC 20002 Tel: 202-408-1080 Fax: 202-408-1056 center@cbpp.org www.cbpp.org Updated August 5, 2008 29 STATES FACED TOTAL BUDGET SHORTFALL OF AT LEAST $48 BILLION

More information

April 20, and More After That, Center on Budget and Policy Priorities, March 27, First Street NE, Suite 510 Washington, DC 20002

April 20, and More After That, Center on Budget and Policy Priorities, March 27, First Street NE, Suite 510 Washington, DC 20002 820 First Street NE, Suite 510 Washington, DC 20002 Tel: 202-408-1080 Fax: 202-408-1056 center@cbpp.org www.cbpp.org April 20, 2012 WHAT IF CHAIRMAN RYAN S MEDICAID BLOCK GRANT HAD TAKEN EFFECT IN 2001?

More information

The State of. National Conference of Fiscal Leaders Seminar San Diego, CA December 9, Donald J. Boyd

The State of. National Conference of Fiscal Leaders Seminar San Diego, CA December 9, Donald J. Boyd The State of State Budgets National Conference of State Legislatures Fiscal Leaders Seminar San Diego, CA December 9, 2009 Donald J. Boyd Senior Fellow State & local governments role as implementers of

More information

2003 Tax and Budget Review. In 2003 legislative sessions, 18 states made significant tax increases totaling almost $6.2 billion for fiscal year 2004.

2003 Tax and Budget Review. In 2003 legislative sessions, 18 states made significant tax increases totaling almost $6.2 billion for fiscal year 2004. STATE FISCAL BRIEF Fiscal Studies Program The Nelson A. Rockefeller Institute of Government December 2003 No. 69 2003 Tax and Budget Review NICHOLAS W. JENNY Highlights In 2003 legislative sessions, 18

More information

STATE BUDGET TROUBLES WORSEN By Elizabeth McNichol and Iris J. Lav

STATE BUDGET TROUBLES WORSEN By Elizabeth McNichol and Iris J. Lav 820 First Street NE, Suite 510 Washington, DC 20002 Tel: 202-408-1080 Fax: 202-408-1056 center@cbpp.org www.cbpp.org Updated May 18, 2009 STATE BUDGET TROUBLES WORSEN By Elizabeth McNichol and Iris J.

More information

Federal-State Fiscal Relationships In The United States: Implications for Border States

Federal-State Fiscal Relationships In The United States: Implications for Border States Federal-State Fiscal Relationships In The United States: Implications for Border States Border Legislative Conference: IX Legislative Forum Hermosillo, Sonora November 19, 2004 Donald J. Boyd, Director

More information

The Fiscal State of the States

The Fiscal State of the States The Fiscal State of the States National Federation of Municipal Analysts Chicago, IL April 30, 2003 Donald J. Boyd, Director of Fiscal Studies Nelson A. Rockefeller Institute of Government Richard P. Nathan,

More information

State Budgets in 2015 and 2016: Most States Show Continued Growth, Some Face Significant Challenges

State Budgets in 2015 and 2016: Most States Show Continued Growth, Some Face Significant Challenges State Budgets in 2015 and 2016: Most States Show Continued Growth, Some Face Significant Challenges By Brian Sigritz Overall, state fiscal conditions showed modest improvements in fiscal year 2015. Revenue

More information

National Tax Association Annual Conference on Taxation. Baltimore, MD

National Tax Association Annual Conference on Taxation. Baltimore, MD Slow tax revenue growth, rising pension contributions, and Medicaid growth lead state and local governments to reshape their finances National Tax Association Annual Conference on Taxation Baltimore, MD

More information

Medicaid and State Budgets: Looking at the Facts Cindy Mann, Joan C. Alker and David Barish October 2007

Medicaid and State Budgets: Looking at the Facts Cindy Mann, Joan C. Alker and David Barish October 2007 Medicaid and State Budgets: Looking at the Facts Cindy Mann, Joan C. Alker and David Barish Medicaid covered 60.9 million people in 2006, including 29.5 million children and 5.5 million people over 65.

More information

House Republican Budget Plan: State-by-State Impact of Changes in Medicaid Financing

House Republican Budget Plan: State-by-State Impact of Changes in Medicaid Financing I S S U E kaiser commission on medicaid and the uninsured MAY 2011 P A P E R House Republican Budget Plan: State-by-State Impact of Changes in Medicaid Financing Introduction John Holahan, Matthew Buettgens,

More information

Cuts and Consequences:

Cuts and Consequences: Cuts and Consequences: 1107 9th Street, Suite 310 Sacramento, California 95814 (916) 444-0500 www.cbp.org cbp@cbp.org Key Facts About the CalWORKs Program in the Aftermath of the Great Recession THE CALIFORNIA

More information

Structural WISCONSIN S DEFICIT. The Wisconsin Legislature is currently. Our Fiscal Future at the Crossroads

Structural WISCONSIN S DEFICIT. The Wisconsin Legislature is currently. Our Fiscal Future at the Crossroads WISCONSIN S Structural DEFICIT Our Fiscal Future at the Crossroads The Robert M. La Follette School of Public Affairs University of Wisconsin Madison The Robert M. La Follette School of Public Affairs

More information

The Cost of Failure to Enact Health Reform: Implications for States. Bowen Garrett, John Holahan, Lan Doan, and Irene Headen

The Cost of Failure to Enact Health Reform: Implications for States. Bowen Garrett, John Holahan, Lan Doan, and Irene Headen The Cost of Failure to Enact Health Reform: Implications for States Bowen Garrett, John Holahan, Lan Doan, and Irene Headen Overview What would happen to trends in health coverage and costs if health reforms

More information

Mandatory Spending Since 1962

Mandatory Spending Since 1962 D. Andrew Austin Analyst in Economic Policy Mindy R. Levit Analyst in Public Finance June 15, 2011 Congressional Research Service CRS Report for Congress Prepared for Members and Committees of Congress

More information

Medicaid at 50: Evolution from Public Assistance to Health Insurance. Presentation to the National Association of Social Insurance June 23, 2015

Medicaid at 50: Evolution from Public Assistance to Health Insurance. Presentation to the National Association of Social Insurance June 23, 2015 Medicaid at 50: Evolution from Public Assistance to Health Insurance Presentation to the National Association of Social Insurance June 23, 2015 Growth in Medicaid Market Share and Influence 2 Now single

More information

THE COST OF NOT EXPANDING MEDICAID

THE COST OF NOT EXPANDING MEDICAID REPORT THE COST OF NOT EXPANDING MEDICAID July 2013 PREPARED BY John Holahan, Matthew Buettgens, and Stan Dorn The Urban Institute The Kaiser Commission on Medicaid and the Uninsured provides information

More information

kaiser medicaid and the uninsured commission on An Overview of Changes in the Federal Medical Assistance Percentages (FMAPs) for Medicaid July 2011

kaiser medicaid and the uninsured commission on An Overview of Changes in the Federal Medical Assistance Percentages (FMAPs) for Medicaid July 2011 P O L I C Y B R I E F kaiser commission on medicaid and the uninsured July 2011 An Overview of Changes in the Federal Medical Assistance Percentages (FMAPs) for Medicaid Executive Summary Medicaid, which

More information

CONGRESS OF THE UNITED STATES CONGRESSIONAL BUDGET OFFICE CBO The Budget and Economic Outlook: 2016 to 2026 Percentage of GDP 100 Actual Projected 80

CONGRESS OF THE UNITED STATES CONGRESSIONAL BUDGET OFFICE CBO The Budget and Economic Outlook: 2016 to 2026 Percentage of GDP 100 Actual Projected 80 CONGRESS OF THE UNITED STATES CONGRESSIONAL BUDGET OFFICE The Budget and Economic Outlook: 6 to 6 Percentage of GDP Actual Projected 8 In s projections, growing 6 deficits drive up debt over the next decade,

More information

State Corporate Income Tax Collections Decline Sharply

State Corporate Income Tax Collections Decline Sharply Corporate Income Tax Collections Decline Sharply Nicholas W. Jenny and Donald J. Boyd The Rockefeller Institute Fiscal News: Vol. 1, No. 3 July 26, 2001 According to a report from the Congressional Budget

More information

Notes Numbers in the text and tables may not add up to totals because of rounding. Unless otherwise indicated, years referred to in describing the bud

Notes Numbers in the text and tables may not add up to totals because of rounding. Unless otherwise indicated, years referred to in describing the bud CONGRESS OF THE UNITED STATES CONGRESSIONAL BUDGET OFFICE The Budget and Economic Outlook: 4 to 4 Percentage of GDP 4 Surpluses Actual Projected - -4-6 Average Deficit, 974 to Deficits -8-974 979 984 989

More information

Mandatory Spending Since 1962

Mandatory Spending Since 1962 D. Andrew Austin Analyst in Economic Policy Mindy R. Levit Analyst in Public Finance February 16, 2010 Congressional Research Service CRS Report for Congress Prepared for Members and Committees of Congress

More information

A FEDERALLY FINANCED SALES TAX HOLIDAY WOULD BE DIFFICULT TO IMPLEMENT AND WOULD HAVE LIMITED STIMULUS EFFECT. by Nicholas Johnson and Iris Lav

A FEDERALLY FINANCED SALES TAX HOLIDAY WOULD BE DIFFICULT TO IMPLEMENT AND WOULD HAVE LIMITED STIMULUS EFFECT. by Nicholas Johnson and Iris Lav 820 First Street, NE, Suite 510, Washington, DC 20002 Tel: 202-408-1080 Fax: 202-408-1056 center@cbpp.org http://www.cbpp.org Revised November 6, 2001 A FEDERALLY FINANCED SALES TAX HOLIDAY WOULD BE DIFFICULT

More information

Statement of. Ben S. Bernanke. Chairman. Board of Governors of the Federal Reserve System. before the. Committee on the Budget

Statement of. Ben S. Bernanke. Chairman. Board of Governors of the Federal Reserve System. before the. Committee on the Budget For release on delivery 10:00 a.m. EST February 28, 2007 Statement of Ben S. Bernanke Chairman Board of Governors of the Federal Reserve System before the Committee on the Budget U.S. House of Representatives

More information

THE CURRENT SERVICES BASELINE: A Tool for Making Sensible Budget Choices By Elizabeth McNichol and Ifie Okwuje

THE CURRENT SERVICES BASELINE: A Tool for Making Sensible Budget Choices By Elizabeth McNichol and Ifie Okwuje 820 First Street NE, Suite 510 Washington, DC 20002 Tel: 202-408-1080 Fax: 202-408-1056 center@cbpp.org www.cbpp.org December 14, 2006 THE CURRENT SERVICES BASELINE: A Tool for Making Sensible Budget Choices

More information

Mandatory Spending Since 1962

Mandatory Spending Since 1962 D. Andrew Austin Analyst in Economic Policy Mindy R. Levit Analyst in Public Finance March 23, 2012 CRS Report for Congress Prepared for Members and Committees of Congress Congressional Research Service

More information

GOVERNORS NEW BUDGETS INDICATE LOSS OF MANY JOBS IF FEDERAL AID EXPIRES By Nicholas Johnson, Erica Williams, and Phil Oliff

GOVERNORS NEW BUDGETS INDICATE LOSS OF MANY JOBS IF FEDERAL AID EXPIRES By Nicholas Johnson, Erica Williams, and Phil Oliff 820 First Street NE, Suite 510 Washington, DC 20002 Tel: 202-408-1080 Fax: 202-408-1056 center@cbpp.org www.cbpp.org Updated March 8, 2010 GOVERNORS NEW BUDGETS INDICATE LOSS OF MANY JOBS IF FEDERAL AID

More information

FUTURE MEDICAID GROWTH IS NOT DUE TO FLAWS IN THE PROGRAM S DESIGN, BUT TO DEMOGRAPHIC TRENDS AND GENERAL INCREASES IN HEALTH CARE COSTS

FUTURE MEDICAID GROWTH IS NOT DUE TO FLAWS IN THE PROGRAM S DESIGN, BUT TO DEMOGRAPHIC TRENDS AND GENERAL INCREASES IN HEALTH CARE COSTS 820 First Street, NE, Suite 510, Washington, DC 20002 Tel: 202-408-1080 Fax: 202-408-1056 center@cbpp.org www.cbpp.org February 4, 2005 FUTURE MEDICAID GROWTH IS NOT DUE TO FLAWS IN THE PROGRAM S DESIGN,

More information

Medicaid Spending: A Brief History

Medicaid Spending: A Brief History Medicaid Spending: A Brief History John D. Klemm, Ph.D. Medicaid spending growth has varied greatly over time. This article uses financial and statistical data to trace the history of Medicaid spending

More information

kaiser medicaid and the uninsured Short Term Options For Medicaid in a Recession commission on O L I C Y December 2008

kaiser medicaid and the uninsured Short Term Options For Medicaid in a Recession commission on O L I C Y December 2008 P O L I C Y B R I E F kaiser commission on medicaid and the uninsured Short Term Options For Medicaid in a Recession December 2008 Reports recently confirmed that the country is in the midst of a recession.

More information

State Budget Update: March 2011

State Budget Update: March 2011 April 19, 2011 Nearly two years into the US economic recovery, following the end of the Great Recession, state finances are showing encouraging signs of revenue stability. At the same time, budget gaps

More information

Three major sources of stress: taxes, pensions, and Medicaid

Three major sources of stress: taxes, pensions, and Medicaid Slow tax revenue growth, rising pension contributions, and Medicaid growth lead state and local governments to reshape their finances Draft: April 2017 Don Boyd and Lucy Dadayan Rockefeller Institute of

More information

AN UPDATE TO THE BUDGET AND ECONOMIC OUTLOOK: 216 TO 226 AUGUST 216 Summary In fiscal year 216, the federal budget deficit will increase in relation t

AN UPDATE TO THE BUDGET AND ECONOMIC OUTLOOK: 216 TO 226 AUGUST 216 Summary In fiscal year 216, the federal budget deficit will increase in relation t AUGUST 216 An Update to the Budget and Economic Outlook: 216 to 226 Provided as a convenience, this screen-friendly version is identical in content to the principal ( printer-friendly ) version of the

More information

STATE BUDGET UPDATE: SPRING 2012

STATE BUDGET UPDATE: SPRING 2012 STATE BUDGET UPDATE: SPRING 2012 (Condensed Free Version) Fiscal Affairs Program National Conference of State Legislatures William T. Pound, Executive Director 7700 East First Place Denver, CO 80230 (303)

More information

Health Economics Program

Health Economics Program Health Economics Program Issue Brief 2003-05 August 2003 Minnesota s Aging Population: Implications for Health Care Costs and System Capacity Introduction After a period of respite in the mid-1990s, health

More information

2002 Tax and Budget Review and 2003 Budget Preview. Fifteen states made significant tax increases totaling almost $6 billion.

2002 Tax and Budget Review and 2003 Budget Preview. Fifteen states made significant tax increases totaling almost $6 billion. STATE FISCAL BRIEF Fiscal Studies Program The Nelson A. Rockefeller Institute of Government March 2003 No. 66 2002 and Budget Review and 2003 Budget Preview NICHOLAS W. JENNY Highlights Fifteen states

More information

CRS Report for Congress

CRS Report for Congress Order Code RS21071 Updated February 15, 2005 CRS Report for Congress Received through the CRS Web Medicaid Expenditures, FY2002 and FY2003 Summary Karen L. Tritz Analyst in Social Legislation Domestic

More information

Figure 1. Medicaid Status of Medicare Beneficiaries, Partial Dual Eligibles (1.0 Million) 3% 15% 83% Medicare Beneficiaries = 38.

Figure 1. Medicaid Status of Medicare Beneficiaries, Partial Dual Eligibles (1.0 Million) 3% 15% 83% Medicare Beneficiaries = 38. I S S U E P A P E R kaiser commission on medicaid and the uninsured September 2003 A Prescription Drug Benefit in Medicare: Implications for Medicaid and Low- Income Medicare Beneficiaries A prescription

More information

State Responses to Budget Crises in 2004: Michigan John Holahan

State Responses to Budget Crises in 2004: Michigan John Holahan THE URBAN INSTITUTE State Responses to Budget Crises in 2004: Michigan John Holahan February 2004 Background Michigan is a large, industrial, heavily unionized state that has historically provided a generous

More information

Washington State s 1930s Tax System Doesn t Work In A 21st Century Economy

Washington State s 1930s Tax System Doesn t Work In A 21st Century Economy SOUND RESEARCH. BOLD SOLUTIONS. POLICY BRIEF. OCTOBER 2013 Revenue Trends 2013.3: Washington State s 1930s Tax System Doesn t Work In A 21st Century Economy By Andrew Nicholas Revenue Trends, a quarterly

More information

Health Insurance Coverage in 2013: Gains in Public Coverage Continue to Offset Loss of Private Insurance

Health Insurance Coverage in 2013: Gains in Public Coverage Continue to Offset Loss of Private Insurance Health Insurance Coverage in 2013: Gains in Public Coverage Continue to Offset Loss of Private Insurance Laura Skopec, John Holahan, and Megan McGrath Since the Great Recession peaked in 2010, the economic

More information

Figure 1. Half of the Uninsured are Low-Income Adults. The Nonelderly Uninsured by Age and Income Groups, 2003: Low-Income Children 15%

Figure 1. Half of the Uninsured are Low-Income Adults. The Nonelderly Uninsured by Age and Income Groups, 2003: Low-Income Children 15% P O L I C Y B R I E F kaiser commission on medicaid SUMMARY and the uninsured Health Coverage for Low-Income Adults: Eligibility and Enrollment in Medicaid and State Programs, 2002 By Amy Davidoff, Ph.D.,

More information

Government spending and taxes are the subjects of considerable discussion

Government spending and taxes are the subjects of considerable discussion MINNESOTA OFFICE OF THE LEGISLATIVE AUDITOR Trends in State and Local Government Spending EXECUTIVE SUMMARY Government spending and taxes are the subjects of considerable discussion and debate. But past

More information

Economic Recovery Will Be Tied to Changes in Washington State s Revenue System

Economic Recovery Will Be Tied to Changes in Washington State s Revenue System SOUND RESEARCH. BOLD SOLUTIONS. POLICY BRIEF. JUNE 2013 Revenue Trends 1.2: Economic Recovery Will Be Tied to Changes in Washington State s Revenue System By Michael Mitchell and Andrew Nicholas Revenue

More information

Credit Where Credit is (Over) Due

Credit Where Credit is (Over) Due Credit Where Credit is (Over) Due Four State Tax Policies Could Lessen the Effect that State Tax Systems Have in Exacerbating Poverty September 2010 1616 P Street NW Washington, DC 20036 (202) 299-1066

More information

IS MISSOURI S MEDICAID PROGRAM OUT-OF-STEP AND INEFFICIENT? by Leighton Ku and Judith Solomon

IS MISSOURI S MEDICAID PROGRAM OUT-OF-STEP AND INEFFICIENT? by Leighton Ku and Judith Solomon 820 First Street, NE, Suite 510, Washington, DC 20002 Tel: 202-408-1080 Fax: 202-408-1056 center@cbpp.org www.cbpp.org Revised April 5, 2005 IS MISSOURI S MEDICAID PROGRAM OUT-OF-STEP AND INEFFICIENT?

More information

COMPARING RECENT DECLINES IN OREGON'S CASH ASSISTANCE CASELOAD WITH TRENDS IN THE POVERTY POPULATION

COMPARING RECENT DECLINES IN OREGON'S CASH ASSISTANCE CASELOAD WITH TRENDS IN THE POVERTY POPULATION COMPARING RECENT DECLINES IN OREGON'S CASH ASSISTANCE CASELOAD WITH TRENDS IN THE POVERTY POPULATION Prepared for: The Oregon Center for Public Policy P.O. Box 7 Silverton, Oregon 97381 (503) 873-1201

More information

WikiLeaks Document Release

WikiLeaks Document Release WikiLeaks Document Release February 2, 2009 Congressional Research Service Report RS21071 Medicaid Expenditures, FY2003 and FY2004 Karen Tritz, Domestic Social Policy Division January 17, 2006 Abstract.

More information

CONGRESS OF THE UNITED STATES CONGRESSIONAL BUDGET OFFICE

CONGRESS OF THE UNITED STATES CONGRESSIONAL BUDGET OFFICE CONGRESS OF THE UNITED STATES CONGRESSIONAL BUDGET OFFICE The Budget and Economic Outlook: 2017 to 2027 Percentage of GDP 4 2 Surpluses Actual Current-Law Projection 0 Growth in revenues is projected -2-4

More information

The first installment of a LABI research series to help employers understand the Louisiana state budget, the reasons for the deficit, and potential

The first installment of a LABI research series to help employers understand the Louisiana state budget, the reasons for the deficit, and potential The first installment of a LABI research series to help employers understand the Louisiana state budget, the reasons for the deficit, and potential solutions for government to prioritize spending and promote

More information

GEORGIA S REVENUE AND EXPENDITURE PORTFOLIO IN BRIEF,

GEORGIA S REVENUE AND EXPENDITURE PORTFOLIO IN BRIEF, January 2013, Number 254 GEORGIA S REVENUE AND EXPENDITURE PORTFOLIO IN BRIEF, 1989-2010 Introduction This brief provides an overview of changes in Georgia s state and local expenditure and revenue portfolios

More information

Thirty-six states stand to lose at least $100 million in federal funding. 1

Thirty-six states stand to lose at least $100 million in federal funding. 1 Decline in the Federal Medicaid Match Rate Hits States Hard 36 States Lose at Least $100 Million Rockefeller-Smith Bill Would Partially Restore Funding by Elizabeth Pham and Emil Parker July 16, 2004 On

More information

Issue Brief No Sources of Health Insurance and Characteristics of the Uninsured: Analysis of the March 2005 Current Population Survey

Issue Brief No Sources of Health Insurance and Characteristics of the Uninsured: Analysis of the March 2005 Current Population Survey Issue Brief No. 287 Sources of Health Insurance and Characteristics of the Uninsured: Analysis of the March 2005 Current Population Survey by Paul Fronstin, EBRI November 2005 This Issue Brief provides

More information

Governor s Budget Undermines Progress

Governor s Budget Undermines Progress sound research. Bold Solutions.. Policy BrieF, January 15, 2009 Governor s Budget Undermines Progress By Jeff Chapman and Stacey Schultz In recent years, Washingtonians have recognized the need to make

More information

Medicaid Spending Growth over the Last Decade and the Great Recession, by John Holahan, Lisa Clemans-Cope, Emily Lawton, and David Rousseau

Medicaid Spending Growth over the Last Decade and the Great Recession, by John Holahan, Lisa Clemans-Cope, Emily Lawton, and David Rousseau I S S U E kaiser commission on medicaid and the uninsured February 2011 P A P E R Medicaid Spending Growth over the Last Decade and the Great Recession, 2000-2009 by John Holahan, Lisa Clemans-Cope, Emily

More information

How Public Education Benefits from the Federal Income Tax Deduction for State and Local Taxes and Other Special Tax Provisions

How Public Education Benefits from the Federal Income Tax Deduction for State and Local Taxes and Other Special Tax Provisions How Public Education Benefits from the Federal Income Tax Deduction for State and Local Taxes and Other Special Tax Provisions A Background Paper from the Center on Education Policy Introduction Discussions

More information

Texas: Demographically Different

Texas: Demographically Different FEDERAL RESERVE BANK OF DALLAS ISSUE 3 99 : Demographically Different A s the st century nears, demographic changes are reshaping the U.S. economy. The largest impact is coming from the maturing of baby

More information

GENERAL FUND REVENUE & ECONOMIC OUTLOOK. December 18, 2008 Fiscal Research Division Barry Boardman, Ph.D.

GENERAL FUND REVENUE & ECONOMIC OUTLOOK. December 18, 2008 Fiscal Research Division Barry Boardman, Ph.D. GENERAL FUND REVENUE & ECONOMIC OUTLOOK December 18, 2008 Fiscal Research Division Barry Boardman, Ph.D. Highlights As the recession deepens, economy-based taxes push general fund collections below forecast

More information

RAINY DAY FUNDS: OPPORTUNITIES FOR REFORM. By Robert Zahradnik

RAINY DAY FUNDS: OPPORTUNITIES FOR REFORM. By Robert Zahradnik 820 First Street, NE, Suite 510, Washington, DC 20002 Tel: 202-408-1080 Fax: 202-408-1056 center@cbpp.org www.cbpp.org March 9, 2005 RAINY DAY FUNDS: OPPORTUNITIES FOR REFORM By Robert Zahradnik Summary

More information

City of Modesto Economic Indicators December 2014 Edition

City of Modesto Economic Indicators December 2014 Edition City of Modesto Economic Indicators December 2014 Edition Steve Christensen City of Modesto Economic Outlook: City of Modesto The City of Modesto continues to slowly recover from the Great Recession. Some

More information

uninsured Moving Ahead Amid Fiscal Challenges: A Look at Medicaid Spending, Coverage and Policy Trends

uninsured Moving Ahead Amid Fiscal Challenges: A Look at Medicaid Spending, Coverage and Policy Trends kaiser commission on medicaid and the uninsured Moving Ahead Amid Fiscal Challenges: A Look at Medicaid Spending, Coverage and Policy Trends Results from a 50-State Medicaid Budget Survey for State Fiscal

More information

Growing Slowly, Getting Older:*

Growing Slowly, Getting Older:* Growing Slowly, Getting Older:* Demographic Trends in the Third District States BY TIMOTHY SCHILLER N ational trends such as slower population growth, an aging population, and immigrants as a larger component

More information

The Budget and Economic Outlook: 2016 to 2026

The Budget and Economic Outlook: 2016 to 2026 JANUARY 2016 The Budget and Economic Outlook: 2016 to 2026 Provided as a convenience, this screen-friendly version is identical in content to the principal ( printer-friendly ) version of the report. Any

More information

HOW MANY LOW-INCOME MEDICARE BENEFICIARIES IN EACH STATE WOULD BE DENIED THE MEDICARE PRESCRIPTION DRUG BENEFIT UNDER THE SENATE DRUG BILL?

HOW MANY LOW-INCOME MEDICARE BENEFICIARIES IN EACH STATE WOULD BE DENIED THE MEDICARE PRESCRIPTION DRUG BENEFIT UNDER THE SENATE DRUG BILL? 820 First Street, NE, Suite 510, Washington, DC 20002 Tel: 202-408-1080 Fax: 202-408-1056 center@cbpp.org www.cbpp.org HOW MANY LOW-INCOME MEDICARE BENEFICIARIES IN EACH STATE WOULD BE DENIED THE MEDICARE

More information

ANCOR Issue Brief on Threats to Medicaid: Converting Medicaid Into A Block Grant Unplugs the Existing Guarantees and Financing Design

ANCOR Issue Brief on Threats to Medicaid: Converting Medicaid Into A Block Grant Unplugs the Existing Guarantees and Financing Design Prepared by Suellen Galbraith (sgalbraith@ancor.org) April 2011 ANCOR Issue Brief on Threats to Medicaid: Converting Medicaid Into A Block Grant Unplugs the Existing Guarantees and Financing Design With

More information

Medicaid Benefits for Children and Adults: Issues Raised by the National Governors Association s Preliminary Recommendations

Medicaid Benefits for Children and Adults: Issues Raised by the National Governors Association s Preliminary Recommendations Medicaid Benefits for Children and Adults: Issues Raised by the National Governors Association s Preliminary Recommendations July 12, 2005 Cindy Mann Overview The Medicaid benefit package determines which

More information

STATE REVENUE REPORT Fiscal Studies Program The Nelson A. Rockefeller Institute of Government

STATE REVENUE REPORT Fiscal Studies Program The Nelson A. Rockefeller Institute of Government STATE REVENUE REPORT Fiscal Studies Program The Nelson A. Rockefeller Institute of Government December 2004 No. 58 State Tax Revenue on Upward Track Nicholas W. Jenny HIGHLIGHTS State tax revenue in the

More information

STATE REVENUE REPORT SECOND QUARTER, 2017

STATE REVENUE REPORT SECOND QUARTER, 2017 STATE REVENUE REPORT SECOND QUARTER, 2017 Volatility in Income Tax, Continued Weakness in Sales Tax, Slower Growth in Property Tax Jim Malatras December 2017 Report #109 Lucy Dadayan www.rockinst.org @rockefellerinst

More information

North Carolina Budget & Economic Outlook

North Carolina Budget & Economic Outlook North Carolina Budget & Economic Outlook Office of State Budget and Management December 2017 1 Outline North Carolina Today Population & Demographics Economy North Carolina Budget Recent Policy Changes

More information

Poverty in Our Time. The Challenges and Opportunities of Fighting Poverty in Virginia. Executive Summary. By Michael Cassidy and Sara Okos

Poverty in Our Time. The Challenges and Opportunities of Fighting Poverty in Virginia. Executive Summary. By Michael Cassidy and Sara Okos May 2009 Poverty in Our Time The Challenges and Opportunities of Fighting Poverty in Virginia By Michael Cassidy and Sara Okos Executive Summary Even in times of economic expansion, the number of Virginians

More information

Health Care Spending and the Aging of the Population

Health Care Spending and the Aging of the Population Order Code RS22619 March 13, 2007 Health Care Spending and the Aging of the Population Jennifer Jenson Specialist in Health Economics Domestic Social Policy Division Summary Health care spending has been

More information

Social Security Privatization: The Mother of All Unfunded Mandates

Social Security Privatization: The Mother of All Unfunded Mandates Social Security Privatization: The Mother of All Unfunded Mandates Social Security Privatization: The Mother of All Unfunded Mandates Christian E. Weller, Ph.D. Center for American Progress April 2005

More information

STATE REVENUE REPORT. Steady Growth for State Tax Revenues; Long Road to Fiscal Recovery

STATE REVENUE REPORT. Steady Growth for State Tax Revenues; Long Road to Fiscal Recovery STATE REVENUE REPORT WWW.ROCKINST.ORG MAY 2015, No. 99 Steady Growth for State Tax Revenues; Long Road to Fiscal Recovery Preliminary Figures Show Continued Growth for the First Quarter of 2015 Lucy Dadayan

More information

GEORGIA S REVENUE AND EXPENDITURE PORTFOLIO IN BRIEF,

GEORGIA S REVENUE AND EXPENDITURE PORTFOLIO IN BRIEF, August 2012, Number 249 GEORGIA S REVENUE AND EXPENDITURE PORTFOLIO IN BRIEF, 1989-2009 Introduction This brief provides a brief overview of changes in Georgia s state and local expenditure and revenue

More information

BY THE NUMBERS 2016: Another Lackluster Year for State Tax Revenue

BY THE NUMBERS 2016: Another Lackluster Year for State Tax Revenue BY THE NUMBERS 2016: Another Lackluster Year for State Tax Revenue Jim Malatras May 2017 Lucy Dadayan and Donald J. Boyd 2016: Another Lackluster Year for State Tax Revenue Lucy Dadayan and Donald J. Boyd

More information

Total State and Local Business Taxes

Total State and Local Business Taxes Q UANTITATIVE E CONOMICS & STATISTICS J ANUARY 2004 Total State and Local Business Taxes A 50-State Study of the Taxes Paid by Business in FY2003 By Robert Cline, William Fox, Tom Neubig and Andrew Phillips

More information

AUGUST 2012 An Update to the Budget and Economic Outlook: Fiscal Years 2012 to 2022 Provided as a convenience, this screen-friendly version is identic

AUGUST 2012 An Update to the Budget and Economic Outlook: Fiscal Years 2012 to 2022 Provided as a convenience, this screen-friendly version is identic AUGUST 2012 An Update to the Budget and Economic Outlook: Fiscal Years 2012 to 2022 Provided as a convenience, this screen-friendly version is identical in content to the principal, printer-friendly version

More information

Putting Nevada in Perspective: State and Local Budgets in Recession and Recovery

Putting Nevada in Perspective: State and Local Budgets in Recession and Recovery Putting Nevada in Perspective: State and Local Budgets in Recession and Recovery Tracy M. Gordon Fellow, Economic Studies Prepared for Brookings Mountain West at UNLV September 17-21, 2011 1 Outline of

More information

Medicaid Spending Growth in the Great Recession and Its Aftermath, FY

Medicaid Spending Growth in the Great Recession and Its Aftermath, FY Medicaid Spending Growth in the Great Recession and Its Aftermath, FY 2007-2012 Katherine Young, Lisa Clemans-Cope, Emily Lawton, and John Holahan The 2007 to 2012 period encompasses one of the worst economic

More information

Proposed Changes to Medicare in the Path to Prosperity Overview and Key Questions

Proposed Changes to Medicare in the Path to Prosperity Overview and Key Questions Proposed Changes to Medicare in the Path to Prosperity Overview and Key Questions APRIL 2011 On April 5, 2011, Representative Paul Ryan (R-WI), chairman of the House Budget Committee, released a budget

More information

In fiscal year 2016, for the first time since 2009, the

In fiscal year 2016, for the first time since 2009, the Summary In fiscal year 216, for the first time since 29, the federal budget deficit increased in relation to the nation s economic output. The Congressional Budget Office projects that over the next decade,

More information

Medicaid Financing and Expenditures

Medicaid Financing and Expenditures Alison Mitchell Analyst in Health Care Financing July 30, 2012 CRS Report for Congress Prepared for Members and Committees of Congress Congressional Research Service 7-5700 www.crs.gov R42640 Summary Medicaid

More information

SENATE PROPOSAL TO ADD UNEMPLOYMENT INSURANCE BENEFITS IMPROVES EFFECTIVENESS OF STIMULUS BILL by Chad Stone, Sharon Parrott, and Martha Coven

SENATE PROPOSAL TO ADD UNEMPLOYMENT INSURANCE BENEFITS IMPROVES EFFECTIVENESS OF STIMULUS BILL by Chad Stone, Sharon Parrott, and Martha Coven 820 First Street NE, Suite 510 Washington, DC 20002 Tel: 202-408-1080 Fax: 202-408-1056 center@cbpp.org www.cbpp.org January 31, 2008 SENATE PROPOSAL TO ADD UNEMPLOYMENT INSURANCE BENEFITS IMPROVES EFFECTIVENESS

More information

Cassidy-Graham Would Deeply Cut and Drastically Redistribute Health Coverage Funding Among States

Cassidy-Graham Would Deeply Cut and Drastically Redistribute Health Coverage Funding Among States 820 First Street NE, Suite 510 Washington, DC 20002 Tel: 202-408-1080 Fax: 202-408-1056 center@cbpp.org www.cbpp.org August 24, 2017 Cassidy-Graham Would Deeply Cut and Drastically Redistribute Health

More information

NCSL FISCAL BRIEF: PROJECTED STATE TAX GROWTH IN FY 2012 AND BEYOND

NCSL FISCAL BRIEF: PROJECTED STATE TAX GROWTH IN FY 2012 AND BEYOND NCSL FISCAL BRIEF: PROJECTED STATE TAX GROWTH IN FY 2012 AND BEYOND December 6, 2011 Fiscal year (FY) 2012 marks the second consecutive year state officials are forecasting state tax growth compared with

More information

CONGRESS OF THE UNITED STATES CONGRESSIONAL BUDGET OFFICE CBO. The Budget and Economic Outlook: Fiscal Years 2013 to 2023

CONGRESS OF THE UNITED STATES CONGRESSIONAL BUDGET OFFICE CBO. The Budget and Economic Outlook: Fiscal Years 2013 to 2023 CONGRESS OF THE UNITED STATES CONGRESSIONAL BUDGET OFFICE The Budget and Economic Outlook: Fiscal Years 2013 to 2023 Percentage of GDP 120 100 Actual Projected 80 60 40 20 0 1940 1945 1950 1955 1960 1965

More information

STATE REVENUE REPORT. Sales Tax Decline in Late 2008 Was the Worst in 50 Years

STATE REVENUE REPORT. Sales Tax Decline in Late 2008 Was the Worst in 50 Years STATE REVENUE REPORT WWW.ROCKINST.ORG APRIL 2009, No. 75 Sales Tax Decline in Late 2008 Was the Worst in 50 Years Early Data for 2009 Show Further, Sharp Drop in Tax Revenues for Most States Donald J.

More information

a GAO GAO TOBACCO SETTLEMENT States Allocations of Fiscal Year 2003 and Expected Fiscal Year 2004 Payments Report to Congressional Requesters

a GAO GAO TOBACCO SETTLEMENT States Allocations of Fiscal Year 2003 and Expected Fiscal Year 2004 Payments Report to Congressional Requesters GAO United States General Accounting Office Report to Congressional Requesters March 2004 TOBACCO SETTLEMENT States Allocations of Fiscal Year 2003 and Expected Fiscal Year 2004 Payments a GAO-04-518 March

More information

Policy makers and the public frequently debate how fast government spending

Policy makers and the public frequently debate how fast government spending Expenditures CHAPTER 2 Policy makers and the public frequently debate how fast government spending should grow in the future. To assess spending needs in the future, it is useful to understand how and

More information

Low Medicaid Spending Growth Amid Rebounding State Revenues. Results from a 50-State Medicaid Budget Survey State Fiscal Years 2006 and 2007

Low Medicaid Spending Growth Amid Rebounding State Revenues. Results from a 50-State Medicaid Budget Survey State Fiscal Years 2006 and 2007 Low Medicaid Spending Growth Amid Rebounding State Revenues Results from a 50-State Medicaid Budget Survey State Fiscal Years 2006 and 2007 Executive Summary Prepared by Vernon Smith, Ph.D., Kathleen Gifford,

More information

Riding the Revenue Roller Coaster:

Riding the Revenue Roller Coaster: Riding the Revenue Roller Coaster: Recent Trends in State Government Finance* BY TIMOTHY SCHILLER T he fall in state tax revenue during the current recession and the one in highlights an increase in the

More information

Crisis of Long-Term Unemployment is Far From Over Now Reaching Most Segments of the Labor Market By

Crisis of Long-Term Unemployment is Far From Over Now Reaching Most Segments of the Labor Market By February 2003 Crisis of Long-Term Unemployment is Far From Over Now Reaching Most Segments of the Labor Market By National Employment Law Project The rise in long-term joblessness shows no signs of subsiding,

More information

GENERAL FUND REVENUE AND BUDGET OUTLOOK FY

GENERAL FUND REVENUE AND BUDGET OUTLOOK FY GENERAL FUND REVENUE AND BUDGET OUTLOOK FY 2011-12 Barry Boardman, Ph.D. Richard Bostic December 15, 2010 0 Presentation Outline General Fund Revenue Overview Economic Conditions and Forecast Risks Key

More information

Perspectives on the Medicaid Cost Problem

Perspectives on the Medicaid Cost Problem Perspectives on the Medicaid Cost Problem John Holahan The Urban Institute October 12, 2005 THE URBAN INSTITUTE Figure 1 Medicaid Expenditure Growth, U.S. and Wisconsin, 2000-2004 (in billions) 2000 2004

More information

2013 Is a Good Year to Repair (If Not Replenish) State Rainy Day Funds By Elizabeth C. McNichol

2013 Is a Good Year to Repair (If Not Replenish) State Rainy Day Funds By Elizabeth C. McNichol 820 First Street NE, Suite 510 Washington, DC 20002 Tel: 202-408-1080 Fax: 202-408-1056 center@cbpp.org www.cbpp.org January 15, 2013 2013 Is a Good Year to Repair (If Not Replenish) State Rainy Day Funds

More information

Section II. Statewide Overview

Section II. Statewide Overview Section II Statewide Overview Summary FY 2014 FY 2014 FY 2015 FY 2015 Enacted Final Recommended Enacted Expenditures by Function* General $ 1,487.5 $ 1,600.3 $ 1,509.5 $ 1,513.4 Human Services 3,305.8

More information

Report Documentation Page Form Approved OMB No Public reporting burden for the collection of information is estimated to average 1 hour per re

Report Documentation Page Form Approved OMB No Public reporting burden for the collection of information is estimated to average 1 hour per re Testimony The Budget and Economic Outlook: 214 to 224 Douglas W. Elmendorf Director Before the Committee on the Budget U.S. House of Representatives February 5, 214 This document is embargoed until it

More information

YES, FEDERAL UNEMPLOYMENT BENEFITS SHOULD BE TEMPORARY BUT NO, THE PROGRAM SHOULDN T BE ENDED YET. by Isaac Shapiro and Jessica Goldberg

YES, FEDERAL UNEMPLOYMENT BENEFITS SHOULD BE TEMPORARY BUT NO, THE PROGRAM SHOULDN T BE ENDED YET. by Isaac Shapiro and Jessica Goldberg 820 First Street, NE, Suite 510, Washington, DC 20002 Tel: 202-408-1080 Fax: 202-408-1056 center@cbpp.org www.cbpp.org May 21, 2003 YES, FEDERAL UNEMPLOYMENT BENEFITS SHOULD BE TEMPORARY BUT NO, THE PROGRAM

More information