Historical Review of Proposals to Reform Medicaid

Since their enactment, Medicaid and CHIP have frequently been the subject of congressional debate. Reform ideas have included proposals targeted at stemming program spending, expanding the programs’ reach, allowing states more flexibility in program design and management, and improving access to higher quality care, among other objectives. This presentation highlights findings from a review of past proposals to reform Medicaid, drawn from presidents’ budgets, Medicaid commissions, governors’ associations, and think tanks.