Federal aid to states (31 - 40 of 48 items)
Medicaid: Alternatives for Improving the Distribution of Funds to States
HRD-93-112FS: Published: Aug 20, 1993. Publicly Released: Aug 20, 1993.
Pursuant to a congressional request, GAO provided information on alternatives for improving the distribution of Medicaid funds among states.GAO found that: (1) the alternatives for distributing Medicaid funds are based on the number of people in poverty and a state's ability to finance program services from state revenues using total taxable resources (TTR); (2) alternative 1 would increase funds...
Medicaid Formula Alternatives
HRD-93-18R: Published: Mar 31, 1993. Publicly Released: Mar 31, 1993.
Pursuant to a congressional request, GAO provided information on alternative Medicaid distribution formulas to determine what states' reimbursements would be using minimum guaranteed federal reimbursement rates. GAO found that: (1) the current Medicaid formula has not reduced the differences in state medical care coverage for the poor or the burden of financing program benefits among states or tar...
Medicaid Formula Alternative
HRD-93-17R: Published: Mar 2, 1993. Publicly Released: Mar 2, 1993.
Pursuant to a congressional request, GAO provided information on states' Medicaid funding levels under different formulas. GAO noted that: (1) the current Medicaid funding formula is meant to reduce medical care coverage differences among states and fairly distribute the burden of financing program benefits; (2) benefits and financing burdens varied among states, partly due to the current formula...
Michigan Communities: Services Cut in Response to Fiscal Distress
HRD-92-142: Published: Sep 29, 1992. Publicly Released: Oct 19, 1992.
Pursuant to a congressional request, GAO examined the fiscal conditions and effects of declining revenues on local Michigan governments.GAO found that: (1) the Michigan economy grew steadily each year through the economic recovery from 1982 through 1989; (2) despite the economic growth, the state was not able to offset growing fiscal pressures at the local level, including the loss of about $200 m...
Medicaid Formula: Fairness Could Be Improved
T-HRD-91-5: Published: Dec 7, 1990. Publicly Released: Dec 7, 1990.
GAO discussed the formula used to share the cost of Medicaid between the federal and state governments. GAO noted that: (1) the current distribution formula to determine the federal share of Medicaid costs used per-capita income; (2) per-capita income did not reflect all of the income that states were potentially able to tax; (3) per-capita income understated the revenue-raising capacity of states...
Distressed Communities: Public Services Declined in New Jersey Despite Targeted State Aid
HRD-90-96: Published: Jul 9, 1990. Publicly Released: Jul 9, 1990.
Pursuant to a congressional request, GAO provided information about the condition of basic public services in poorer communities in New Jersey.GAO found that: (1) local governments provided the vast majority of public service programs; (2) federal aid to localities declined between 1978 and 1986; (3) New Jersey has made substantial economic progress over the past decade, but not all of the state's...
The District's Implementation of Public Law 98-621, the Saint Elizabeths Hospital and District of Columbia Mental Health Services Act
T-GGD-90-28: Published: Mar 27, 1990. Publicly Released: Mar 27, 1990.
GAO discussed the transition of Saint Elizabeths Hospital from federal to District of Columbia (D.C.) control. GAO noted that: (1) in fiscal years (FY) 1988 and 1989, the federal government provided $57.4 million and $43.4 million, respectively, to fund the transition; (2) in FY 1988 and 1989, D.C.-approved budgets included $152.1 million and $154.3 million, respectively, to run Saint Elizabeths;...
Federal-State-Local Relations: Trends of the Past Decade and Emerging Issues
HRD-90-34: Published: Mar 22, 1990. Publicly Released: Mar 22, 1990.
GAO provided information on: (1) key changes in the federal government's relationship with states and localities over the past decade; and (2) intergovernmental partnerships.GAO found that: (1) federalism policy changes and the growing federal deficit have caused the intergovernmental system's decentralization and states' increased role in the system; (2) federal-local relationships were reduced;...
ADP Systems: Better Control Over States' Medicaid Systems Needed
IMTEC-89-19: Published: Aug 2, 1989. Publicly Released: Aug 2, 1989.
GAO evaluated the Health Care Financing Administration's (HCFA) management of and control over federal funds for helping states, to acquire, operate, and enhance automated Medicaid systems by reviewing 129 automation-funding requests states made between November 1985 through July 1988.GAO found that HCFA: (1) approved 116 automation requests, totalling about $119 million, which lacked such federal...
Mental Health: Funds Needed for Future Planning Activities
HRD-89-94: Published: Apr 28, 1989. Publicly Released: Apr 28, 1989.
Pursuant to a congressional request, GAO assessed whether 14 states would need additional federal funds to establish and implement statutorily required comprehensive community-based mental health services.GAO found that: (1) the Department of Health and Human Services (HHS) provided each state with $82,200 in fiscal year (FY) 1988 and $81,000 in FY 1989 to develop programs; (2) 13 of the 14 states...