In recent years, as states have faced increasing difficulty balancing their budgets, many have implemented measures to help achieve solvency by limiting spending within their Medicaid programs. Medicaid is the federal/state health insurance program that serves low-income seniors, children, working families, and people with disabilities, more than half of whom are people of color. States’ recent cost containment measures have changed the way Medicaid operates and have altered the access to and the quality of health-care services and treatments received by enrollees. Since the program is funded jointly by the federal and state governments and is administered by states, elected officials at both of these levels of government engage in the program’s rule making.
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