{
  "id": "R40659",
  "type": "CRS Report",
  "typeId": "REPORTS",
  "number": "R40659",
  "active": false,
  "source": "EveryCRSReport.com",
  "versions": [
    {
      "source": "EveryCRSReport.com",
      "id": 353763,
      "date": "2009-06-19",
      "retrieved": "2016-04-07T02:25:28.830607",
      "title": "Medicaid and the State Children\u2019s Health Insurance Program (CHIP): FY2010 Budget Issues",
      "summary": "The President is required each year to submit a comprehensive federal budget proposal to Congress before the first Monday in February. The House and Senate Budget Committees then develop their respective budget resolutions. Based on these budget resolutions, House and Senate Appropriations committees reconcile their budget resolutions and file a joint budget agreement. Although not binding, the resolution provides a framework for consideration of the 12 separate appropriations bills that would fund FY2010 federal spending, beginning October 1, 2009.\nIn presidential transition years, the timeline for the administration to submit a budget proposal is altered. President Obama was inaugurated on January 20, 2009. An outline of the President\u2019s first budget was submitted on February 26, 2009. The Obama Administration issued a detailed FY2010 budget appendix May 7, 2009. The remaining budget documents were released May 12, 2009.\nPresident Obama\u2019s FY2010 budget outline described five major policy initiatives including economic recovery, health care reform, education, infrastructure improvements, and clean energy. The health care reform and economic recovery initiatives contained provisions that would affect Medicaid and the State Children\u2019s Health Insurance Program (CHIP). Some budget proposals would require legislative action, while others could be implemented administratively (e.g., via regulatory changes, program guidance, or other methods). President Obama has indicted that health care reform will be a major goal for his Administration\u2019s first year. The President\u2019s FY2010 budget reflects this emphasis, as the Medicaid and CHIP initiatives for FY2010 were aimed primarily at reducing expenditures to help fund a broader health care reform initiative. Medicaid savings, in particular, would help to fund a proposed $635 billion Health Reform Reserve Fund, which is to be available for the next 10 years. The total Medicaid and CHIP savings from the President\u2019s legislative and administrative proposals were estimated to exceed $1.45 billion in FY2010, $8.8 billion over the period FY2010 to FY2014.\nThe Senate Budget Committee approved its budget resolution (S.Con.Res. 13) on March 26, 2009. The House Budget Committee approved its budget resolution (H.Con.Res. 85) on March 25, 2009. The House and Senate agreed to their respective budget resolutions April 2, 2009. A joint conference agreement on the budget resolution (S.Con.Res. 13 accompanied by H.Rept. 111-60) was passed in the House and in the Senate on April 29, 2009. Among other provisions, the conference agreement provides for 20 Senate and 14 House deficit-neutral reserve funds, as well as seven Sense of the Congress provisions. The FY2010 Budget Resolution provides for $2,322 billion in revenue and $3,555 billion in expenditures, which would result in a deficit of $1,233 billion.\nThis report will be updated to reflect relevant legislative activity.",
      "type": "CRS Report",
      "typeId": "REPORTS",
      "active": false,
      "formats": [
        {
          "format": "HTML",
          "encoding": "utf-8",
          "url": "http://www.crs.gov/Reports/R40659",
          "sha1": "258ccf2795cb4656ea20f0a829ea5d98ed924b51",
          "filename": "files/20090619_R40659_258ccf2795cb4656ea20f0a829ea5d98ed924b51.html",
          "images": null
        },
        {
          "format": "PDF",
          "encoding": null,
          "url": "http://www.crs.gov/Reports/pdf/R40659",
          "sha1": "ed802c41d6c6935d9b8407ca97de732a54633010",
          "filename": "files/20090619_R40659_ed802c41d6c6935d9b8407ca97de732a54633010.pdf",
          "images": null
        }
      ],
      "topics": []
    }
  ],
  "topics": [
    "Appropriations",
    "Health Policy"
  ]
}