{
  "id": "RL34357",
  "type": "CRS Report",
  "typeId": "REPORTS",
  "number": "RL34357",
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  "source": "EveryCRSReport.com, University of North Texas Libraries Government Documents Department",
  "versions": [
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      "source": "EveryCRSReport.com",
      "id": 344759,
      "date": "2008-07-01",
      "retrieved": "2016-04-07T03:19:35.096201",
      "title": "Medicaid and the State Children\u2019s Health Insurance Program (SCHIP): FY2009 Budget Issues",
      "summary": "Each year, the President is required to submit a comprehensive federal budget proposal to Congress no later than the first Monday in February. The House and Senate Budget Committees then develop their respective budget resolutions. House and Senate Appropriations committees then 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 FY2009 government operations.\nThe President\u2019s FY2009 budget contained a number of proposals that would affect Medicaid and the State Children\u2019s Health Insurance Program (SCHIP). While certain proposals would require legislative action, others could be implemented administratively (e.g., via regulatory changes, issuance of program guidance, or other possible methods). One of the more notable changes from the Bush Administration\u2019s previous budget proposal is an increase in SCHIP funding\u2014increasing federal funding for allotments by $1.5 billion in FY2009 and by $19.7 billion over the five-year period from FY2009 to FY2013. The administration\u2019s budget proposed spending reductions to other Medicaid components that would offset much of the additional funding proposed for SCHIP, so that total SCHIP and Medicaid spending would increase by $230 million in FY2009 and $1.3 billion from FY2009-FY2013 if the Administration\u2019s budget proposal were enacted without changes.\nOn June 4 and 5, 2008, the Senate and House, respectively, adopted the final version of the budget resolution (H.Rept. 110-659 accompanying S.Con.Res. 70). Among other provisions, the conference agreement provides a deficit-neutral reserve fund of up to $50 billion for SCHIP legislation, a variety of other deficit-neutral reserve funds, up to $198 million for health care fraud and abuse control, and a sense of the Senate provision on delaying Medicaid administrative regulations. On June 26, the Senate Appropriations Committee approved a $153.1 billion budget for the Departments of Labor, Health and Human Services, and Education, as well as the Social Security Administration. The Labor-HHS appropriations bill contained an amendment that would set aside requirements in an August 17, 2007, letter to state health officials that limited SCHIP and Medicaid coverage expansions for children in families with income above 250% of the federal poverty level (FPL).\nSeveral legislative initiatives affecting Medicaid were introduced during the second session of the 110th Congress. After the House passed an amended version of the Supplemental Appropriations Act of 2008 (H.R. 2642) on June 19, 2008, the Senate approved the measure without amendments on June 26 and the President signed P.L. 110-252 into law on June 30, 2008. Other legislation affecting Medicaid includes the Medicare Improvements for Patients and Providers Act of 2008 (S. 3101), which was introduced June 6, 2008, and an alternative bill, the Preserving Access to Medicare Act of 2008 (S. 3118), introduced June 11, 2008.\nThis report will be updated to reflect relevant activity as the FY2009 budget advances and until the next President\u2019s FY2010 budget is released.",
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    },
    {
      "source": "University of North Texas Libraries Government Documents Department",
      "sourceLink": "https://digital.library.unt.edu/ark:/67531/metadc819361/",
      "id": "RL34357_2008May23",
      "date": "2008-05-23",
      "retrieved": "2016-03-19T13:57:26",
      "title": "Medicaid and the State Children\u2019s Health Insurance Program (SCHIP): FY2009 Budget Issues",
      "summary": null,
      "type": "CRS Report",
      "typeId": "REPORT",
      "active": false,
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      "topics": []
    }
  ],
  "topics": [
    "Appropriations",
    "Health Policy"
  ]
}