Impact of Federal Regulation On State And Local Governments Hearing Before the

Cover Impact of Federal Regulation On State And Local Governments Hearing Before the
Impact of Federal Regulation On State And Local Governments Hearing Before the
United States Congress House Committee On the B
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Because of this Federal regulation, Wisconsin taxpayers have spent more than $120 million over the past 3 years in higher Medicaid costs.
The Boren amendment was intended to give States more flexibil- ity in controlling Medicaid-related health care costs, but it has ac- complished just the opposite. The Boren amendment has opened up States to numerous lawsuits and forced them to pay hospitals and nursing homes higher rates than other Medicaid providers and at rates increasing much higher than i
...nflation. It also forces Wiscon- sin and other States to maintain extraordinarily complex payment systems and elaborate bureaucratic processes to track the adequacy of payments to hospitals and nursing homes.
The Boren amendment should be part of any new block grant ap- fjroach to Medicaid, which includes an entitlement to States and al- ows States to determine reimbursement rates, how and where services are delivered, and what the benefit package will be.
Federal environmental regulations also place an enormous bur- den on States and local economies, with questionable benefit to the environment.


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