COVID - 19大流行期间的医疗补助和财政联邦制

IF 0.9 Q4 PUBLIC ADMINISTRATION

Public Budgeting and Finance Pub Date : 2021-05-18 DOI:10.1111/pbaf.12287

Jeffrey Clemens, B. Ippolito, Stan Veuger

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引用次数: 10

摘要

摘要我们分析了2019冠状病毒病疫情对州和地方政府财政的影响，重点是医疗支出需求和医疗补助计划的作用。我们首先发现，在整个联邦预算窗口内，增强的联邦匹配基金的规模与全国范围内州医疗补助费用的预期增长大致相同。其次，我们表明，各州在医疗补助计划成本增加的情况下存在很大差异。第三，我们表明，财政救济的分配方式会影响援助针对最需要的州的程度。

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Medicaid and fiscal federalism during the COVID‐19 pandemic

Abstract We analyze the effects of the COVID‐19 pandemic on state and local government finances, with an emphasis on health spending needs and the role of the Medicaid program. We first find that enhanced federal matching funds are roughly the same size as expected increases in state Medicaid costs nationwide over the entirety of the federal budget window. Second, we show that there is substantial variation in states' exposure to increases in Medicaid program costs. Third, we show that the formulas through which fiscal relief has been distributed impact the extent to which aid targets the states experiencing the greatest need.

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来源期刊

Public Budgeting and Finance PUBLIC ADMINISTRATION-

CiteScore

2.10

自引率

14.30%

发文量

期刊介绍： Public Budgeting & Finance serves as a forum for the communication of research and experiences on all facets of government finance and provides meaningful exchange between research from universities, private and nonprofit research institutes, practitioners in public financial markets, government agencies, and the experience of those who practice government budgeting and finance. Researchers, practitioners, and teachers of applied government finance turn to Public Budgeting & Finance to find understandable, reliable, and thoughtful analysis of issues important in the field. The content of the journal spans the spectrum of budget process and policy and financial management, is never limited to one level of government or even to one country, and always even-handedly crosses disciplines and approaches in applied government finance.