Search Results for governor decision making

... whether to expand Medicaid—and twenty states are still not proceeding as of August 2015. What explains state choices about participation in expansion, including governors' decisions to endorse expansion or not as well as final state decisions? We tackle this puzzle, focusing closely on outcomes...

...David K. Jones; Katharine W. V. Bradley; Jonathan Oberlander Abstract Enactment of the Patient Protection and Affordable Care Act (ACA) created a dilemma for Republican policy makers at the state level. States could maximize control over decision making and avoid federal intervention...

... together; differences can be explained and expanded, and an enhanced understanding of political processes can be gleaned. There were clearly personal components to the governor's decision making, in particular his Christian faith and his extended family. When asked why he chose to expand Medicaid despite...

... Control and Prevention ( 2007 ) The coronavirus pandemic has created a natural experiment in which elected officials must make urgent and far-reaching policy decisions in a domain where they often have no personal experience or expertise, and where available information is limited, uncertain, or so...

... and steps in the decision-making process. This new measure reveals wide variation not only among states that have adopted Medicaid expansion but also among those that have rejected it but have also made progress. We use this new measure to spotlight cross-pressured Republican states that have adopted...

.... It then discusses Governor Tom Corbett's market-based alternative and what he achieved in his deliberations with the Obama administration. The article also discusses some of the financial considerations facing Pennsylvania policy makers in the expansion decision, the role of three of the more influential lobby...

....” This caveat seems especially likely to apply to the officials who ultimately make the policy decisions in which we are interested. In light of the preceding concerns, advocates of policy change may rely on an alternative rhetorical strategy known as engagement . Whereas framing suggests that competitors...

... that are specific to policy choices. We contribute to our understanding about the role of public opinion on state policy making by looking at policy choices on the Affordable Care Act from 2010 through 2014. First, we consider the policy feedback mechanism , which suggests that policy decisions have spillover...

... ). 2 During the adoption phase when the legislature was considering the proposed bill from February to March 2011, we drew more heavily on theories that put different weight on the roles of interests, institutions, and ideas in influencing the decisions that legislators make and the strategies...

... federal funding for the first three years, the real incentive was the threat that a noncompliant state would lose all federal funding for Medicaid. The Supreme Court found this to be coercive and unconstitutional. As a result, each state has a decision to make about whether, and how much...

... [data] we can make the right [self-implementing?] decisions.” In health, in recent years, this planning mentality has reasserted itself with a vengeance. PL 93-641, with its emphasis on both professional planning and citizen participation, tests whether these dogmas of public and technocratic...

... Research and Review 65 : 514 – 527 . Grogan C. M. 1999 . The Influence of Federal Mandates on State Medicaid and AFDC Decision-Making . Publius 29 : 1 – 30 . Harrington C. Carrillo H. LaCava C. . 2006 . Nursing Facilities, Staffing, Residents and Facilities...

... will behave more responsibly if they have some “skin in the game” when making health care decisions, such as by paying premiums, having copays for services, or managing health savings accounts. It seeks to discourage “inappropriate” care through greater cost sharing when enrollees use hospital emergency...

... Kansas the money, he would not get in the way. Governor Brownback promised HHS that Kansas would implement the ACA and be a lead exchange development state (Jones 2017 ). Governor Brownback spent the first half of 2011 defending his decision to conservative groups, who felt betrayed by his...

...Daniel Skinner Abstract When, in 2012, the US Supreme Court held that Medicaid expansion sanctioned by the Affordable Care Act (ACA) was essentially optional for states, it ushered in a newly contentious state politics. States led by Republican governors and legislatures opposed to the ACA had...

..., the governor’s backing meant that the most important leaders of the health care system, the economy, and the legislature were willing to lend their credibility and join the effort, since it might actually lead to important policy decisions that would affect them all for years to come. The bipartisan...

... have dominated the decision-making process. Perhaps not too surprisingly, the median voter variables, included to measure popular pressures on spending decisions, did not have a major role in decisions about allocation of settlement funds. Current spending of settlement funds was higher...

...Simon F. Haeder; David L. Weimer Abstract The Affordable Care Act (ACA) seeks to change fundamentally the US health care system. The responses of states have been diverse and changing. What explains these diverse and dynamic responses? We examine the decision making of states concerning...

... with preexisting policy-making structures and decision trends. Republican proposals to cap or reduce federal funding for Medicaid, if enacted, would compel states to contain program costs. In this context, states' established decision-making processes for updating Medicaid fee schedules, which we elucidate...

..., states are weigh- ing their options on Medicaid programs. Though states’ decisions are fluid, as of this writing and according to the Advisory Board (2012), Republican governors of six states have declared that they will not expand their Medicaid programs; further, governors in five other states...