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EXECUTIVE SUMMARY
Managed care has become the organizing principle for Medicaid, the program through which the federal and state governments share the cost of medical care for poor Americans. This report examines key issues related to Medicaid and family planning in this new environment.
The Medicaid Program
* The federal government sets broad parameters for state Medicaid programs, but the states decide who qualifies. Income-eligibility ceilings average 46% of the federal poverty level.
* The 1996 welfare reform law broke the historic link between receipt of welfare and Medicaid eligibility. Although Congress took steps to hold Medicaid eligibility constant, coverage of women of reproductive age declined in the late 1990s.
Medicaid Coverage of Family Planning
* Family planning is one of the few services that federal law requires all state Medicaid programs to cover.
Source: HighBeam Research, Medicaid support for family planning in the managed care era. (The...