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Open Access. Powered by Scholars. Published by Universities.®

1996

Social and Behavioral Sciences

The University of Maine

Healthcare financing

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Tax-And-Match: Resolving Tension Between State Financial Pressure And Federal Public Policy Intentions, A. Mark Woodward Jan 1996

Tax-And-Match: Resolving Tension Between State Financial Pressure And Federal Public Policy Intentions, A. Mark Woodward

Maine Policy Review

How tax-and-match, a federal program designed to help states subsidize hospital care for low income patients, came into existence and how it was overexploited is recent history Mainers should pause to consider. Woodward traces Maine’s tax-and-match experience from its inception in 1991 to its repeal in 1995 and in doing so illustrates a set of larger issues related to the integrity of federal-state relations, the difficulties in developing fiscally sound health policies in a resource tight environment, and the political machinations that can lead to quick-fix solutions over long-term policy resolutions. With federal block grants looming in the future, Woodward …