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Full-Text Articles in Social and Behavioral Sciences
Stuck In Neutral? Federalism, Policy Instruments, And Counter-Cyclical Responses To Covid-19 In The United States, Philip Rocco, Daniel Beland, Alex Waddan
Stuck In Neutral? Federalism, Policy Instruments, And Counter-Cyclical Responses To Covid-19 In The United States, Philip Rocco, Daniel Beland, Alex Waddan
Political Science Faculty Research and Publications
Federalism plays a foundational role in structuring public expectations about how the United States will respond to the COVID-19 pandemic, as both an unprecedented public-health crisis and an economic recession. As in prior crises, state governments are expected to be primary sites of governing authority, especially when it comes to immediate public-health needs, while it is assumed that the federal government will supply critical counter-cyclical measures to stabilize the economy and make up for major revenue shortfalls in the states. Yet there are reasons to believe that these expectations will not be fulfilled, especially when it comes to the critical …
Shaping Health Policy For Low-Income Populations: An Assessment Of Public Comments In A New Medicaid Waiver Process, Marian Jarlenski, Philip Rocco, Renuka Tipimeni, Amy Jo Kennedy, Nivedita Gunturi, Julie Donohue
Shaping Health Policy For Low-Income Populations: An Assessment Of Public Comments In A New Medicaid Waiver Process, Marian Jarlenski, Philip Rocco, Renuka Tipimeni, Amy Jo Kennedy, Nivedita Gunturi, Julie Donohue
Political Science Faculty Research and Publications
Since the Supreme Court decided that the Affordable Care Act's (ACA) Medicaid expansion is optional for the states, several have obtained federal approval to use Section 1115 waivers to expand Medicaid while changing its coverage and benefits design. There has long been concern that policy making for Medicaid populations may lack meaningful engagement with low-income constituents, and therefore the ACA established a new process under which the public can submit comments on pending Medicaid waiver applications. We analyzed 291 comment letters submitted to federal regulators pertaining to Medicaid Section 1115 waiver applications in the first five states to seek such …