Since the enactment of welfare reform legislation in 1996, the federal government and the states have emphasized putting the needy to work and reducing caseloads. Simultaneously, however, national policymakers delinked eligibility for cash assistance from eligibility for other safety-net...

In recent years, many states in the U.S. have substantially reinvented their Medicaid programs through the unprecedented use of federal waivers. This article focuses on 1915c program waivers, which gave states the opportunity to overcome Medicaid's institutional bias by offering more home and...