Objectives The U.S. federal government requires original documentation of citizenship and identity for applicants to qualify for coverage under Medicaid. The purpose of this investigation is to identify what challenges one state Medicaid agency has faced when implementing this requirement; and...

Because of the active role assumed by the courts in Medicaid nursing facility reimbursement, and because that role changed over time, federal intervention in this area provides a useful window through which to examine the role of the federal judiciary in oversight of state health policy making....

The American states exhibit considerable differences in health policy and market characteristics. Not only do they display substantial variation in spending, but they also display substantial variation in the strategies chosen to control costs, improve access, and ensure quality care. This...

Although comparative state policy frameworks consider the role of societal norms, few account for cognitive and normative imperatives that originate outside a state's boundaries and are specific to promoting or impeding the adoption of particular policies. One approach that does so is the new...

The adoption of the new Medicare prescription drug benefit in 2003 added yet another iteration to the action-reaction or interactive style of federalism that has characterized this complex policy area for three decades. Though the federal government benefited from state-level policy learning, it...