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Can State and Local Governments Afford to Implement Health Care and Welfare Reform?: Hearing Before the Human Resources and Intergovernmental ... of Representatives, One Hundred Third Con - Hardcover

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9780484722445: Can State and Local Governments Afford to Implement Health Care and Welfare Reform?: Hearing Before the Human Resources and Intergovernmental ... of Representatives, One Hundred Third Con

Synopsis

A congressional briefing on whether state and local governments can fund health care and welfare reform.

This report summarizes a hearing held by the House of Representatives' Government Operations committee to examine the financial feasibility of major reform proposals.

The discussion centers on an analysis by the General Accounting Office and testimony from key policy voices. It explores state fiscal conditions, the impact of unfunded federal mandates, and how health care and welfare reform would be funded at the state and local levels. The material sheds light on funding gaps, shifting costs, and the need for careful budgeting as reforms move forward.

  • GAO findings on state and local fiscal health and how they influence reform readiness
  • Perspectives from governors, national associations, and local government leaders
  • Debates over unfunded mandates and the call for clearer funding commitments
  • Implications for implementing health care access, Medicaid, and welfare changes

Ideal for readers seeking a window into how government at all levels contends with reform, financing, and policy trade-offs.

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