Assessing the implementation of health-related provisions of the Welfare Reform Act

The purpose of this project is a study of the implementation of the health-related provisions of the 1996 Welfare Reform Act. State responses to this new law are anticipated to have a major impact on the nature and extent of Medicaid coverage for poor children, women, disabled adults, elderly, as well as the structure of the safety net in this country. The three components of this study include: (1) a nationwide survey of state Medicaid agency responses to coverage enrollment and eligibility redetermination options available to states under the new law; (2) more detailed interviews with five states to understand the rationale behind their coverage, enrollment, and eligibility policy decisions; and (3) seven case studies on the effect of state policy changes on the services, revenues, and overall program stability of providers serving high numbers of non-citizens. The Personal Responsibility and Work Opportunity Act (the 1996 Welfare Reform Act) is an historic and far-reaching bill whose implications for Medicaid and several other health-related federal grant programs are only beginning to be understood. These changes go well beyond those that were understood at the time of passage and will reach into all the major population groups, poor children, women, the disabled, and elderly covered by Medicaid.

Grant Details

Amount Awarded $773,644.00

Awarded on: 1/23/1997

Time frame: 2/1/1997 - 6/30/2000

Grant Number: 30734


George Washington University

2121 Eye Street, N.W.
Washington, 20052-1001


Sara Rosenbaum
Project Director