Word: medicaid
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Dates: during 1980-1989
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...president called for an eight-year transition period under which the states would assume full control over such progams as food stamps and Aid to Families with Dependent Children. The federal government would assume sole responsibility for the Medicaid program, and would maintain a $28-billion-a-year trust fund for the first four years of the transition to help the states with the additional economic burden...
...spending, Reagan will probably propose severe reductions in job-training programs and federal aid to public schools, along with additional slashes in food stamps, Medicare and Medicaid. Construction of subsidized housing would be all but abolished; Reagan will recommend starting only 10,000 units in fiscal 1983, vs. 153,000 this fiscal year...
...recent innovation in the U.S. Adult day care centers grew out of disillusionment with nursing homes, many of which are known for rising costs, all but endless waiting lists and neglect of patients. In 1974 the Department of Health, Education and Welfare added an incentive by agreeing to channel Medicaid funds toward programs designed to take the place of nursing homes. Massachusetts, California and Georgia led the way. Within four years some 275 adult day care facilities had been established. Today there are about 800 such centers in 44 states and Puerto Rico...
...service on a sliding fee scale according to ability to pay. Few private medical insurance companies will provide coverage, and with only a fraction of patients paying the full cost, the difference usually has to be patched together from a variety of sources, including private donations and United Way. Medicaid money, long a mainstay for nursing homes, is available for day care, but only for health-oriented facilities meeting stringent medical requirements. Some federal funds are also available under Title XX of the Social Security Act, but under the Reagan Administration, the total has been cut nearly...
Meanwhile, skirmishing over the budget for fiscal 1983 has already begun. The President last week approved cuts of $31 billion in the federal spending proposals he will present to Congress next month. The cuts would mainly affect social programs-Medicare, Medicaid, food stamps, school lunches, subsidized housing, urban renewal grants-that have already been slashed. Even so, the projected deficit would swell to well over $100 billion unless Reagan also agrees to some so-called revenue enhancements, and he has indicated that he might. In a year-end interview with reporters that was released last week, Reagan repeated his general...