Medicaid

Recent Issues

Embracing Innovation in State Government


Conventional governing is hampering Pennsylvania’s progress. Growing state budgets combined with one-time revenue transfers and targeted tax hikes are delaying the structural reforms essential to improving the quality of life for people who live and work in Pennsylvania.

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Redesigning Government to Balance State and Local Budgets


Pennsylvania taxpayers shoulder the 15th highest state and local tax burden in the country. Consequently, the Keystone State has seen an exodus of working people. Unsustainable growth in state government spending has fueled this high (and growing) tax burden.

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Out of Control

How Welfare Spending is Driving the Budget Crisis


Governor Wolf is facing a budget situation more serious than any of his predecessors. His proposal includes an additional $691 million in the General Fund for DHS, bringing the department’s total to $11.9 billion. This increase accounts for nearly 89 percent of the total increase in the General Fund for all state agencies, absorbing 38.5 percent of the General Fund and 44.5 percent of all funds. If the historic pattern holds, it will be only a matter of time before Pennsylvania lawmakers w

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Recent Blog Posts

Preserving Medicaid Before It's Too Late

Pennsylvania’s Medicaid program is a national leader in all the wrong ways. Sub-standard access to care and soaring enrollment, costs, and fraud crowd out services for people with intellectual disabilities and low-income senior citizens.

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Preserving Medicaid: How to Stop Shortchanging Patients and Bankrupting Taxpayers

Pennsylvania is a Medicaid leader in all the wrong ways. Enrollment has skyrocketed beyond population growth, and the state ranks fourth in the share of the state budget consumed by Medicaid. Despite this unprecedented growth, Medicaid has not meaningfully improved physical health outcomes.

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The Race to Rebuild: How Pa. Can Bounce Back After COVID-19

Pennsylvanians are facing some of the biggest challenges of their lifetimes. It is time for lawmakers to launch a race to rebuild Pennsylvania using the following policy solutions.

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