Medicaid and State Budgets: A Case Study of Texas

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Anne Dunkelberg /(512) 320-0222 x 102

March 1, 2002

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Like most state governments, Texas has recently marked the end of several-year interlude during which slow Medicaid growth briefly suspended the program's image as a top state budget growth driver. Substantial caseload declines from 1996 to 2000 have now been replaced with a steady upward trend, matched with highly robust enrollment in the state's separate SCHIP program. With these trends afoot, it is helpful to pause and review Medicaid's place in Texas' state budget.