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103d Congress 1 «^„,„™m,« f Committee 1st S ession COMMITTEE PRINT Print 103-A MEDICAID SOURCE BOOK: BACKGROUND DATA AND ANALYSIS (A 1993 Update) A REPORT PREPARED BY THE CONGRESSIONAL RESEARCH SERVICE FOR THE USE OF THE SUBCOMMITTEE ON HEALTH AND THE ENVIRONMENT OF THE COMMITTEE ON ENERGY AND COMMERCE U.S. HOUSE OF REPRESENTATIVES JANUARY 1993 «S3T 1 COMMITTEE PRINT ( « — J MEDICAID SOURCE BOOK: HHM BACKGROUND DATA AND ANALYSIS 1^3 (A 1993 Update) A REPORT PREPARED BY THE CONGRESSIONAL RESEARCH SERVICE FOR THE USE OF THE SUBCOMMITTEE ON HEALTH AND THE ENVIRONMENT OF THE COMMITTEE ON ENERGY AND COMMERCE U.S. HOUSE OF REPRESENTATIVES JANUARY 1993 U.S. GOVERNMENT PRINTING OFFICE 61-899±5 WASHINGTON : 1993 For sale by the U.S. Government Printing Office Superintendent of Documents, Mail Stop: SSOP, Washington, DC 20402-9328 ISBN 0-16-039943-2 COMMITTEE ON ENERGY AND COMMERCE JOHN D. DINGELL, Michigan, Chairman HENRY A. WAXMAN, California CARLOS J. MOORHEAD, California PHILIP R. SHARP, Indiana THOMAS J. BLILEY, Jr., Virginia EDWARD J. MARKEY, Massachusetts JACK FIELDS, Texas AL SWIFT, Washington MICHAEL G. OXLEY, Ohio CARDISS COLLINS, Illinois MICHAEL BILIRAKIS, Florida MIKE SYNAR, Oklahoma DAN SCHAEFER, Colorado W.J. "BILLY" TAUZIN, Louisiana JOE BARTON, Texas RON WYDEN, Oregon ALEX McMILLAN, North Carolina RALPH M. HALL, Texas J. DENNIS HASTERT, Illinois BILL RICHARDSON, New Mexico FRED UPTON, Michigan JIM SLATTERY, Kansas CLIFF STEARNS, Florida JOHN BRYANT, Texas BILL PAXON, New York RICK BOUCHER, Virginia PAUL E. GILLMOR, Ohio JIM COOPER, Tennessee SCOTT KLUG, Wisconsin J. ROY ROWLAND, Georgia GARY A. FRANKS, Connecticut THOMAS J. MANTON, New York JAMES C. GREENWOOD, Pennsylvania EDOLPHUS TOWNS, New York MICHAEL D. CRAPO, Idaho GERRY E. STUDDS, Massachusetts RICHARD H. LEHMAN, California FRANK PALLONE, Jr., New Jersey CRAIG A. WASHINGTON, Texas LYNN SCHENK, California SHERROD BROWN, Ohio MIKE KREIDLER, Washington MARJORIE MARGOLIES-MEZVINSKY, Pennsylvania BLANCHE M. LAMBERT, Arkansas Alan J. Roth, Staff Director and Chief Counsel Dennis B. Fttzgibbons, Deputy Staff Director Margaret A. Durbin, Minority Chief Counsel and Staff Director Subcommittee on Health and the Environment HENRY A. WAXMAN, California, Chairman MIKE SYNAR, Oklahoma THOMAS J. BLILEY, Jr., Virginia RON WYDEN, Oregon MICHAEL BILIRAKIS, Florida RALPH M. HALL, Texas ALEX McMILLAN, North Carolina BILL RICHARDSON, New Mexico J. DENNIS HASTERT, Illinois JOHN BRYANT, Texas FRED UPTON, Michigan J. ROY ROWLAND, Georgia BILL PAXON, New York EDOLPHUS TOWNS, New York SCOTT KLUG, Wisconsin GERRY E. STUDDS, Massachusetts GARY A. FRANKS, Connecticut JIM SLATTERY, Kansas JAMES C. GREENWOOD, Pennsylvania JIM COOPER, Tennessee CARLOS J. MOORHEAD, California FRANK PALLONE, Jr., New Jersey (Ex Officio) CRAIG A. WASHINGTON, Texas SHERROD BROWN, Ohio MIKE KREIDLER, Washington JOHN D. DINGELL, Michigan (Ex Officio) Karen Nelson, Staff Director Andreas G. Schneider, Counsel Howard Cohen, Minority Counsel (ID LETTER OF TRANSMITTAL ONE HUNDRED SECOND CONGRESS THOMAS J. BULEY. JR.. VIRGIN JMAICCKH A EFLI EL DBSI.U R ATKE1XSA.S FLORIDA U.S. HOUSE OF REPRESENTATIVES COMMITTEE ON ENERGY AND COMMERCE CLYDE C HOLLOWAY. MIKE SYNAR. OKLAHOMA NORMAN F. LENT. NEV RROANL P HW Y DM.E N H.A L LO. R ETGEOXANS (EX OFFICIO) SUBCOMMITTEE ON HEALTH AND THE ENVIRONMENT 2415 RAYBURN HOUSE OFFICE BUILDING WASHINGTON, DC 20515 PHONE (202) 226-4962 December 23, 1992 Honorable John D. Dingell Chairman Committee on Energy and Commerce U.S. House of Representatives Washington, D.C. 20515 Dear Mr. Chairman: I am enclosing for your review a report entitled The Medicaid Source Book: Background Data and Analysis, which was prepared at the request of the Subcommittee on Health and the Environment by the Education and Public Welfare Division of the Congressional Research Service . As you know, the Subcommittee has jurisdiction over Medicaid, our nation's largest source of health care financing for the poor. In FY 1993, according to the Congressional Budget Office, the Federal and State governments will spend an estimated $140.9 billion to purchase basic health care services on behalf of some 34.4 million low-income people. How Medicaid and the populations it serves are to be treated is an issue central to the design of any health care reform plan. This report is a revision of a similar report issued by the Subcommittee in November, 1988, which has come to be known as the "Yellow Book." I am confident that this updated version will be of great value not only to Members, but a}.so to program administrators, policy analysts, and others. This document merits widespread distribution, and I therefore request that it be published as a Committee Print. Sincerely, HENRY A. WAXMAN, Chairman