That was observed back in June, before the dramatic downturn in the economy in this fourth quarter of 2008. States and their governors are looked to by the Federal government as “laboratories for health reform.” Indeed, states have been creative over the past decade in trying to contain health costs. Some of the strategies for cost-containment have included freezing or reducing provider payments, and even putting co-pays on Medicaid enrollees prescription drug costs covering chronic diseases (the latter being an anti-recipe for prescription drug adherence and persistence).
Still, Governors remain committed to expanding health access to uninsured citizens. Given the economy, as the NGA stated in June, “changes to expand health care” could “take more than one budget cycle to achieve.” That will turn out to be an understatement by a few budget cycles.