Reforming Medicaid Waivers: The Governors’ Council Perspective on Federalism Today

Mar. 1, 2012

With the federal government entering a period of unprecedented fiscal pressure, we see an opportunity to begin a fundamental realignment of the state-federal relationship.

One area of particular opportunity and concern – for states and the federal government – is Medicaid. This is because Medicaid, which provided $401.4 billion in combined federal and state resources to finance health care for nearly 60 million people in 2010 alone, is by far the largest state-federal program in existence today.

By developing specific recommendations for improving the Medicaid waiver program, we hope to generate insights and provide a model for improving the state-federal relationship in ways that may be applicable to other areas of significant public policy importance as well.

Read the Press Release: Bipartisan Policy Center Governors’ Council Releases Recommendations to Reform Medicaid Waiver Process

About the Governors' Council

In 2011, the Bipartisan Policy Center (BPC) launched the Governors’ Council to bring pragmatic state-based perspectives to national issues. The federalist tenets at the heart of the U.S. Constitution have fuelled a dynamic debate about the balance of federal and state powers throughout our nation’s history. Many of today’s most complex and pressing challenges, from reviving the economy to controlling health care costs, are deeply entangled in the interplay between federal and state roles and responsibilities. Recognizing that governors around the country are on the frontlines of many of these challenges as leaders of our “laboratories of democracy,” BPC formed the Governors’ Council to inject into the federal discourse a strong sense of the changing landscape outside of Washington and new thinking on best practices from the states.

Attached Files: