About the Council
A wide range of reports and analysis shows that we do not know if workers accessing employment and job training services are receiving services that result in long-term, sustainable employment. In fact, no rigorous evaluation of the Workforce Investment Act (WIA), the one-stop system for many of the programs identified by the GAO, has occurred to see whether the services provided make a difference in either the employment or earnings of workers seeking help. Therefore, is it any wonder that there is growing belief that these programs are not meeting their intended goals and do not work?
This short paper continues a discussion of the issues addressed in the previous Governors’ Council report, Reforming Medicaid Waivers: The Governors’ Council Perspective on Federalism Today. Medicaid provides essential health care services to millions of low-income and disabled Americans. As the largest state-federal partnership program, it is also on the front lines of many important and contentious issues in 21st-century federalism. Medicaid requires intense collaboration between states and the federal government, and it presents an ongoing source of budgetary strain for both parties.