Essentials of Health Policy and Law 2nd Edition by Joel Teitelbaum,Sara Wilensky

Exercise 18

What do you think of the MOE requirements? Is it fair for the federal government to impose new eligibility rules on states when the states are ultimately responsible for the cost of providing services? Does such a requirement violate a fundamental element of Medicaid to permit state flexibility? On the other hand, without an MOE requirement, wouldn't many states simply reduce their eligibility rules, thwarting the intent of Congress to reduce the number of uninsured by expanding Medicaid coverage? Does the budget deficit exception undermine the rule?