Document Type


Publication Date



Maternal and Child Health


The Centers for Medicare and Medicaid Services (CMS) is currently engaged in a policy initiative that should serve as a reminder of the power of a single federal administrative agency to change the course of national health policy. Through a virtual deluge of regulations and policy issuances, CMS has sought to redirect the course of Medicaid; in a number of respects, the course that CMS has sought to chart for the program is not only poorly thought out and ill-considered, but would actually propel the program in a direction directly contrary to both longstanding federal statutory provisions and recent decisions by Congress to reject precisely the same direction when presented by CMS as a statutory proposal.


Also available on the America's Promise Alliance website at:

Open Access


Included in

Health Policy Commons



To view the content in your browser, please download Adobe Reader or, alternately,
you may Download the file to your hard drive.

NOTE: The latest versions of Adobe Reader do not support viewing PDF files within Firefox on Mac OS and if you are using a modern (Intel) Mac, there is no official plugin for viewing PDF files within the browser window.