Welfare Reform Act

Topics: Welfare, Personal Responsibility and Work Opportunity Act, Medicaid Pages: 3 (1022 words) Published: January 9, 2011
The Clinton Administration has dedicated to strengthening and improving Medicaid so that it can fulfill the promise of our nation to millions of children, elderly, and disabled Americans and their families. To achieve this goal, this Administration has worked vigorously in partnership with the states to test innovative new approaches to delivering and financing care for Medicaid patients. During our first 3 years in office, this Administration approved 91 major Freedom of Choice waivers and waiver renewals, which allow states to enroll beneficiaries in managed care plans. We have also approved 163 new and renewed Home and Community-Based Services waivers, which enable states to use home care as an alternative to costly nursing home care, and allow people with disabilities to live in their communities. In addition, since January 1993 we have approved 12 statewide Medicaid demonstrations, compared to a total of one such demonstration approved under all previous administrations combined. Some statewide demonstrations expand access to the uninsured, others test new methods for delivering mental health services, and still others implement simplified eligibility requirements. The Personal Responsibility and Work Opportunity Reconciliation Act (PRWORA), enacted in August 1996, was hailed as landmark legislation to “end welfare as we know it.”1 After months of wrangling and Two presidential vetoes, radical reform of welfare was accomplished by excising the individual entitlement program of Aid to Families with Dependent Children (AFDC) and replacing it with a state-administered block grant program of Temporary Assistance to Needy Families (TANF). The dramatic changes in welfare have the potential to affect not only the economic but also the social and health status of low-income people. Moreover, this striking reform also provides a living lesson in the devolution of public policy management from the federal government to states and localities. One of the most...
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