Can State and Local Governments Afford to Implement Health Care and Welfare Reform?: Hearing Before the Human Resources and Intergovernmental Relations Subcommittee of the Committee on Government Operations, House of Representatives, One Hundred Third Congress, First Session, October 6, 1993
U.S. Government Printing Office, Jan 1, 1995 - Health care reform - 103 pages
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Hearing held on October 6 1993
Scheppach Raymond C executive director National Governors Associa
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Accounting Office administration administration’s alliances areas beneﬁts bill budget California central cities Chairman committee communities concern Congress Congressman decade declines deﬁcit deficits deterioration Director disparities economic growth Edolphus Towns employees environmental mandates expenditures Federal Government federal policies ﬁnd ﬁrst ﬁscal fiscal capacity ﬂexibility Florida funds Gary Condit GEPHARDT going Gross State Product health and welfare health care costs health care plan health care reform health plans hearing HUMAN SERVICES impact income increase issue jurisdictions legislation levels of government local governments long-term look Majority Leader Mayor MCDONALD Medicaid ment MICA million municipal National League officials Operations percent period President problems proposal raise recession Resources and Intergovernmental responsibility Richard Gephardt SCHEPPACH SCHIFF Seminole County SHAFROTH short-term signiﬁcant speciﬁc STEVEN SCHIFF subcommittee tax bases Thank TODD TOWNS trends undocumented unfunded Federal mandates unfunded mandates urban welfare reform