Category Archives: State Issues

California’s Illegal Medicaid Tax

California politicians and interest groups have been working overtime to figure out a way to fix an illegal Medicaid provider tax—the subject of my recent Mercatus Center study. These taxes are problematic because they are generally accompanied with the guarantee of increased Medicaid payments to the providers paying the tax—payments largely financed with federal matching funds. […]

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Selling Health Insurance Across State Lines––A Really Dumb Idea

Any candidate that suggests such a scheme only shows how unsophisticated he and his advisers are when it comes to understanding how the insurance markets really work––or could work. I gave a speech to 750 health insurance brokers and consultants in DC last week. When selling health insurance across state lines, something Trump and a […]

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Are Certificate-of-Need Laws Barriers to Entry? How They Affect Access to MRI, CT, and PET Scans

Abstract Certificate of need (CON) laws in 21 states restrict acquisition of imaging equipment, including magnetic resonance imaging (MRI), computed tomography (CT), and positron emission tomography (PET) scans. We compare the effect of CON regulations for imaging services provided by hospitals and other providers to determine whether CON laws affect use of imaging services across […]

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