SlideShare uma empresa Scribd logo
1 de 2
Baixar para ler offline
 In recent years, Kansas Agencies spent about $5 billion annually in monetary and
nonmonetary support from the federal government for more than 500 programs.
 Federally funded programs will require Kansas agencies to spend an estimated
$2 billion on cost-sharing obligations in fiscal year 2016.
 These programs generally require one of two types of cost-sharing:
o Matching requirements compel the state to pay for a certain percentage
of a program’s costs and helps ensure the state participates financially
in programs that directly benefit Kansans.
o Maintenance-of-effort requirements compel the state to maintain a
certain level of non-federal funding or services and helps ensure federal
funds are used to augment, rather than replace, state funds.
 State agencies can use a variety of funding sources to satisfy cost-sharing
obligations, including state general funds and fee funds.
 Data compiled by the Kansas Legislative Research Department shows
Kansas’ portion of cost sharing will be about $2 billion in fiscal year 2016.
o This is only an estimate of the cost-sharing obligations and does not
include information for all federally funded programs in Kansas.
 Beyond cost-sharing obligations, we did not identify any significant unfunded
mandates.
 Federally funded programs typically impose administrative requirements on state
agencies, although most of these can be paid for with program funds.
 State agencies are required to file numerous reports with federal agencies,
monitor program performance, develop program policies and a state plan,
and maintain accounting systems and other records necessary to operate
the state plan.
 The federal Office of Management and Budget has established guidelines
that generally permit state agencies to use federal funds to pay for these
administrative obligations.
 We selected nine programs with large federal expenditures to review, and
state and federal officials with those programs told us the significant
administrative obligations were either paid for with federal funds or counted
toward the state’s cost-sharing obligations.
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
   
Summary of
Legislator Concerns
Legislators have expressed
concern that Kansas’ federally
funded programs might contain
provisions that require additional
state spending, which could
potentially be challenged given
the Supreme Court’s ruling in
NFIB v. Sebelius (2012).
Background Information
The federal government provides
both monetary and nonmonetary
support for state programs in a
number of areas including
education, transportation, health
care, and social services.
 Monetary grants distribute
federal funds to state agencies
for certain activities that can
have broad or narrow
purposes.
 Nonmonetary grants provide
goods or services to state
agencies rather than funds.
Agencies can pass monetary and
nonmonetary grants through to
other state agencies or local
governments that expend the
funds. 
Legislative Post Audit
Performance Audit
Report Highlights
Federal Funds: Evaluating State Spending Required by Federally
Funded Programs 
Report
Highlights
December 2015  R-15-016 
QUESTION 1: Does Kansas’ Participation in Federally Funded Programs
Create Significant Unfunded Obligations for State Agencies?
Highlights
 Federally funded programs often include conditions on how state agencies can
spend federal funds.
 The federal government prohibits states from using federal funds for certain
costs, such as alcoholic beverages and fines.
 Many federally funded programs limit the amount of federal funds agencies can
spend on administrative activities.
 Some federally funded programs require agencies to use a portion of the
federal funds for a particular purpose, a practice known as “earmarking.”
 Most programs have penalty or repayment clauses if state agencies fail to meet
program requirements, although the terms vary depending on the program.
 In recent years, Kansas has been assessed penalties or required to repay
funds for failing to meet federal requirements.
 The federal government has tied some national policy objectives to federal funds,
and states’ efforts to challenge those policies have had mixed results.
 We identified several national policies tied to state-operated programs for
education, health care, and transportation, but they do not appear to have
resulted in significant costs to the state.
 States’ efforts to challenge national policies have had mixed results.
o States successfully challenged a provision of the Patient Protection and
Affordable Care Act as described at right.
o On the other hand, states were unsuccessful in challenging the No Child
Left Behind Act and federal drinking age requirements.
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
HOW DO I REQUEST AN AUDIT?
By law, individual legislators, legislative committees, or the Governor may request an
audit, but any audit work conducted by the division must be directed by the
Legislative Post Audit Committee. Any legislator who would like to request an audit
should contact the division directly at (785) 296-3792.
In the U.S. Supreme Court case
NFIB v. Sebelius (2012), states
successfully challenged a
provision of the Patient
Protection and Affordable Care
Act that required states to
expand the scope of Medicaid or
risk losing all federal program
funds. The Court determined
this was coercive.
 
Legislative Division of
Post Audit
800 SW Jackson Street
Suite 1200
Topeka, Kansas 66612-2212
Telephone (785) 296-3792
Fax: (785) 296-4482
Website:
http://www.kslpa.org/ 
Scott Frank
Legislative Post Auditor
For more information on this
audit report, please contact
Kristen Rottinghaus
(785) 296-3792
Kristen.Rottinghaus@lpa.ks.gov
 
AGENCY RESPONSE
 We provided copies of the report to six state agencies involved with the nine
programs we selected for our review. None of the agencies submitted a formal
response.
 
SUMMARY OF RECOMMENDATIONS
 This report contains no recommendations.

Mais conteúdo relacionado

Mais procurados

Tough Choices OPEB April 2016
Tough Choices OPEB April 2016Tough Choices OPEB April 2016
Tough Choices OPEB April 2016Patrick Orecki
 
National Health Care Reform: The Proposals and the Politics
National Health Care Reform: The Proposals and the PoliticsNational Health Care Reform: The Proposals and the Politics
National Health Care Reform: The Proposals and the Politicssoder145
 
State Medicaid Impact Report
State Medicaid Impact ReportState Medicaid Impact Report
State Medicaid Impact ReportPeter Ho
 
Medicare Reform and Single Payer
Medicare Reform and Single PayerMedicare Reform and Single Payer
Medicare Reform and Single Payermasscare
 
Information Sources for Policymakers: Congressional Budget Office 101
Information Sources for Policymakers: Congressional Budget Office 101Information Sources for Policymakers: Congressional Budget Office 101
Information Sources for Policymakers: Congressional Budget Office 101Congressional Budget Office
 
CBO’s Budget and Economic Analysis During the Pandemic
CBO’s Budget and Economic Analysis During the PandemicCBO’s Budget and Economic Analysis During the Pandemic
CBO’s Budget and Economic Analysis During the PandemicCongressional Budget Office
 
Obamacare: What is in it for millions of poor American?
Obamacare: What is in it for millions of poor American?Obamacare: What is in it for millions of poor American?
Obamacare: What is in it for millions of poor American?Pinaki Bhattacharya
 
The Effects on Employment and Family Income of Increasing the Federal Minimum...
The Effects on Employment and Family Income of Increasing the Federal Minimum...The Effects on Employment and Family Income of Increasing the Federal Minimum...
The Effects on Employment and Family Income of Increasing the Federal Minimum...Congressional Budget Office
 
State Roles in Health Reform
State Roles in Health ReformState Roles in Health Reform
State Roles in Health Reformsoder145
 
New Update on National Health Reform: A Moving Target
New Update on National Health Reform:  A Moving TargetNew Update on National Health Reform:  A Moving Target
New Update on National Health Reform: A Moving Targetsoder145
 
Net federal spending for medicare parts a and b for aecte
Net federal spending for  medicare parts a and b for aecteNet federal spending for  medicare parts a and b for aecte
Net federal spending for medicare parts a and b for aecteJUST36
 
How CBO Is Updating Its Health Insurance Simulation Model
How CBO Is Updating Its Health Insurance Simulation ModelHow CBO Is Updating Its Health Insurance Simulation Model
How CBO Is Updating Its Health Insurance Simulation ModelCongressional Budget Office
 
The Contribution of Changes in Drug Mix and Price Growth to the Rising Costs ...
The Contribution of Changes in Drug Mix and Price Growth to the Rising Costs ...The Contribution of Changes in Drug Mix and Price Growth to the Rising Costs ...
The Contribution of Changes in Drug Mix and Price Growth to the Rising Costs ...Congressional Budget Office
 
National Health Care Reform: The Proposals and the Politics
National Health Care Reform: The Proposals and the PoliticsNational Health Care Reform: The Proposals and the Politics
National Health Care Reform: The Proposals and the Politicssoder145
 
February 17th Webinar Update
February 17th Webinar UpdateFebruary 17th Webinar Update
February 17th Webinar Updatencgcr
 

Mais procurados (20)

Tough Choices OPEB April 2016
Tough Choices OPEB April 2016Tough Choices OPEB April 2016
Tough Choices OPEB April 2016
 
Erin Skene Pratt Capitol Update One Pager
Erin Skene Pratt Capitol Update One PagerErin Skene Pratt Capitol Update One Pager
Erin Skene Pratt Capitol Update One Pager
 
National Health Care Reform: The Proposals and the Politics
National Health Care Reform: The Proposals and the PoliticsNational Health Care Reform: The Proposals and the Politics
National Health Care Reform: The Proposals and the Politics
 
Budget explainer medicare
Budget explainer medicareBudget explainer medicare
Budget explainer medicare
 
State Medicaid Impact Report
State Medicaid Impact ReportState Medicaid Impact Report
State Medicaid Impact Report
 
Medicare Reform and Single Payer
Medicare Reform and Single PayerMedicare Reform and Single Payer
Medicare Reform and Single Payer
 
Information Sources for Policymakers: Congressional Budget Office 101
Information Sources for Policymakers: Congressional Budget Office 101Information Sources for Policymakers: Congressional Budget Office 101
Information Sources for Policymakers: Congressional Budget Office 101
 
CBO’s Support of the U.S. Congress
CBO’s Support of the U.S. Congress CBO’s Support of the U.S. Congress
CBO’s Support of the U.S. Congress
 
CBO’s Budget and Economic Analysis During the Pandemic
CBO’s Budget and Economic Analysis During the PandemicCBO’s Budget and Economic Analysis During the Pandemic
CBO’s Budget and Economic Analysis During the Pandemic
 
Obamacare: What is in it for millions of poor American?
Obamacare: What is in it for millions of poor American?Obamacare: What is in it for millions of poor American?
Obamacare: What is in it for millions of poor American?
 
7
77
7
 
The Effects on Employment and Family Income of Increasing the Federal Minimum...
The Effects on Employment and Family Income of Increasing the Federal Minimum...The Effects on Employment and Family Income of Increasing the Federal Minimum...
The Effects on Employment and Family Income of Increasing the Federal Minimum...
 
State Roles in Health Reform
State Roles in Health ReformState Roles in Health Reform
State Roles in Health Reform
 
New Update on National Health Reform: A Moving Target
New Update on National Health Reform:  A Moving TargetNew Update on National Health Reform:  A Moving Target
New Update on National Health Reform: A Moving Target
 
Net federal spending for medicare parts a and b for aecte
Net federal spending for  medicare parts a and b for aecteNet federal spending for  medicare parts a and b for aecte
Net federal spending for medicare parts a and b for aecte
 
How CBO Is Updating Its Health Insurance Simulation Model
How CBO Is Updating Its Health Insurance Simulation ModelHow CBO Is Updating Its Health Insurance Simulation Model
How CBO Is Updating Its Health Insurance Simulation Model
 
The Contribution of Changes in Drug Mix and Price Growth to the Rising Costs ...
The Contribution of Changes in Drug Mix and Price Growth to the Rising Costs ...The Contribution of Changes in Drug Mix and Price Growth to the Rising Costs ...
The Contribution of Changes in Drug Mix and Price Growth to the Rising Costs ...
 
National Health Care Reform: The Proposals and the Politics
National Health Care Reform: The Proposals and the PoliticsNational Health Care Reform: The Proposals and the Politics
National Health Care Reform: The Proposals and the Politics
 
February 17th Webinar Update
February 17th Webinar UpdateFebruary 17th Webinar Update
February 17th Webinar Update
 
AHS - ObamaCare 3
AHS - ObamaCare 3AHS - ObamaCare 3
AHS - ObamaCare 3
 

Destaque

Preguntas y respuestas sobre la evolución.
Preguntas y respuestas sobre la evolución.Preguntas y respuestas sobre la evolución.
Preguntas y respuestas sobre la evolución.LauNay2026
 
Banco de Preguntas Tics
Banco de Preguntas TicsBanco de Preguntas Tics
Banco de Preguntas TicsJefferson Ch C
 
La EvolucióN De Los Seres Vivos
La EvolucióN De Los Seres VivosLa EvolucióN De Los Seres Vivos
La EvolucióN De Los Seres Vivoshal140580
 
Banco de preguntas
Banco de preguntasBanco de preguntas
Banco de preguntasfemeza5555
 
Guía de ejercicios lamarck y darwin
Guía de ejercicios lamarck y darwinGuía de ejercicios lamarck y darwin
Guía de ejercicios lamarck y darwinBarbara Peña
 
Preguntas evidencias a favor de la evolución
Preguntas evidencias a favor de la evoluciónPreguntas evidencias a favor de la evolución
Preguntas evidencias a favor de la evoluciónPiedad
 
Taller de introduccion a la evolucion
Taller de introduccion a la evolucionTaller de introduccion a la evolucion
Taller de introduccion a la evolucionpracticadocente2011
 
La evolucion de los seres vivos. (1)
La evolucion de los seres vivos. (1)La evolucion de los seres vivos. (1)
La evolucion de los seres vivos. (1)merchemartalaura
 
Origen de la vida
Origen de la vidaOrigen de la vida
Origen de la vidaPiedad
 
Teorias de la evolucion de Lamarck & Charles Darwin
Teorias de la evolucion de Lamarck & Charles Darwin Teorias de la evolucion de Lamarck & Charles Darwin
Teorias de la evolucion de Lamarck & Charles Darwin Kareeeeen
 
Teoría de lamarck
Teoría de lamarckTeoría de lamarck
Teoría de lamarckvickybtr
 
Preguntas origen de la vida
Preguntas origen de la vidaPreguntas origen de la vida
Preguntas origen de la vidaPiedad
 
Taller 3 especiacion
Taller 3 especiacionTaller 3 especiacion
Taller 3 especiacionPiedad
 
Teorías de la evolución de las especies- Actividades.
Teorías de la evolución de las especies- Actividades.Teorías de la evolución de las especies- Actividades.
Teorías de la evolución de las especies- Actividades.Noemí Leiva
 
Teoría evolucionista de Lamarck
Teoría evolucionista de LamarckTeoría evolucionista de Lamarck
Teoría evolucionista de Lamarckaurora aparicio
 
BANCO DE PREGUNTAS TIC´S
BANCO DE PREGUNTAS TIC´SBANCO DE PREGUNTAS TIC´S
BANCO DE PREGUNTAS TIC´SBelén Bejarano
 
Teoria Evolucion Lamarck
Teoria Evolucion Lamarck Teoria Evolucion Lamarck
Teoria Evolucion Lamarck aurora aparicio
 

Destaque (20)

Preguntas y respuestas sobre la evolución.
Preguntas y respuestas sobre la evolución.Preguntas y respuestas sobre la evolución.
Preguntas y respuestas sobre la evolución.
 
Examen final de finanzas publicas
Examen final de finanzas publicasExamen final de finanzas publicas
Examen final de finanzas publicas
 
exposicion pre icfes
exposicion pre icfesexposicion pre icfes
exposicion pre icfes
 
Banco de Preguntas Tics
Banco de Preguntas TicsBanco de Preguntas Tics
Banco de Preguntas Tics
 
La EvolucióN De Los Seres Vivos
La EvolucióN De Los Seres VivosLa EvolucióN De Los Seres Vivos
La EvolucióN De Los Seres Vivos
 
Banco de preguntas
Banco de preguntasBanco de preguntas
Banco de preguntas
 
Evaluacion ( taller)
Evaluacion ( taller)Evaluacion ( taller)
Evaluacion ( taller)
 
Guía de ejercicios lamarck y darwin
Guía de ejercicios lamarck y darwinGuía de ejercicios lamarck y darwin
Guía de ejercicios lamarck y darwin
 
Preguntas evidencias a favor de la evolución
Preguntas evidencias a favor de la evoluciónPreguntas evidencias a favor de la evolución
Preguntas evidencias a favor de la evolución
 
Taller de introduccion a la evolucion
Taller de introduccion a la evolucionTaller de introduccion a la evolucion
Taller de introduccion a la evolucion
 
La evolucion de los seres vivos. (1)
La evolucion de los seres vivos. (1)La evolucion de los seres vivos. (1)
La evolucion de los seres vivos. (1)
 
Origen de la vida
Origen de la vidaOrigen de la vida
Origen de la vida
 
Teorias de la evolucion de Lamarck & Charles Darwin
Teorias de la evolucion de Lamarck & Charles Darwin Teorias de la evolucion de Lamarck & Charles Darwin
Teorias de la evolucion de Lamarck & Charles Darwin
 
Teoría de lamarck
Teoría de lamarckTeoría de lamarck
Teoría de lamarck
 
Preguntas origen de la vida
Preguntas origen de la vidaPreguntas origen de la vida
Preguntas origen de la vida
 
Taller 3 especiacion
Taller 3 especiacionTaller 3 especiacion
Taller 3 especiacion
 
Teorías de la evolución de las especies- Actividades.
Teorías de la evolución de las especies- Actividades.Teorías de la evolución de las especies- Actividades.
Teorías de la evolución de las especies- Actividades.
 
Teoría evolucionista de Lamarck
Teoría evolucionista de LamarckTeoría evolucionista de Lamarck
Teoría evolucionista de Lamarck
 
BANCO DE PREGUNTAS TIC´S
BANCO DE PREGUNTAS TIC´SBANCO DE PREGUNTAS TIC´S
BANCO DE PREGUNTAS TIC´S
 
Teoria Evolucion Lamarck
Teoria Evolucion Lamarck Teoria Evolucion Lamarck
Teoria Evolucion Lamarck
 

Semelhante a Kansas Cost-Sharing $2B Fed Programs (40

Case Study Global VillageNameMy Global Village question.docx
Case Study Global VillageNameMy Global Village question.docxCase Study Global VillageNameMy Global Village question.docx
Case Study Global VillageNameMy Global Village question.docxwendolynhalbert
 
CHAPTER 9Public Health FinanceCopyright © 2020 by Jo
CHAPTER 9Public Health FinanceCopyright © 2020 by JoCHAPTER 9Public Health FinanceCopyright © 2020 by Jo
CHAPTER 9Public Health FinanceCopyright © 2020 by JoJinElias52
 
Final ProjectThe major written assignment, a Health Policy Ana.docx
Final ProjectThe major written assignment, a Health Policy Ana.docxFinal ProjectThe major written assignment, a Health Policy Ana.docx
Final ProjectThe major written assignment, a Health Policy Ana.docxvoversbyobersby
 
Controlling the cost of medicaid
Controlling the cost of medicaidControlling the cost of medicaid
Controlling the cost of medicaidPaul Coelho, MD
 
federal-infrastructure-transfer-dahlby-jackson
federal-infrastructure-transfer-dahlby-jacksonfederal-infrastructure-transfer-dahlby-jackson
federal-infrastructure-transfer-dahlby-jacksonEmily Jackson
 
Colorado Health Care Leaders Webinar Series: Publicly-funded Health Insurance...
Colorado Health Care Leaders Webinar Series: Publicly-funded Health Insurance...Colorado Health Care Leaders Webinar Series: Publicly-funded Health Insurance...
Colorado Health Care Leaders Webinar Series: Publicly-funded Health Insurance...kingemily
 
CCSI_CT_PFS_Overview_February_20_2014
CCSI_CT_PFS_Overview_February_20_2014CCSI_CT_PFS_Overview_February_20_2014
CCSI_CT_PFS_Overview_February_20_2014Ed Nevins
 
2010-11-08-Health_Insurance_Cost
2010-11-08-Health_Insurance_Cost2010-11-08-Health_Insurance_Cost
2010-11-08-Health_Insurance_CostN W
 
The Federal Budget Process and the Role of the Congressional Budget Office
The Federal Budget Process and the Role of the Congressional Budget OfficeThe Federal Budget Process and the Role of the Congressional Budget Office
The Federal Budget Process and the Role of the Congressional Budget OfficeCongressional Budget Office
 
Data-Driven Decision MakingSalomey F. Calixte
Data-Driven Decision MakingSalomey F. Calixte Data-Driven Decision MakingSalomey F. Calixte
Data-Driven Decision MakingSalomey F. Calixte OllieShoresna
 
Assignment 4 Argument Paper – Multiyear Plans and AnalysisDue W.docx
Assignment 4 Argument Paper – Multiyear Plans and AnalysisDue W.docxAssignment 4 Argument Paper – Multiyear Plans and AnalysisDue W.docx
Assignment 4 Argument Paper – Multiyear Plans and AnalysisDue W.docxrock73
 
A-06-11-00060- Medicaid Credit Balance
A-06-11-00060- Medicaid Credit BalanceA-06-11-00060- Medicaid Credit Balance
A-06-11-00060- Medicaid Credit BalanceKim Schulze
 
Economics of the Medicaid Expansion
Economics of the Medicaid ExpansionEconomics of the Medicaid Expansion
Economics of the Medicaid ExpansionBob Graham Center
 
Leveraging Federal Grant Funds to Expand Coverage: Experiences from the HRSA...
Leveraging Federal Grant Funds to Expand Coverage:  Experiences from the HRSA...Leveraging Federal Grant Funds to Expand Coverage:  Experiences from the HRSA...
Leveraging Federal Grant Funds to Expand Coverage: Experiences from the HRSA...soder145
 
020911 fiscal solutions tour austin tx
020911 fiscal solutions tour austin tx020911 fiscal solutions tour austin tx
020911 fiscal solutions tour austin txdv8621
 
Kinship Advocacy in New York State
Kinship Advocacy in New York StateKinship Advocacy in New York State
Kinship Advocacy in New York Statencgcr
 

Semelhante a Kansas Cost-Sharing $2B Fed Programs (40 (20)

Case Study Global VillageNameMy Global Village question.docx
Case Study Global VillageNameMy Global Village question.docxCase Study Global VillageNameMy Global Village question.docx
Case Study Global VillageNameMy Global Village question.docx
 
CHAPTER 9Public Health FinanceCopyright © 2020 by Jo
CHAPTER 9Public Health FinanceCopyright © 2020 by JoCHAPTER 9Public Health FinanceCopyright © 2020 by Jo
CHAPTER 9Public Health FinanceCopyright © 2020 by Jo
 
2016 California Ballot Propositions
2016 California Ballot Propositions2016 California Ballot Propositions
2016 California Ballot Propositions
 
Final ProjectThe major written assignment, a Health Policy Ana.docx
Final ProjectThe major written assignment, a Health Policy Ana.docxFinal ProjectThe major written assignment, a Health Policy Ana.docx
Final ProjectThe major written assignment, a Health Policy Ana.docx
 
h-15-014
h-15-014h-15-014
h-15-014
 
Southwest California Legislative Council 2016 Ballot Prop - positions
Southwest California Legislative Council 2016 Ballot Prop - positionsSouthwest California Legislative Council 2016 Ballot Prop - positions
Southwest California Legislative Council 2016 Ballot Prop - positions
 
Controlling the cost of medicaid
Controlling the cost of medicaidControlling the cost of medicaid
Controlling the cost of medicaid
 
federal-infrastructure-transfer-dahlby-jackson
federal-infrastructure-transfer-dahlby-jacksonfederal-infrastructure-transfer-dahlby-jackson
federal-infrastructure-transfer-dahlby-jackson
 
Colorado Health Care Leaders Webinar Series: Publicly-funded Health Insurance...
Colorado Health Care Leaders Webinar Series: Publicly-funded Health Insurance...Colorado Health Care Leaders Webinar Series: Publicly-funded Health Insurance...
Colorado Health Care Leaders Webinar Series: Publicly-funded Health Insurance...
 
CCSI_CT_PFS_Overview_February_20_2014
CCSI_CT_PFS_Overview_February_20_2014CCSI_CT_PFS_Overview_February_20_2014
CCSI_CT_PFS_Overview_February_20_2014
 
2010-11-08-Health_Insurance_Cost
2010-11-08-Health_Insurance_Cost2010-11-08-Health_Insurance_Cost
2010-11-08-Health_Insurance_Cost
 
The Federal Budget Process and the Role of the Congressional Budget Office
The Federal Budget Process and the Role of the Congressional Budget OfficeThe Federal Budget Process and the Role of the Congressional Budget Office
The Federal Budget Process and the Role of the Congressional Budget Office
 
Data-Driven Decision MakingSalomey F. Calixte
Data-Driven Decision MakingSalomey F. Calixte Data-Driven Decision MakingSalomey F. Calixte
Data-Driven Decision MakingSalomey F. Calixte
 
Assignment 4 Argument Paper – Multiyear Plans and AnalysisDue W.docx
Assignment 4 Argument Paper – Multiyear Plans and AnalysisDue W.docxAssignment 4 Argument Paper – Multiyear Plans and AnalysisDue W.docx
Assignment 4 Argument Paper – Multiyear Plans and AnalysisDue W.docx
 
WGU VPT2 Task 2
WGU VPT2 Task 2WGU VPT2 Task 2
WGU VPT2 Task 2
 
A-06-11-00060- Medicaid Credit Balance
A-06-11-00060- Medicaid Credit BalanceA-06-11-00060- Medicaid Credit Balance
A-06-11-00060- Medicaid Credit Balance
 
Economics of the Medicaid Expansion
Economics of the Medicaid ExpansionEconomics of the Medicaid Expansion
Economics of the Medicaid Expansion
 
Leveraging Federal Grant Funds to Expand Coverage: Experiences from the HRSA...
Leveraging Federal Grant Funds to Expand Coverage:  Experiences from the HRSA...Leveraging Federal Grant Funds to Expand Coverage:  Experiences from the HRSA...
Leveraging Federal Grant Funds to Expand Coverage: Experiences from the HRSA...
 
020911 fiscal solutions tour austin tx
020911 fiscal solutions tour austin tx020911 fiscal solutions tour austin tx
020911 fiscal solutions tour austin tx
 
Kinship Advocacy in New York State
Kinship Advocacy in New York StateKinship Advocacy in New York State
Kinship Advocacy in New York State
 

Kansas Cost-Sharing $2B Fed Programs (40

  • 1.  In recent years, Kansas Agencies spent about $5 billion annually in monetary and nonmonetary support from the federal government for more than 500 programs.  Federally funded programs will require Kansas agencies to spend an estimated $2 billion on cost-sharing obligations in fiscal year 2016.  These programs generally require one of two types of cost-sharing: o Matching requirements compel the state to pay for a certain percentage of a program’s costs and helps ensure the state participates financially in programs that directly benefit Kansans. o Maintenance-of-effort requirements compel the state to maintain a certain level of non-federal funding or services and helps ensure federal funds are used to augment, rather than replace, state funds.  State agencies can use a variety of funding sources to satisfy cost-sharing obligations, including state general funds and fee funds.  Data compiled by the Kansas Legislative Research Department shows Kansas’ portion of cost sharing will be about $2 billion in fiscal year 2016. o This is only an estimate of the cost-sharing obligations and does not include information for all federally funded programs in Kansas.  Beyond cost-sharing obligations, we did not identify any significant unfunded mandates.  Federally funded programs typically impose administrative requirements on state agencies, although most of these can be paid for with program funds.  State agencies are required to file numerous reports with federal agencies, monitor program performance, develop program policies and a state plan, and maintain accounting systems and other records necessary to operate the state plan.  The federal Office of Management and Budget has established guidelines that generally permit state agencies to use federal funds to pay for these administrative obligations.  We selected nine programs with large federal expenditures to review, and state and federal officials with those programs told us the significant administrative obligations were either paid for with federal funds or counted toward the state’s cost-sharing obligations.                                                 Summary of Legislator Concerns Legislators have expressed concern that Kansas’ federally funded programs might contain provisions that require additional state spending, which could potentially be challenged given the Supreme Court’s ruling in NFIB v. Sebelius (2012). Background Information The federal government provides both monetary and nonmonetary support for state programs in a number of areas including education, transportation, health care, and social services.  Monetary grants distribute federal funds to state agencies for certain activities that can have broad or narrow purposes.  Nonmonetary grants provide goods or services to state agencies rather than funds. Agencies can pass monetary and nonmonetary grants through to other state agencies or local governments that expend the funds.  Legislative Post Audit Performance Audit Report Highlights Federal Funds: Evaluating State Spending Required by Federally Funded Programs  Report Highlights December 2015  R-15-016  QUESTION 1: Does Kansas’ Participation in Federally Funded Programs Create Significant Unfunded Obligations for State Agencies? Highlights
  • 2.  Federally funded programs often include conditions on how state agencies can spend federal funds.  The federal government prohibits states from using federal funds for certain costs, such as alcoholic beverages and fines.  Many federally funded programs limit the amount of federal funds agencies can spend on administrative activities.  Some federally funded programs require agencies to use a portion of the federal funds for a particular purpose, a practice known as “earmarking.”  Most programs have penalty or repayment clauses if state agencies fail to meet program requirements, although the terms vary depending on the program.  In recent years, Kansas has been assessed penalties or required to repay funds for failing to meet federal requirements.  The federal government has tied some national policy objectives to federal funds, and states’ efforts to challenge those policies have had mixed results.  We identified several national policies tied to state-operated programs for education, health care, and transportation, but they do not appear to have resulted in significant costs to the state.  States’ efforts to challenge national policies have had mixed results. o States successfully challenged a provision of the Patient Protection and Affordable Care Act as described at right. o On the other hand, states were unsuccessful in challenging the No Child Left Behind Act and federal drinking age requirements.                                         HOW DO I REQUEST AN AUDIT? By law, individual legislators, legislative committees, or the Governor may request an audit, but any audit work conducted by the division must be directed by the Legislative Post Audit Committee. Any legislator who would like to request an audit should contact the division directly at (785) 296-3792. In the U.S. Supreme Court case NFIB v. Sebelius (2012), states successfully challenged a provision of the Patient Protection and Affordable Care Act that required states to expand the scope of Medicaid or risk losing all federal program funds. The Court determined this was coercive.   Legislative Division of Post Audit 800 SW Jackson Street Suite 1200 Topeka, Kansas 66612-2212 Telephone (785) 296-3792 Fax: (785) 296-4482 Website: http://www.kslpa.org/  Scott Frank Legislative Post Auditor For more information on this audit report, please contact Kristen Rottinghaus (785) 296-3792 Kristen.Rottinghaus@lpa.ks.gov   AGENCY RESPONSE  We provided copies of the report to six state agencies involved with the nine programs we selected for our review. None of the agencies submitted a formal response.   SUMMARY OF RECOMMENDATIONS  This report contains no recommendations.