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	<title>Off the Charts Blog &#124; Center on Budget and Policy Priorities</title>
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	<link>http://www.offthechartsblog.org</link>
	<description>Policy Insights Beyond the Numbers</description>
	<lastBuildDate>Wed, 22 May 2013 20:31:20 +0000</lastBuildDate>
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		<title>Questions About Apple’s Tax Strategy Highlight Risks of a Territorial Tax System</title>
		<link>http://www.offthechartsblog.org/questions-about-apples-tax-strategy-highlight-risks-of-a-territorial-tax-system/</link>
		<comments>http://www.offthechartsblog.org/questions-about-apples-tax-strategy-highlight-risks-of-a-territorial-tax-system/#comments</comments>
		<pubDate>Wed, 22 May 2013 20:31:20 +0000</pubDate>
		<dc:creator>Chuck Marr</dc:creator>
				<category><![CDATA[Businesses]]></category>
		<category><![CDATA[Federal Tax]]></category>
		<category><![CDATA[Taxes and the Economy]]></category>

		<guid isPermaLink="false">http://www.offthechartsblog.org/?p=11247</guid>
		<description><![CDATA[U.S. corporations have lobbied aggressively in recent years for both a temporary tax holiday under which they would bring their foreign profits back to the United States and pay a much lower tax on them, as well as a permanent exemption of foreign profits from U.S. taxes (known as a “territorial” system).  This week’s headlines [...]]]></description>
			<content:encoded><![CDATA[<p>U.S. corporations have lobbied aggressively in recent years for both a temporary tax holiday under which they would bring their foreign profits back to the United States and pay a much lower tax on them, as well as a permanent exemption of foreign profits from U.S. taxes (known as a “<a href="http://www.cbpp.org/cms/index.cfm?fa=view&amp;id=3895">territorial</a>” system).  This week’s <a href="http://www.washingtonpost.com/business/technology/with-complex-web-of-offshore-entities-apple-avoids-taxes-senate/2013/05/20/a59daea6-c16c-11e2-bfdb-3886a561c1ff_story.html?hpid=z3">headlines</a> about Apple’s reported use of offshore subsidiaries to lessen its U.S. tax bill have renewed the debate over these flawed ideas.</p>
<p>Multinational companies like Apple currently have a strong incentive to defer U.S. corporate taxes by shifting and keeping profits overseas (see chart).  As we’ve <a href="http://www.offthechartsblog.org/switching-to-territorial-tax-system-would-carry-serious-risks/">explained</a>, a territorial system would create greater incentives for those companies to invest and book profits overseas rather than at home — and that, in turn, risks reducing wages at home by encouraging investment to flow overseas, increasing budget deficits by draining revenues from the corporate income tax, or raising taxes on smaller companies and domestic businesses to offset the revenue loss.</p>
<p><img class="aligncenter" style="border: none;" src="http://www.offthechartsblog.org/wp-content/uploads/2013/5-22-13tax.jpg" alt="" /></p>
<p>Now, policymakers have begun to focus on the issue.  The Senate Permanent Subcommittee on Investigations has issued a <a href="http://www.hsgac.senate.gov/download/?id=213D0921-28F7-4D15-ABFD-4E2501B0DFD2">report</a> that highlights the tax planning gymnastics that companies undertake to shift profits to overseas tax havens in order to avoid U.S. taxes.</p>
<p>Armed with more information about how these incentives are creating unfair advantages for multinationals and draining much-needed tax revenue, the President and Congress should resist the lobbying campaign and instead focus on reducing the incentive to shift profits and operations overseas.</p>
<div id="relatedpostsdiv">
<p><em>Related Posts:</em></p>
<ul>
<li><a href="http://www.offthechartsblog.org/what-you-need-to-know-about-international-tax-reform-options/">What You Need to Know About International Tax Reform Options</a></li>
<li><a href="http://www.offthechartsblog.org/switching-to-territorial-tax-system-would-carry-serious-risks/">Switching to “Territorial” Tax System Would Carry Serious Risks</a></li>
<li><a href="http://www.offthechartsblog.org/growing-tax-avoidance-by-multinationals-undermines-competition-oecd-warns/">Growing Tax Avoidance by Multinationals Undermines Competition, OECD Warns</a></li>
</ul>
</div>
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		<title>Senator Vitter Offers — and Senate Democrats Accept — Stunning Amendment With Racially Tinged Impacts</title>
		<link>http://www.offthechartsblog.org/senator-vitter-offersand-senate-democrats-accept-stunning-amendment-with-racially-tinged-impacts/</link>
		<comments>http://www.offthechartsblog.org/senator-vitter-offersand-senate-democrats-accept-stunning-amendment-with-racially-tinged-impacts/#comments</comments>
		<pubDate>Wed, 22 May 2013 19:41:09 +0000</pubDate>
		<dc:creator>Robert Greenstein</dc:creator>
				<category><![CDATA[Food Assistance]]></category>
		<category><![CDATA[Food Stamps]]></category>

		<guid isPermaLink="false">http://www.offthechartsblog.org/?p=11243</guid>
		<description><![CDATA[In today’s Senate debate on the farm bill, Senator David Vitter offered — and Senate Democrats accepted — an amendment that would increase hardship and will likely have strongly racially discriminatory effects. The amendment would bar from SNAP (food stamps), for life, anyone who was ever convicted of one of a specified list of violent [...]]]></description>
			<content:encoded><![CDATA[<p>In today’s Senate debate on the farm bill, Senator David Vitter offered — and Senate Democrats accepted — an amendment that would increase hardship and will likely have strongly racially discriminatory effects.</p>
<p>The amendment would bar from SNAP (food stamps), <em>for life</em>, anyone who was ever convicted of one of a specified list of violent crimes at any time — even if they committed the crime decades ago in their youth and have served their sentence, paid their debt to society, and been a good citizen ever since.  In addition, the amendment would mean lower SNAP benefits for their children and other family members.</p>
<p>So, a young man who was convicted of a single crime at age 19 who then reforms and is now elderly, poor, and raising grandchildren would be thrown off SNAP, and his grandchildren’s benefits would be cut.</p>
<p>Given incarceration patterns in the United States, the amendment would have a skewed racial impact.  Poor elderly African Americans convicted of a single crime decades ago by segregated Southern juries would be among those hit.</p>
<p>The amendment essentially says that rehabilitation doesn’t matter and violates basic norms of criminal justice.</p>
<p>It’s also possible that the amendment could contribute to recidivism.  Ex-offenders often have difficulty finding jobs that pay decent wages.  The amendment could pose dilemmas for ex-offenders who are trying to go straight but can neither find jobs nor, as a result of the amendment, obtain enough food to feed their children and families.</p>
<p>Senator Vitter hawked his amendment as one to prevent murderers and rapists from getting food stamps.  Democrats accepted it without trying to modify it to address its most ill-considered aspects.</p>
<p>The farm bill is still on the floor, and the amendment can still be modified.  Senators should gather the courage to step up to the plate and address this matter forthwith.</p>
<div id="relatedpostsdiv">
<p>
<em>Related Posts:</em></p>
<ul>
<li><a href="http://www.offthechartsblog.org/tag/facts-on-SNAP-series/">Series: Facts on SNAP</a></li>
<li><a href="http://www.offthechartsblog.org/house-agriculture-committee-proposal-would-force-2-million-people-off-snap/">House Agriculture Committee Proposal Would Force 2 Million People Off SNAP</a></li>
<li><a href="http://www.offthechartsblog.org/snap-will-take-a-hit-even-before-the-farm-bill-battle-begins/">SNAP Will Take a Hit Even Before the Farm Bill Battle Begins</a></li>
</ul>
</div>
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		<title>Critics of Obama Tax Subsidy Proposal Miss Key Points</title>
		<link>http://www.offthechartsblog.org/obama-proposal-would-cap-tax-subsidy-at-reagan-era-level/</link>
		<comments>http://www.offthechartsblog.org/obama-proposal-would-cap-tax-subsidy-at-reagan-era-level/#comments</comments>
		<pubDate>Tue, 21 May 2013 20:03:12 +0000</pubDate>
		<dc:creator>Robert Greenstein</dc:creator>
				<category><![CDATA[Federal Budget]]></category>
		<category><![CDATA[Federal Tax]]></category>
		<category><![CDATA[Individuals and Families]]></category>
		<category><![CDATA[Other Issues]]></category>
		<category><![CDATA[President's Budget]]></category>

		<guid isPermaLink="false">http://www.offthechartsblog.org/?p=11238</guid>
		<description><![CDATA[Some charities and state and local governments have raised concerns about the President’s proposal to cap, at 28 cents on the dollar, the tax subsidy that affluent Americans receive for tax deductions and some other tax expenditures.  Charities worry that charitable donations would drop substantially (although the Tax Policy Center estimates that the decline would [...]]]></description>
			<content:encoded><![CDATA[<p>Some charities and state and local governments have raised concerns about the President’s <a href="http://www.cbpp.org/cms/index.cfm?fa=view&amp;id=2700">proposal</a> to cap, at 28 cents on the dollar, the tax subsidy that affluent Americans receive for tax deductions and some other tax expenditures.  Charities worry that charitable donations would drop substantially (although the Tax Policy Center <a href="http://www.cbpp.org/cms/index.cfm?fa=view&amp;id=2700">estimates</a> that the decline would be modest); while states and localities worry they would have to pay higher interest rates on their bonds in order to attract investors.  Several important facts are often missing, however, from the discussion of these issues.</p>
<ul>
<li><strong>At 28 percent, the top subsidy rate would be the same as during the Reagan years.</strong> Some critics of the Obama proposal have noted that under President Reagan, the top marginal tax rate and the top subsidy rate for deductions were <em>both</em> 28 percent, whereas the Obama proposal would create a<em> </em>gap between the top marginal tax rate (39.6 percent) and the top subsidy rate (28 percent).  <em>That’s true but has no bearing on the issue at hand </em>— namely, the effect on charitable giving.  The subsidy rate is what matters here, because it determines filers’ financial incentive to engage in a subsidized activity such as giving to charity or buying municipal bonds.</li>
</ul>
<ul>
<li><strong>The House-passed Ryan budget and House Ways and Means Chairman Dave Camp’s tax-reform process aim to cut the tax subsidy rate <em>below</em> the Obama level.</strong> The Ryan budget and Chairman Camp have set a goal of cutting the top marginal rate to 25 percent.  That would put the top subsidy rate for charitable donations and municipal bond interest three percentage points below the Obama cap.
<p>Most charities and organizations that have criticized the Obama 28 percent limit have been silent about the Ryan and Camp proposals (in many cases, they also were silent during the Reagan and George H.W. Bush years, when the top marginal tax rate was 28 percent).  Some may mistakenly assume that what counts is the difference between the marginal rate and the subsidy rate — when, in fact, it is the subsidy rate that matters.</li>
</ul>
<ul>
<li><strong>The Obama budget would use the resulting savings primarily to replace the sequestration budget cuts, thereby helping both charities and states and localities.</strong> Sequestration is scheduled to impose even deeper cuts next year and to remain in effect through 2021.  Its harsh cuts in a range of programs — including those that alleviate poverty or combat disease at home or abroad as well as programs in education, environmental protection, health research, the arts, and many other areas — will place heavy added burdens on both charities and state and local governments.
<p>Many nonprofits receive grants or contracts to provide services that are funded in part or in whole through federal programs, especially non-defense discretionary programs that operate through state or local governments.  Meanwhile, most federal grants that state and local governments receive to help them perform various functions come through programs subject to sequestration.</p>
<p>In fact, sequestration will impose a double burden on nonprofits, raising the demand for their services while slicing their revenues.</p>
<p>Thus, cancelling sequestration is of considerable importance to the charitable sector and to state and local governments.  While charities and state and local governments would lose some revenue from the proposed 28 percent limitation on tax deductions and exclusions, they would receive substantial revenue gains from repealing sequestration.</p>
<p>By contrast, under the Ryan and Camp proposals, not only would charities and state and local governments suffer bigger losses from those plans’ reductions in tax subsidy rates, but <em>none </em>of the resulting revenue would go to ease sequestration or other budget cuts.</p>
<p>Moreover, if all of the revenue from scaling back tax subsidies goes to lowering tax rates, as the Ryan budget and Chairman Camp propose, then further deficit reduction will likely come <em>entirely</em> from the spending side of the budget.  (In addition, it’s very unlikely Congress would be able to pass enough tax-expenditure savings to pay for lowering the top rate to 25 percent; if the resulting tax reform lost revenue, the ensuing budget cuts would likely be bigger still.)</p>
<p>In short, additional cuts — on top of sequestration — in areas such as education, low-income programs, and state and local aid would almost certainly result from the Ryan-Camp approach, making the job of charities and state and local governments even more difficult.</li>
</ul>
<p>Some critics of the Obama 28 percent limit say there are other ways to raise revenues for the purposes that the President has proposed.  But in most cases, they haven’t offered specific alternatives or they have suggested alternatives that, despite their merits, have little or no political viability in the current political environment.</p>
<p>The task remains of raising revenues to replace sequestration and to serve as part of a balanced long-term deficit reduction package, and the 28 percent limit remains the most promising proposal that is not significantly beyond the bounds of current political reality.</p>
<div id="relatedpostsdiv">
<p><em>Related Posts:</em></p>
<ul>
<li><a href="http://www.offthechartsblog.org/a-two-pronged-approach-to-tax-expenditure-reform/">A Two-Pronged Approach to Tax Expenditure Reform</a></li>
<li><a href="http://www.offthechartsblog.org/the-next-act-further-deficit-reduction-must-include-a-mix-of-revenues-and-spending-cuts/">The Next Act: Further Deficit Reduction Must Include a Mix of Revenues and Spending Cuts</a></li>
<li><a href="http://www.offthechartsblog.org/why-revenue-neutral-tax-reform-would-be-a-big-mistake/">Why Revenue-Neutral Tax Reform Would Be a Big Mistake</a></li>
</ul>
</div>
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		<title>Minnesota’s Tax Plan a Recipe for Future Growth</title>
		<link>http://www.offthechartsblog.org/minnesotas-tax-plan-a-recipe-for-future-growth/</link>
		<comments>http://www.offthechartsblog.org/minnesotas-tax-plan-a-recipe-for-future-growth/#comments</comments>
		<pubDate>Tue, 21 May 2013 19:24:46 +0000</pubDate>
		<dc:creator>Michael Leachman</dc:creator>
				<category><![CDATA[Budgets]]></category>
		<category><![CDATA[State Budget and Tax]]></category>
		<category><![CDATA[Taxes]]></category>

		<guid isPermaLink="false">http://www.offthechartsblog.org/?p=11235</guid>
		<description><![CDATA[As states finalize their budgets for the next fiscal year, Minnesota stands out for making smart changes to its tax system that will position the state for future economic growth.  The legislature passed a tax plan last night that — after years of spending cuts — raises revenue to avoid more cuts and to make [...]]]></description>
			<content:encoded><![CDATA[<p>As states finalize their budgets for the next fiscal year, Minnesota stands out for making smart changes to its tax system that will position the state for future economic growth.  The legislature passed a <a href="http://minnesotabudgetbites.org/2013/05/20/tax-bill-makes-strides-toward-tax-fairness-investments-in-our-future/">tax plan</a> last night that — after years of spending cuts — raises revenue to avoid more cuts and to make new investments that brighten the state’s economic future.  It also modernizes the state’s tax system so that it generates adequate revenue for a thriving state in a 21<sup>st</sup> century economy.  Governor Mark Dayton supports the legislation and is expected to sign it.</p>
<p>The plan creates a new income tax bracket for the state’s richest households, repeals some tax breaks for companies operating outside the United States, raises revenues through changes to estate and gift taxes, and increases tobacco taxes.  It also helps modernize the state’s outdated sales tax system, including by taxing some <a href="http://www.cbpp.org/cms/?fa=view&amp;id=3874">digital goods</a> and by <a href="http://www.usnews.com/debate-club/should-states-be-able-to-collect-sales-tax-on-goods-sold-online/not-taxing-internet-retailers-harms-local-economies">requiring</a> some online retailers to collect sales taxes on purchases by Minnesota residents.</p>
<p>The new revenue will prevent more than $600 million in cuts over the next two years to services such as schools, community colleges, natural resource protection, and programs that help seniors live independent lives.</p>
<p>The revenue also will enable the state to make substantial new investments in education.  For example, Minnesota will provide free full-day kindergarten in more public schools across the state, and it will substantially improve access to high-quality preschool for underprivileged children — an investment that <a href="http://www.epi.org/publication/books_exceptional_returns/">research</a> has proven boosts the incomes and productivity of children when they grow up.</p>
<p>Among other priorities, the plan also will allow the state to hold tuition steady in the state’s colleges and universities, and to increase financial aid for low- and middle-income families.  Over the last five years, Minnesota has <a href="http://www.cbpp.org/cms/index.cfm?fa=view&amp;id=3927">cut funding</a> for higher education by 30 percent, leading to substantial tuition hikes.</p>
<p>These investments in the state’s education system will pay off with stronger economic growth in the future by producing a better educated workforce with the kinds of skills and training that employers — especially high-wage employers — will need in the future.</p>
<p>The new revenue also will allow the state to reduce property taxes for many homeowners and many low- and moderate-income renters, who pay property taxes through their rent.  And, it will allow for more state aid to local governments, helping them further limit property taxes.  These substantial reductions in property taxes, combined with the income tax increase for wealthy residents, will make the state’s <a href="http://www.mnbudgetproject.org/research-analysis/minnesota-taxes/tax-system/the-facts-still-speak-time-to-reform-minnesota-s-tax-system">currently regressive</a> state and local tax system fairer.</p>
<p>States that are still considering tax and spending changes — and how to boost their economies while supporting middle- and lower-income families — should look carefully at Minnesota’s plan.</p>
<div id="relatedpostsdiv">
<p><em>Related Posts:</em></p>
<ul>
<li><a href="http://www.offthechartsblog.org/top-five-state-tax-charts/">Top Five State Tax Charts</a></li>
<li><a href="http://www.offthechartsblog.org/state-and-local-tax-systems-disproportionately-burden-lower-income-families/">State and Local Tax Systems Disproportionately Burden Lower-Income Families</a></li>
<li><a href="http://www.offthechartsblog.org/fairer-sales-tax-rules-take-a-big-step-forward/">Fairer Sales Tax Rules Take a Big Step Forward</a></li>
</ul>
</div>
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		<title>Fears of Widespread “Rate Shock” Unfounded</title>
		<link>http://www.offthechartsblog.org/fears-of-widespread-rate-shock-unfounded/</link>
		<comments>http://www.offthechartsblog.org/fears-of-widespread-rate-shock-unfounded/#comments</comments>
		<pubDate>Mon, 20 May 2013 18:42:51 +0000</pubDate>
		<dc:creator>Sarah Lueck</dc:creator>
				<category><![CDATA[Health Policy]]></category>
		<category><![CDATA[Health Reform]]></category>
		<category><![CDATA[Insurance Coverage]]></category>

		<guid isPermaLink="false">http://www.offthechartsblog.org/?p=11232</guid>
		<description><![CDATA[A House subcommittee is putting health reform in the hot seat again today, when it holds a hearing on the “looming premium rate shock” that health insurers have warned about.  But widespread rate shock isn’t looming.  In at least a few states where insurers have already proposed their 2014 premium rates, the doomsday predictions of [...]]]></description>
			<content:encoded><![CDATA[<p>A House subcommittee is putting health reform in the hot seat again today, when it holds a <a href="http://energycommerce.house.gov/hearing/health-insurance-premiums-under-patient-protection-and-affordable-care-act">hearing</a> on the “looming premium rate shock” that health insurers have warned about.  But widespread rate shock <a href="http://www.offthechartsblog.org/claim-about-health-reform-rate-shock-is-unfounded-urban-analysis-finds/">isn’t looming</a>.  In at least a few states where insurers have already proposed their 2014 premium rates, the doomsday predictions of skyrocketing premiums <a href="http://www.offthechartsblog.org/not-much-shock-in-carefirsts-proposed-2014-maryland-health-insurance-rates/">have not materialized</a>.</p>
<p>Yes, a relatively small number of people with coverage in the existing individual insurance market can expect premium increases in 2014, particularly if they are young and healthy, are not eligible for new federal subsidies or expanded Medicaid coverage, and have a relatively skimpy plan today.  But others will pay less, and still others will be able to get better benefits for about the same premiums.</p>
<p>Moreover, health reform means that uninsured people and those who have health problems will no longer be shut out or priced out of the individual insurance market.  Millions of people will be eligible for new federal subsidies to help them pay their premiums and cost-sharing charges, which will offset supposed rate shock for many people.</p>
<p>The House Energy and Commerce Oversight and Investigations Subcommittee, collected a <a href="http://energycommerce.house.gov/rate-shock#exhibits">trove</a> of documents from insurance companies to prepare for its hearing today.  The documents tend to emphasize the largest potential rate increases and the types of people — <a href="http://energycommerce.house.gov/sites/republicans.energycommerce.house.gov/files/analysis/insurancepremiums/ExhibitC.pdf">men, in particular</a> — who may experience them.  Insurers developed many of these projections as the industry was lobbying to repeal or delay specific provisions of the health care law, such as the <a href="http://www.cbpp.org/cms/index.cfm?fa=view&amp;id=3964">health insurance tax</a> and <a href="http://ahip.org/Issues/Age-Rating.aspx">new restrictions</a> on what older people can be charged for coverage compared to younger people.  They don’t necessarily reflect the premiums these companies actually plan to charge consumers in 2014, and it’s not clear how many of the higher-rate scenarios will actually occur.</p>
<p>Now, the companies are preparing to sell insurance in a reformed marketplace.  We are starting to see the actual premiums that insurance companies want to charge next year, and greater transparency and competition are helping tamp down premiums, at least in some states.  In <a href="http://seattletimes.com/html/localnews/2020982752_apwahealthoverhaulwash1stldwritethru.html">Washington state</a>, some people would pay less in premiums or pay about the same prices for more comprehensive coverage if recently proposed premiums take effect, in contrast to what the industry had predicted.  And in Oregon, after the insurance department <a href="http://www.oregonhealthrates.org/?pg=proposed_rates.html">posted</a> proposed rates from various insurers, two companies with relatively higher premiums said they would redo their requests and <a href="http://www.oregonlive.com/health/index.ssf/2013/05/two_oregon_insurers_reconsider.html">submit lower rates</a> after seeing their competitors’ rates.</p>
<p>In both of those states, regulators are reviewing the insurers’ rate proposals to decide whether to approve them under health reform.  Other states are doing the same, so more data points are on the way.  We expect that they, too, will show little evidence of widespread rate shock.</p>
<div id="relatedpostsdiv">
<p><em>Related Posts:</em></p>
<ul>
<li><a href="http://www.offthechartsblog.org/not-much-shock-in-carefirsts-proposed-2014-maryland-health-insurance-rates/">Not Much “Shock” in CareFirst’s Proposed 2014 Maryland Health Insurance Rates</a></li>
<li><a href="http://www.offthechartsblog.org/new-study-makes-headlines-about-rate-shock-but-sows-confusion/">New Study Makes Headlines About “Rate Shock” But Sows Confusion</a></li>
<li><a href="http://www.offthechartsblog.org/claim-about-health-reform-rate-shock-is-unfounded-urban-analysis-finds/">Claim About Health Reform “Rate Shock” Is “Unfounded,” Urban Analysis Finds</a></li>
</ul>
</div>
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		<title>Projected Medicare and Medicaid Spending Has Fallen by $900 Billion</title>
		<link>http://www.offthechartsblog.org/projected-medicare-and-medicaid-spending-has-fallen-by-900-billion/</link>
		<comments>http://www.offthechartsblog.org/projected-medicare-and-medicaid-spending-has-fallen-by-900-billion/#comments</comments>
		<pubDate>Mon, 20 May 2013 17:16:50 +0000</pubDate>
		<dc:creator>Paul N. Van de Water</dc:creator>
				<category><![CDATA[Congressional Action]]></category>
		<category><![CDATA[Deficits and Projections]]></category>
		<category><![CDATA[Federal Budget]]></category>
		<category><![CDATA[Health Policy]]></category>
		<category><![CDATA[Health Reform]]></category>
		<category><![CDATA[Insurance Coverage]]></category>
		<category><![CDATA[Medicare]]></category>

		<guid isPermaLink="false">http://www.offthechartsblog.org/?p=11229</guid>
		<description><![CDATA[Health care cost growth has slowed substantially, as the latest projections from the Congressional Budget Office (CBO) make clear  Since late 2010, CBO has reduced its projection of cumulative Medicare and Medicaid spending over the 2011-2020 period by $900 billion (or nearly 10 percent over that period). That date’s important because it was in late [...]]]></description>
			<content:encoded><![CDATA[<p>Health care cost growth has slowed substantially, as the latest projections from the Congressional Budget Office (CBO) make clear  Since late 2010, CBO has reduced its projection of cumulative Medicare and Medicaid spending over the 2011-2020 period by $900 billion (or nearly 10 percent over that period).</p>
<p>That date’s important because it was in late 2010 — and based on CBO’s August 2010 projections — when fiscal commission co-chairs Erskine Bowles and Alan Simpson issued their original <a href="http://www.fiscalcommission.gov/sites/fiscalcommission.gov/files/documents/TheMomentofTruth12_1_2010.pdf">budget proposal</a>, which called for over $300 billion in Medicare cuts and nearly $60 billion in Medicaid savings through 2020. The original Bowles-Simpson proposal is often considered an appropriate benchmark for evaluating other deficit-reduction plans.</p>
<p>The figure below compares CBO’s Medicare and Medicaid projections from August 2010 with the projections that <a href="http://www.cbo.gov/sites/default/files/cbofiles/attachments/44172-Baseline2.pdf">CBO released last week</a>.  (The note to the figure explains adjustments that we have made to provide comparability.)  Medicaid spending is $311 billion lower, and Medicare outlays have come down by $590 billion — far more than the savings that Bowles-Simpson recommended.</p>
<p><img class="aligncenter" style="border: none;" src="http://www.offthechartsblog.org/wp-content/uploads/2013/5-20-13health.jpg" alt="" /></p>
<p>No one knows how long this good news will continue.  <a href="http://content.healthaffairs.org/content/32/5/841.abstract">Some analysts</a> conclude that fundamental changes in the health care system are responsible for most of the slowdown in cost growth.  <a href="http://kff.org/health-costs/issue-brief/assessing-the-effects-of-the-economy-on-the-recent-slowdown-in-health-spending-2/">Others find</a> that the recession is the primary factor, with systemic changes less important.</p>
<p>Even if cost growth remains moderate, however, Medicare and Medicaid spending will keep rising as more baby boomers become eligible for benefits.  Making the U.S. health care system more efficient thus remains a major budget challenge.</p>
<p>But CBO’s new projections provide further evidence that Medicare and Medicaid are not in crisis.  Responsible reforms, such as those in <a href="http://www.cbpp.org/cms/index.cfm?fa=view&amp;id=3952">President Obama’s budget</a> (which would <a href="http://www.offthechartsblog.org/obamas-medicare-savings-are-bigger-than-you-may-think/">produce</a> $400 billion in health care entitlement savings in the next ten years and $1trillion in savings in the subsequent decade), can help restore fiscal responsibility without shifting costs to vulnerable beneficiaries or <a href="http://www.offthechartsblog.org/presidents-budget-affirms-that-washington-will-pay-nearly-all-the-costs-of-expanding-medicaid/">states</a>.  There is no need for sweeping and misguided changes, such as establishing a <a href="http://www.cbpp.org/cms/index.cfm?fa=view&amp;id=3846">per capita cap</a> in Medicaid or raising the <a href="http://www.cbpp.org/cms/index.cfm?fa=view&amp;id=3564">age of eligibility</a> for Medicare.</p>
<div id="relatedpostsdiv">
<p><em>Related Posts:</em></p>
<ul>
<li><a href="http://www.offthechartsblog.org/obamas-medicare-savings-are-bigger-than-you-may-think/">Obama’s Medicare Savings Are Bigger Than You May Think</a></li>
<li><a href="http://www.offthechartsblog.org/presidents-budget-affirms-that-washington-will-pay-nearly-all-the-costs-of-expanding-medicaid/">President’s Budget Affirms That Washington Will Pay Nearly All the Costs of Expanding Medicaid</a></li>
<li><a href="http://www.offthechartsblog.org/ryan-budget-again-includes-a-medicaid-block-grant-that-would-add-millions-to-the-ranks-of-uninsured-and-underinsured/">Ryan Budget Again Includes a Medicaid Block Grant That Would Add Millions to the Ranks of the Uninsured and Underinsured</a></li>
</ul>
</div>
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		<title>In Case You Missed It&#8230;</title>
		<link>http://www.offthechartsblog.org/in-case-you-missed-it-130/</link>
		<comments>http://www.offthechartsblog.org/in-case-you-missed-it-130/#comments</comments>
		<pubDate>Fri, 17 May 2013 20:30:52 +0000</pubDate>
		<dc:creator>CBPP</dc:creator>
				<category><![CDATA[In Case You Missed It]]></category>

		<guid isPermaLink="false">http://www.offthechartsblog.org/?p=11223</guid>
		<description><![CDATA[This week on Off the Charts, we focused on SNAP (formerly food stamps), health reform, housing policy, the federal budget and taxes, and state budgets and taxes. On SNAP, Stacy Dean explained that the farm bill that the House Agriculture Committee approved this week would force nearly 2 million low-income people off the program.  Dottie Rosenbaum [...]]]></description>
			<content:encoded><![CDATA[<p>This week on <em>Off the Charts</em>, we focused on SNAP (formerly food stamps), health reform, housing policy, the federal budget and taxes, and state budgets and taxes.</p>
<ul>
<li>On <strong>SNAP,</strong> Stacy Dean <a href="http://www.offthechartsblog.org/house-agriculture-committee-proposal-would-force-2-million-people-off-snap/">explained</a> that the farm bill that the House Agriculture Committee approved this week would force nearly 2 million low-income people off the program.  Dottie Rosenbaum <a href="http://www.offthechartsblog.org/snap-responded-to-the-recession-and-will-shrink-as-the-economy-improves/">noted</a>, in the last in our “<a href="http://www.offthechartsblog.org/tag/facts-on-SNAP-series/">Facts on SNAP” series</a>, that SNAP responded as designed to the recession and will shrink as the economy improves.  And Chad Stone <a href="http://www.offthechartsblog.org/snap-enrollment-is-still-so-high-because-the-job-market-is-still-so-bad/">pointed out</a> that SNAP enrollment remains high because the jobs market remains abnormally weak.</li>
</ul>
<ul>
<li>On <strong>health reform,</strong> Shannon Spillane <a href="http://www.offthechartsblog.org/health-reform-moves-forward-as-house-votes-again-to-repeal/">listed</a> some of its accomplishments to date.  Judy Solomon <a href="http://www.offthechartsblog.org/coming-cuts-to-safety-net-hospitals-reinforce-importance-of-medicaid-expansion/">explained</a> why the coming cuts to hospitals that serve many low-income and uninsured patients reinforce the importance of health reform’s Medicaid expansion.</li>
</ul>
<ul>
<li>On <strong>housing policy,</strong> Will Fischer <a href="http://www.offthechartsblog.org/new-renters-credit-should-complement-existing-housing-development-credit/">pointed out</a> that a new tax credit to help low-income renters afford housing would be a valuable complement to the existing Low-Income Housing Tax Credit.</li>
</ul>
<ul>
<li>On the <strong>federal budget and taxes, </strong>Chye-Ching Huang <a href="http://www.offthechartsblog.org/distribution-estimates-critical-to-tax-reform-efforts/">rebutted</a> recent criticisms of estimates of how tax proposals would affect different income groups.</li>
</ul>
<ul>
<li>On <strong>state budgets and taxes,</strong> Erica Williams <a href="http://www.offthechartsblog.org/north-carolina-should-reinstate-its-eitc/">emphasized</a> that North Carolina should reinstate its Earned Income Tax Credit (EITC).</li>
</ul>
<p>In other news, we released a <a href="http://www.cbpp.org/cms/index.cfm?fa=view&amp;id=3965">paper</a> on the SNAP cuts in the House Agriculture Committee farm bill and updated our <a href="http://www.cbpp.org/cms/index.cfm?fa=view&amp;id=3164">backgrounder</a> on the number of weeks of unemployment benefits available in each state.</p>
<p>A variety of news outlets featured CBPP’s work and experts recently.  Here are some highlights:</p>
<p><a href="http://www.businessweek.com/articles/2013-05-17/renters-face-a-housing-squeeze"><strong>Renters Face a Housing Squeeze</strong></a><br />
<em>Bloomberg Businessweek</em><br />
May 17, 2013</p>
<p><a href="http://www.usnews.com/opinion/blogs/economic-intelligence/2013/05/16/facts-show-food-stamp-program-has-a-strong-record-of-efficienty"><strong>The Facts About Food Stamps Conservatives Don&#8217;t Want You to Hear</strong></a><br />
<em>US News &amp; World Report</em><br />
May 16, 2013</p>
<p><a href="http://thecaucus.blogs.nytimes.com/2013/05/16/house-agriculture-committee-approves-farm-bill/"><strong>House Agriculture Committee Approves Farm Bill</strong></a><br />
<em>New York Times</em>, <em>The Caucus</em><br />
May 16, 2013</p>
<p><a href="http://www.nationaljournal.com/congress/are-health-care-costs-healing-themselves-20130515"><strong>Are Health Care Costs Healing Themselves?</strong></a><br />
<em>National Journal</em><br />
May 15, 2013</p>
<p><a href="http://www.therepublic.com/view/story/1de45bb99a944494bc2f10c5c493c288/US--Health-Overhaul-Hospital-Funding-Cuts"><strong>Hospitals could lose $500M in federal money to pay for uninsured in 2014</strong></a><br />
<em>Associated Press</em><br />
May 13, 2013</p>
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		<title>SNAP Enrollment Is Still So High Because the Job Market Is Still So Bad</title>
		<link>http://www.offthechartsblog.org/snap-enrollment-is-still-so-high-because-the-job-market-is-still-so-bad/</link>
		<comments>http://www.offthechartsblog.org/snap-enrollment-is-still-so-high-because-the-job-market-is-still-so-bad/#comments</comments>
		<pubDate>Fri, 17 May 2013 20:19:43 +0000</pubDate>
		<dc:creator>Chad Stone</dc:creator>
				<category><![CDATA[Economic Recovery Watch]]></category>
		<category><![CDATA[Food Assistance]]></category>
		<category><![CDATA[Food Stamps]]></category>
		<category><![CDATA[Recession and Recovery]]></category>
		<category><![CDATA[Unemployment]]></category>

		<guid isPermaLink="false">http://www.offthechartsblog.org/?p=11219</guid>
		<description><![CDATA[My latest post for U.S. News &#38; World Report’s Economic Intelligence blog addresses conservative critics’ argument that SNAP (the Supplemental Nutrition Assistance Program, formerly food stamps) is “broken” and must be “reformed.”  In reality, as our recent blog series shows, SNAP expanded as it’s supposed to during the severe recession of 2007-2009 and subsequent slow [...]]]></description>
			<content:encoded><![CDATA[<p>My <a href="http://www.usnews.com/opinion/blogs/economic-intelligence/2013/05/16/facts-show-food-stamp-program-has-a-strong-record-of-efficienty">latest post</a> for <em>U.S. News &amp; World Report</em>’s <a href="http://www.usnews.com/opinion/blogs/economic-intelligence">Economic Intelligence</a> blog addresses conservative critics’ <a href="http://www.thune.senate.gov/public/index.cfm/op-eds?ID=5a6236e0-7926-413c-8b33-1703888faf2a">argument</a><a href="http://www.thune.senate.gov/public/index.cfm/op-eds?ID=5a6236e0-7926-413c-8b33-1703888faf2a"></a> that SNAP (the Supplemental Nutrition Assistance Program, formerly food stamps) is “broken” and must be “reformed.”  In reality, as our <a href="http://www.offthechartsblog.org/tag/facts-on-SNAP-series/">recent blog series</a> shows, SNAP expanded as it’s supposed to during the severe recession of 2007-2009 and subsequent slow recovery and will shrink as the economy improves.</p>
<p>But why, as critics note, did SNAP enrollment continue rising after 2009, even as unemployment began to fall?  Because, it’s not unusual for poverty and hardship to continue rising even after unemployment peaks.</p>
<p>Moreover, the last few years have been very different from a typical recession and recovery, as our <a href="http://www.cbpp.org/cms/index.cfm?fa=view&amp;id=3252">Legacy of the Great Recession chartbook</a> shows.  The unemployment rate thus has been a relatively poor indicator of the state of the labor market, for two reasons in particular.</p>
<p>First, the unemployment rate doesn’t include the many people who want a job and would likely have one in a stronger labor market but haven’t looked enough to count as officially unemployed.  Nor does it include the many people who would like to work full time but can only find part-time work.</p>
<p>The graph below, which highlights the share of the population with a job (the so-called employment to population ratio), paints a grimmer picture of what’s happened to employment.  Part of the sharp decline reflects higher unemployment, but the rest reflects a decline in labor force participation.</p>
<p>The Labor Department estimates that 22 million Americans who want to work either don’t have a job or are working only part-time when they want to work full-time.</p>
<p><img class="aligncenter" style="border: none;" src="http://www.offthechartsblog.org/wp-content/uploads/2013/JobsBlog-5-3-13_jobs5.jpg" alt="" /></p>
<p>Second, the unemployment rate doesn’t tell us about long-term unemployment — those out of work for at least 27 weeks — which remains historically high (see second graph).  With the deep and prolonged recession and weak recovery, SNAP has become increasingly valuable for the long-term unemployed, since it’s one of the few resources available for people who have exhausted their unemployment benefits.</p>
<p>In short, the number of people qualifying for and receiving SNAP benefits is still high because unusually high unemployment, reduced incomes, and limited job opportunities all persist.  The best way for policymakers to lower SNAP costs would be to aid the economic recovery to create jobs and boost incomes.</p>
<p><img class="aligncenter" style="margin-left: 12px; border: none;" src="http://www.offthechartsblog.org/wp-content/uploads/2013/5-17-13econ.jpg" alt="" /></p>
<div id="relatedpostsdiv">
<p><em>Related Posts:</em></p>
<ul>
<li><a href="http://www.offthechartsblog.org/tag/facts-on-SNAP-series/">Series: Facts on SNAP</a></li>
<li><a href="http://www.offthechartsblog.org/house-agriculture-committee-proposal-would-force-2-million-people-off-snap/">House Agriculture Committee Proposal Would Force 2 Million People Off SNAP</a></li>
<li><a href="http://www.offthechartsblog.org/todays-jobs-report-in-pictures-25/">Today’s Jobs Report in Pictures</a></li>
</ul>
</div>
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		<title>New Renters’ Credit Should Complement Existing Housing Development Credit</title>
		<link>http://www.offthechartsblog.org/new-renters-credit-should-complement-existing-housing-development-credit/</link>
		<comments>http://www.offthechartsblog.org/new-renters-credit-should-complement-existing-housing-development-credit/#comments</comments>
		<pubDate>Thu, 16 May 2013 20:48:10 +0000</pubDate>
		<dc:creator>Will Fischer</dc:creator>
				<category><![CDATA[Federal Budget]]></category>
		<category><![CDATA[Federal Tax]]></category>
		<category><![CDATA[Housing]]></category>
		<category><![CDATA[Other Issues]]></category>
		<category><![CDATA[Taxes and the Economy]]></category>

		<guid isPermaLink="false">http://www.offthechartsblog.org/?p=11210</guid>
		<description><![CDATA[The paper on tax reform options that the Senate Finance Committee issued yesterday includes CBPP’s proposal for a renters’ tax credit to help the poorest families afford housing.  Such a credit would be a valuable complement to the existing Low-Income Housing Tax Credit (LIHTC). Here’s why. A renters’ credit would help rebalance the nation’s housing [...]]]></description>
			<content:encoded><![CDATA[<p>The <a href="http://www.finance.senate.gov/issue/?id=9d5f328c-d707-44e1-af07-c31d8340c4f8">paper</a> on tax reform options that the Senate Finance Committee issued yesterday includes CBPP’s <a href="http://www.cbpp.org/cms/index.cfm?fa=view&amp;id=3802">proposal</a> for a renters’ tax credit to help the poorest families afford housing.  Such a credit would be a valuable complement to the existing Low-Income Housing Tax Credit (LIHTC).</p>
<p>Here’s why.</p>
<p>A renters’ credit would help rebalance the nation’s housing policy, as well as its housing-related tax subsidies.  The federal government spends more than $200 billion annually to help families pay for housing.  But the bulk of that goes for homeownership tax subsidies (like the mortgage interest deduction) that favor higher-income families, most of whom could readily afford homes without assistance.</p>
<p>Meanwhile, growing numbers of low-income people pay very high shares of their income for rent, as the graph shows.  This forces them to divert resources from other basic needs and places them at risk of housing instability or homelessness, which can cause long-term harm to children’s <a href="http://www.nhc.org/media/files/Insights_HousingAndHealthBrief.pdf">health</a> and <a href="http://www.nhc.org/media/files/Insights_HousingAndEducationBrief.pdf">educational outcomes</a>.</p>
<p>Sharp cuts to federal rental assistance under the <a href="http://www.cbpp.org/cms/index.cfm?fa=view&amp;id=3945">sequestration</a> budget cuts, together with the 2011 Budget Control Act’s tight caps on annual discretionary funding, will leave even more families struggling to afford housing.  A renters’ credit would address some of these pressing needs.</p>
<p><img class="aligncenter" style="border: none;" src="http://www.offthechartsblog.org/wp-content/uploads/2013/2-26-13housing.jpg" alt="" /></p>
<p>For two reasons, the renters’ credit should complement — not replace — the LIHTC, which policymakers created in the 1986 tax reform law to support the development and renovation of housing affordable to families with incomes roughly double the poverty line.</p>
<p>First, the LIHTC does <em>not</em> by itself typically make housing affordable to the poorest Americans, such as low-wage workers and the lowest-income elderly people and people with disabilities.  The renters’ credit would help these households afford rents in developments subsidized through the LIHTC and in other buildings.</p>
<p>Second, before creating the LIHTC, policymakers had long struggled to establish efficient, accountable subsidies for construction and renovation of affordable housing, an important need in many areas.  The LIHTC has performed well in this role, though it could be made even more effective.</p>
<p>Policymakers should streamline inefficient housing tax expenditures, such as the <a href="http://www.cbpp.org/cms/index.cfm?fa=view&amp;id=3948">mortgage interest deduction</a>, to better achieve their goals and generate revenues to contribute to balanced deficit reduction.  They should also use a portion of the savings (after meeting deficit-reduction needs) to address growing hardship among low-income renters by establishing a renters’ credit to complement the LIHTC.</p>
<div id="relatedpostsdiv">
<p>
<em>Related Posts:</em></p>
<ul>
<li><a href="http://www.offthechartsblog.org/number-of-families-struggling-to-afford-rent-rises-sharply/">Number of Families Struggling to Afford Rent Rises Sharply</a></li>
<li><a href="http://www.offthechartsblog.org/sequestration-threatens-to-cut-rental-assistance-to-140000-families/">Sequestration Threatens to Cut Rental Assistance to 140,000 Families</a></li>
<li><a href="http://www.offthechartsblog.org/housing-policy-should-put-more-of-its-money-where-the-need-is/">Housing Policy Should Put More of Its Money Where the Need Is</a></li>
</ul>
</div>
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		<title>Health Reform Moves Forward as House Votes (Again) to Repeal</title>
		<link>http://www.offthechartsblog.org/health-reform-moves-forward-as-house-votes-again-to-repeal/</link>
		<comments>http://www.offthechartsblog.org/health-reform-moves-forward-as-house-votes-again-to-repeal/#comments</comments>
		<pubDate>Thu, 16 May 2013 20:24:18 +0000</pubDate>
		<dc:creator>Shannon Spillane</dc:creator>
				<category><![CDATA[Health Policy]]></category>
		<category><![CDATA[Health Reform]]></category>
		<category><![CDATA[Insurance Coverage]]></category>
		<category><![CDATA[Medicare]]></category>

		<guid isPermaLink="false">http://www.offthechartsblog.org/?p=11205</guid>
		<description><![CDATA[The House is expected to vote today, for the 37th time, to repeal part or all of health reform.  Nevertheless, in the nearly two and a half years since the first such vote, health reform has made significant progress in achieving its basic goals: helping more Americans get affordable coverage, protecting consumers, and slowing cost [...]]]></description>
			<content:encoded><![CDATA[<p>The House is expected to vote today, for the <a href="http://www.washingtonpost.com/politics/house-readies-to-vote-on-yet-another-bill-to-repeal-health-care-law/2013/05/15/78d0d2b2-bd71-11e2-89c9-3be8095fe767_story.html?hpid=z8">37<sup>th</sup> time</a>, to repeal part or all of health reform.  Nevertheless, in the nearly two and a half years since the first such vote, health reform has made significant progress in achieving its basic goals: helping more Americans get affordable coverage, protecting consumers, and slowing cost growth across the health care system, both public and private.</p>
<p>Here’s a look at some of health reform’s accomplishments to date:</p>
<ul>
<li><strong>Health insurance for millions of young adults. </strong>Before health reform, young adults were <a href="http://www.offthechartsblog.org/q-a-with-sarah-lueck-on-the-new-health-insurance-option-for-young-adults/">more likely to be uninsured</a> than any other age group. To help address this problem, health reform requires insurers and employers that offer dependent coverage to allow parents to <a href="http://www.offthechartsblog.org/now-graduates-can-keep-the-coverage-as-well-as-the-gown/">include children up to age 26</a> on their insurance plans.  That’s a big reason why <a href="http://www.hhs.gov/news/press/2012pres/06/20120619b.html">3.1 million more young adults had health insurance</a> in December 2011 than in September 2010, according to the Department of Health and Human Services (HHS).</li>
</ul>
<ul>
<li><strong>Free preventive care for tens of millions of Americans.</strong> Insurance companies now have to <a href="http://www.offthechartsblog.org/an-ounce-of-prevention/">cover preventive care services at no charge</a>, and Medicare provides preventive services without cost sharing, too.  As a result, <a href="http://www.hhs.gov/news/press/2013pres/03/20130318a.html">nearly 105 million Americans received free preventive health care in 2011 and 2012</a>, according to HHS.
<p>Preventive care includes screenings for chronic illnesses like diabetes and cancer, routine vaccines for adults and children, and other recommended care for kids, such as regular doctor visits.</p>
<p>Better access to preventive care will help millions of families with their budgets and likely produce other benefits, such as fewer unnecessary deaths from disease, less spending on costly and avoidable illnesses, and a healthier population overall.</li>
</ul>
<ul>
<li><strong>Protections for children and adults with serious illnesses.</strong> Health reform bars insurers from denying coverage to children with pre-existing health conditions like cancer, autism, or diabetes.  As a result, for the first time in most states, families with children with serious illnesses, chronic conditions, or special health care needs can buy coverage for their children in the individual health insurance market.
<p>Also, health reform’s ban on “lifetime limits” on health benefits means that people who get a serious illness won’t have to worry that their benefits will run out or that expensive treatments will push them into bankruptcy — or worse, that coverage limits will prevent them from getting lifesaving care.</li>
</ul>
<ul>
<li><strong>More affordable prescriptions for more than 6 million seniors.</strong> Health reform has begun to close the “doughnut hole,” the gap in Medicare prescription drug coverage that many seniors experience once their annual drug costs exceed $2,930.
<p>Before health reform, seniors had no additional coverage until their costs hit about $6,600.  Now, seniors receive a 52.5 percent discount on brand-name drugs and a 21 percent discount on generic prescription drugs while they are in the coverage gap.</p>
<p>More than 6 million Medicare beneficiaries have saved more than $6.1 billion as a result of these changes, <a href="http://www.hhs.gov/news/press/2013pres/03/20130321a.html">according to HHS</a>.</li>
</ul>
<ul>
<li><strong>Initial steps to help slow health care costs. </strong>Some of health reform’s cost-control provisions, such as cutting overpayments to the private insurance plans that participate in Medicare, are already producing savings.  Other steps are underway to make the health care system more efficient by rewarding effective, high-value health care, although they may not yield results for several years.
<p>For example, Medicare is cutting payments to hospitals with high readmission rates in order to encourage them to prevent more avoidable readmissions.  Also, many physician-led “accountable care organizations” are up and running.  These organizations are structured to encourage health care providers to take responsibility for the cost and quality of care they deliver, potentially reining in costs.</li>
</ul>
<ul>
<div id="relatedpostsdiv">
<p><em>Related Posts:</em></p>
<ul>
<li><a href="http://www.offthechartsblog.org/user-friendly-applications-will-help-uninsured-gain-coverage/">User-Friendly Applications Will Help Uninsured Gain Coverage</a></li>
<li><a href="http://www.offthechartsblog.org/exchanges-will-offer-consumers-better-choices-in-every-state/">Exchanges Will Offer Consumers Better Choices in Every State</a></li>
<li><a href="http://www.offthechartsblog.org/want-more-low-income-workers-to-have-health-coverage-expand-medicaid/">Want More Low-Income Workers to Have Health Coverage? Expand Medicaid.</a></li>
</ul>
</div>
</ul>
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