State Compacts to Fix Medicaid?
Cato Podcast
Cato Institute
4.5 • 979 Ratings
🗓️ 21 June 2011
⏱️ 7 minutes
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| 0:00.0 | This is the Cato Daily Podcast for Tuesday, June 21st, 2011. |
| 0:06.0 | I'm Caleb Brown. |
| 0:07.0 | Many states form compacts to achieve ends they would find a bigger challenge alone. |
| 0:11.0 | But what happens when states try to change federal law or regulation |
| 0:15.3 | via compact? |
| 0:16.9 | Many states are trying to turn Medicaid into a block grant program via state by state agreement. |
| 0:22.4 | Will it work? |
| 0:23.3 | Ilia Shapiro, senior fellow in constitutional studies |
| 0:25.9 | at the Cato Institute, comments. |
| 0:27.4 | Compacts themselves are nothing new. |
| 0:29.7 | There's a compact clause in the Constitution |
| 0:31.8 | which basically says that traits, excuse me, states can't |
| 0:35.1 | conclude them without congressional approval. |
| 0:38.5 | As the doctrine has developed, however, states do conclude compacts without congressional approval, those that don't |
| 0:44.6 | implicate federal power. |
| 0:45.9 | So for example, two states get together and talk about how they're going to dispose of low-level |
| 0:51.8 | radioactive materials or how they're going to deal with the river that runs between |
| 0:56.3 | them. |
| 0:57.3 | Anything like this, the New York-New Jersey compact for the Port Authority, or Maryland DC Virginia compact about the the |
| 1:06.4 | Washington metro. Other states subscribe in essence to a body of regulation |
| 1:11.7 | regarding insurance and things like that? |
| 1:14.0 | That's right, or a payment of child support, an enforcement of orders about child support, |
... |
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