Testimony to the Subcommittee on Human Resources, Committee on Ways and Means, U.S. House of Representatives.

Reviews federal and state oversight of section 1115 Medicaid managed care demonstrations in HI, OK, RI, and TN, functions that barely existed in fee-for-service Medicaid. Notes that monitoring has improved over time but is not yet ensuring access and quality.

Compares the characteristics and experiences of two groups of Work First New Jersey clients: (1) an early group that participated in the first year of program operations from July 1997 to June 1998; and (2) a later group participating from July 2000 to June 2001. Finds that caseload characteristics...

Presents estimates of federal and state spending for the support of working-age people with disabilities in fiscal year 2008.