Congress modified the Medicaid program by restricting states' sources of funding, capping payments to certain hospitals, and altering the relationship between the states and the federal government. While the legislation puts to rest an ongoing dispute between the state and federal governments, it does not improve access to or quality of care nor address fundamental problems with the Medicaid program; it is simply another patch to the patch-work quilt called Medicaid.
Patching the Patchwork Quilt: "Reforming" the Medicaid Program - The Medicaid Program - The Medicaid Voluntary Contribution and Provider-Specific Tax Amendments of 1991,
Annals Health L.
Available at: https://lawecommons.luc.edu/annals/vol1/iss1/4