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U.S. States, the Medicaid Program, and Tax Smoothing

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  • Maria Comachione Kula

Abstract

This paper tests the tax smoothing theory by focusing on its implication that a change in permanent government spending should result in an equal sized change in the tax rate. The effect of Medicaid, a state administered, federal and state funded medical insurance program for the poor, on state tax rates is investigated. The Medicaid program provides a natural experiment for this test as states are required to cover certain groups in order to receive federal matching money. Additionally, during the 1980s, a series of federal mandates greatly increased state Medicaid expenditures. Two stage least squares is used on a panel of U.S. states (1978‐1994) to test whether changes in permanent state Medicaid expenditures resulted in equal sized tax rate changes. Tax smoothing as a positive theory of state government behavior is rejected. Additionally, it is found that this rejection cannot be attributed to the stringency of balanced budget rules.

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  • Maria Comachione Kula, 2004. "U.S. States, the Medicaid Program, and Tax Smoothing," Southern Economic Journal, John Wiley & Sons, vol. 70(3), pages 490-511, January.
    • Handle: RePEc:wly:soecon:v:70:y:2004:i:3:p:490-511
    DOI: 10.1002/j.2325-8012.2004.tb00585.x
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