000			02274nab a2200313 c 4500
999			_c145020 _d145020
003			ES-MaIEF
005			20211122173551.0
007			ta
008			211122t2021 us ||||| |||| 00| 0|eng d
040			_aES-MaIEF _bspa _cES-MaIEF
100	1		_969395 _aPérez, Victoria
245		0	_aToo small to fail _bthe role of Medicaid in mitigating pandemic-related fiscal strain on local governments _c Victoria Perez, Joseph A. Benitez, Justin Ross
260			_c2021
500			_aResumen.
504			_aBibliografía.
520			_aLocal governments across the United States have had a prominent role in financing the pandemic response during the ongoing COVID-19 outbreak and economic recession. Yet, such governments are increasingly facing budgetary strain as sources of tax revenue evaporate. If the financial burden on such governments can be eased, they may better address those aspects of pandemic response to which they are uniquely suited, such as coordinating resources and re-allocating space within their communities. This paper investigates the role of Medicaid, traditionally the default insurer of the unemployed, as a stabilizing force on local government budgets. Using panel data from county governments during the Great Recession (2006–2012), we estimate the effect of state Medicaid generosity on public finances. We find that Medicaid mitigates the effect of unemployment shocks on county government expenditures, specifically safety-net programs and debt. We apply these point estimates to extrapolate predictions based on contemporary state Medicaid generosity and local unemployment rates. In this way, we show that Medicaid continues to mitigate the financial strain on local government during the COVID-19 pandemic.
650			_aPANDEMIAS _967998
650			_aCORONAVIRUS _967999
650			_aCRISIS ECONOMICAS _941525
650		4	_aHACIENDAS LOCALES _945217
650		4	_aASISTENCIA SANITARIA _931104
650		4	_aASISTENCIA SOCIAL _932194
650		4	_aFINANCIACION _944260
650			_aESTADOS UNIDOS _942888
700	1		_969396 _aBenítez, Joseph A.
700			_953938 _aRoss, Justin M.
773	0		_9166143 _oOP 1716/2021/3 _tPublic Budgeting and Finance _w(IEF)90019 _x 0275-1100 _gv. 41, n. 3, Fall 2021, p. 74-97
942			_cART