title: The scheduled squeeze on children's programs: tracking the implications of projected federal spending patterns.
abstract: Federal programs for children are under increasing budgetary pressure. According to current federal law or any budget alternative being offered by the president or congressional leaders, spending on children would decline as a share of the budget and of the national economy. This article summarizes past, current, and projected budgets for children's programs. It traces significant historical expansions of means-tested programs, such as the Supplemental Nutrition Assistance Program; depicts fairly significant declines in more universal supports, such as the income tax exemption for dependents; and shows the future squeeze on children's programs brought about by automatic growth in health, retirement, and tax subsidy programs, along with the failure of revenues to keep pace with the overall growth in spending. Federal programs for health care have been a mixed blessing for children: Medicaid has grown to be the largest federal support for children, but overall federal health care costs eat away at the share of the budgetary pie left for anything else.
authors.affiliation: C. Eugene Steuerle (Esteuerl@urban.org) is an institute fellow and the Richard B. Fisher Chair at the Urban Institute, in Washington, D.C.
authors.forename: C Eugene
authors.initials: CE
authors.lastname: Steuerle
authors.affiliation: Julia B. Isaacs is a senior fellow at the Urban Institute.
authors.forename: Julia B
authors.initials: JB
authors.lastname: Isaacs
mesh_terms: D002017:Budgets; D002648:Child; D000067576:Child Health / Q000191:economics; D002662:Child Health Services / Q000191:economics* / Q000706:statistics & numerical data; D035082:Federal Government; D005380:Financing, Government / Q000706:statistics & numerical data*; D005102:Health Expenditures / Q000706:statistics & numerical data*; D006291:Health Policy; D006801:Humans; D009111:Local Government; D008484:Medicaid / Q000191:economics / Q000706:statistics & numerical data; D013219:State Government; D014481:United States
keywords: Children’s Health; Cost of Health Care; Demography; Health Reform; Health Spending