| 000 -LEADER |
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| fixed length control field |
01596pab a2200193 454500 |
| 008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION |
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| fixed length control field |
180718b1997 xxu||||| |||| 00| 0 eng d |
| 100 ## - MAIN ENTRY--PERSONAL NAME |
|---|
| Personal name |
Schneider, Saundra K. |
| 245 ## - TITLE STATEMENT |
|---|
| Title |
The structure of bureaucratic decision in the American states |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. |
|---|
| Date of publication, distribution, etc. |
1997 |
| 300 ## - PHYSICAL DESCRIPTION |
|---|
| Extent |
p.240-49 |
| 362 ## - DATES OF PUBLICATION AND/OR SEQUENTIAL DESIGNATION |
|---|
| Dates of publication and/or sequential designation |
May-Jun |
| 520 ## - SUMMARY, ETC. |
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| Summary, etc. |
This paper examines the structure of bureaucratic decisions in state Medicaid programs. More specifically, the analysis tries to discern an underlying pattern in Medicaid optional service adoptions across the American states during the period from 1985 through 1994. These adoptions result from state-level administrative initiatives rather than federal or state legislative actions. The analysis shows that states differ in the extent to which they extend services into more controversial aspects of health care. And their willingness to do so follows a clear cumulative pattern: States initiate more controversial, limited services only after they have already adopted a full range of services that are widely acceptable to the public and governmental officials. This cumulative pattern in administrative decisions reveals a great deal about the nature of bureaucratic actions in state-level social welfare programs. This study also produces an empirical measure of bureaucratic policy outputs that can be used as an analytic variable in other research efforts. - Reproduced |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
|---|
| Topical term or geographic name entry element |
Bureaucracy - United States |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
|---|
| Topical term or geographic name entry element |
Bureaucracy |
| 700 ## - ADDED ENTRY--PERSONAL NAME |
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| Personal name |
Coggburn, Jerrce D. |
| 700 ## - ADDED ENTRY--PERSONAL NAME |
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| Personal name |
Jacoby, William G. |
| 773 ## - HOST ITEM ENTRY |
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| Main entry heading |
Public Administration Review |
| 909 ## - |
|---|
| -- |
34637 |
