000			01596pab a2200193 454500
008			180718b1997 xxu||||| |||| 00| 0 eng d
100			_aSchneider, Saundra K.
245			_aThe structure of bureaucratic decision in the American states
260			_c1997
300			_ap.240-49
362			_aMay-Jun
520			_aThis 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			_aBureaucracy - United States
650			_aBureaucracy
700			_aCoggburn, Jerrce D.
700			_aJacoby, William G.
773			_aPublic Administration Review
909			_a34637
999			_c34637 _d34637