federal government. The federal government helps fund Medicaid, but each state is responsible for

administering the program, determining the level of benefits, and determining eligibility. It provides medical

insurance for certain people with low incomes, including those below the poverty line, with a focus on families

with children, the elderly, and people with disabilities. About one-third of Medicaid spending is for low-income

mothers with children. While an increasing share of the program funding in recent years has gone to pay for

nursing home costs for older people who cannot afford to pay for housing. The program ensures that

participants receive a basic level of benefits, but because each state sets eligibility requirements and provides

varying levels of service, the program differs from state to state.

In the past, a common problem has been that many low-paying jobs pay enough to a breadwinner so that a
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