Acknowledgments, Abbreviations, Introduction, Chapter One: The Explosion in Medicaid Expenditures, Part One: Congressional Treatment of Medicaid, Chapter Two: Politics of Medicare and Medicaid: 1965 to 1983, Chapter Three: Congressional Treatment of Medicare and Medicaid: 1984 to 1990, Chapter Four: Medicaid Politics and the Congressional Agenda: 1984 to 1990, Chapter Five: Changes in Institutions: Federalism, Chapter Six: Changes in Institutions: The Budget Process, Chapter Seven: The Role of the Policy Entrepreneur, Part Two: The States’ Treatment of Medicaid, Chapter Eight: States’ Enlargement of Medicaid: Fiscal Constraints and Divided Government, Conclusion, Chapter Nine: Implications of Policymaking for a Shared Program, Appendix A: Major Medicaid Legislation 1965 to 1990, Appendix B: Major Medicare Legislation 1965 to 1990, References