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Who Pays for Medicaid: Federal and State Shares

Medicaid spending by source of funds, $ billions, by fiscal year

Total $949B in 2024the highest in data back to 2010+$548B since 2010
Current·Data to 2024
FederalState

Plays the chart through its history. Pauses are where the data set a record or moved most.

MACPAC, MACStats data book (from CMS-64 state expenditure reports), federal fiscal years. Each edition revises earlier years; the newest edition is used where they overlap.

Medicaid is paid for jointly: the federal government matches what each state spends. This splits the total between the two.

What this chart reads

Sources

US Medicaid Federal Spending · USD bn. Source: Medicaid and CHIP Payment and Access Commission (MACPAC), MACStats: Medicaid and CHIP Data Book, Exhibit 16 (Medicaid Spending by State, Category, and Source of Funds; Table 6 in editions before 2015) (https://www.macpac.gov/macstats/; earlier editions at https://www.macpac.gov/publication/macstats-archive/), from MACPAC's analysis of states' CMS-64 Financial Management Report expenditure data. Licence (https://www.macpac.gov/disclaimer/): "Because MACPAC is an agency of the federal government, the information on this site is in the public domain and may be freely copied and distributed. We would appreciate attribution when you cite our information." Read monthly (src/lib/macpac/medicaid.ts).

US Medicaid State Spending · USD bn. Source: Medicaid and CHIP Payment and Access Commission (MACPAC), MACStats: Medicaid and CHIP Data Book, Exhibit 16 (Medicaid Spending by State, Category, and Source of Funds; Table 6 in editions before 2015) (https://www.macpac.gov/macstats/; earlier editions at https://www.macpac.gov/publication/macstats-archive/), from MACPAC's analysis of states' CMS-64 Financial Management Report expenditure data. Licence (https://www.macpac.gov/disclaimer/): "Because MACPAC is an agency of the federal government, the information on this site is in the public domain and may be freely copied and distributed. We would appreciate attribution when you cite our information." Read monthly (src/lib/macpac/medicaid.ts).

Charts are drawn from Palanor's signal library and recomputed from source data on every view. Transformations (changes, indexing, year-on-year rates) are Palanor's.

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