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Medicaid Spending Over Five Decades

Total federal and state Medicaid spending, $ billions, by fiscal year: in current dollars and in dollars of the latest year

In latest-year dollars: $949B in 2024the highest in data back to 2004+$456B since 2004

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. Adjusted for inflation by Palanor with the consumer price index (CPI-U) averaged over each fiscal year.

How Medicaid spending has grown since the 1970s, before and after inflation.

What this chart reads

Sources

US Medicaid Spending, Inflation-Adjusted · USD bn (latest fiscal year dollars). Source: Palanor calculation (src/lib/macpac/medicaid.ts) from U.S. Bureau of Labor Statistics CPI-U via FRED CPIAUCSL (public domain) and Medicaid and CHIP Payment and Access Commission (MACPAC), MACStats: Medicaid and CHIP Data Book, Exhibit 10 (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 Spending, Total · USD bn. Source: Medicaid and CHIP Payment and Access Commission (MACPAC), MACStats: Medicaid and CHIP Data Book, Exhibit 10 (Medicaid Enrollment and Total Spending Levels and Annual Growth) (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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