On December 19, 2024, the Centers for Medicare and Medicaid Services (CMS) published its annual report on National Health Expenditures and its NHE Tables includes data on Medicaid from 1960 to 2022. On December 18, 2024, usgovernmentspending.com updated its Medicaid data.
| Item | 2023 Estimate | 2023 Actual |
| Federal Medicaid | $615.8 bn | $615.8 bn |
| State Medicaid (net) | $156.0 bn | $189.6 bn |
| Total Medicaid | $771.8 bn | $805.4 bn |
The federal Medicaid number comes from the Federal Budget Subfunction 558: Grants to states for Medicaid. The state contribution comes from the NHE Tables.
usgovernmentspending.com publishes "guesstimates" of state and local spending from the latest year published by the Census Bureau (currently FY 2022) to the last year in the Historical Tables of the federal budget (for the FY 2025 budget that is 2029). So we have developed "guesstimates" of Medicaid spending going out to 2029, assuming that the overall Medicaid spending increases at the same rate as the federal "Grants to States for Medicaid" increases.
National Health Expenditure data is updated each year in mid December.
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