Medicaid Update for FY 2020

On December 16, 2021, 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 1966 to 2020. On December 17, 2021, usgovernmentspending.com updated its Medicaid data.

Item	2020 Estimate	2020 Actual
Federal Medicaid	$458.5 bn	$458.5 bn
State Medicaid (net)	$228.5 bn	$212.7 bn
Total Medicaid	$687.0 bn	$671.2 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 2019) to the last year in the Historical Tables of the federal budget (for the FY 2022 budget that is 2026). So we have developed "guesstimates" of Medicaid spending going out to 2026, 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.