Medicaid Update for FY 2022

On December 13, 2023, 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 January 12, 2024, usgovernmentspending.com updated its Medicaid data.

Item	2022 Estimate	2022 Actual
Federal Medicaid	$591.9 bn	$591.9 bn
State Medicaid (net)	$274.7 bn	$213.8 bn
Total Medicaid	$866.6 bn	$805.7 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 2024 budget that is 2028). So we have developed "guesstimates" of Medicaid spending going out to 2028, 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.

Medicaid Update for FY 2021

 On January 6, 2023, 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 2021. On January 7, 2023, usgovernmentspending.com updated its Medicaid data.

Item	2021 Estimate	2021 Actual
Federal Medicaid	$520.6 bn	$520.6 bn
State Medicaid (net)	$241.5 bn	$213.4 bn
Total Medicaid	$762.1 bn	$734.0 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 2021) to the last year in the Historical Tables of the federal budget (for the FY 2023 budget that is 2027). So we have developed "guesstimates" of Medicaid spending going out to 2027, 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.

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.

Medicaid Update for FY2019

On December 16, 2020, 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 2019. On December 16, 2020, usgovernmentspending.com updated its Medicaid data.

Item	2019 Estimate	2019 Actual
Federal Medicaid	$409.4 bn	$409.4 bn
State Medicaid (net)	$219.1 bn	$204.1 bn
Total Medicaid	$628.5 bn	$613.5 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 2018) to the last year in the Historical Tables of the federal budget (for the FY 2021 budget that is 2025). So we have developed "guesstimates" of Medicaid spending going out to 2025, 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.

Revise Medicaid using CMS NHE Data

Medicaid, the joint federal state program for health care for the poor, has been shown on usgovernmentspending.com but is not well defined in the Census Bureau's data on state and local government finances. There is a code E74 "Welfare-Vendor Payments-Med" which presumably includes monies from Medicaid.

But the Centers for Medicare and Medicaid Services (CMS) publishes an annual report on National Health Expenditures and its NHE Tables includes data on Medicaid from 1966 to 2017. But even here, there are differences between the CMS and other authorities, including the Federal Budget and The Henry J Kaiser Family Foundation:

Authority	Year	Federal Medicaid	State Medicaid
CMS	CY 2017	$365.2 bn	$220.6 bn
Federal Budget	FY 2017	$374.7 bn	-
Kaiser Foundation	FY 2017	$354.8 bn	$221.8 bn

From March 26, 2019, has loaded the CMS NHE data, and usgovernmentspending.com shows Medicaid spending as follows:

• Federal Medicaid spending is stated as the amount published in the Public Budget Database as "Grants to States for Medicaid".
• State and local Medicaid spending is stated as the combined federal-state amount published in the NHE Tables on the line "Medicaid (Title XIX)" and is considered only as combined state and local spending without determining how much gets spent at the state level and how much at the local level.

usgovernmentspending.com publishes "guesstimates" of state and local spending from the latest year published by the Census Bureau (currently FY 2016) to the last year in the Historical Tables of the federal budget (for the FY 2020 budget that is 2024). So we have developed "guesstimates" of Medicaid spending going out to 2024, 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 late April.