Become part of the movement for unbiased, accessible election information. Donate today.
Historical Medicaid statistics for all 50 states
From Ballotpedia
This Ballotpedia article is in need of updates. Please email us if you would like to suggest a revision. If you would like to help our coverage grow, consider donating to Ballotpedia.
 |
| Healthcare policy in the U.S. |
|---|
| Obamacare overview |
| Obamacare lawsuits |
| Medicare and Medicaid |
| Healthcare statistics |
|
The Medicaid program provides medical insurance to groups of low-income people and individuals with disabilities. It is the largest source of financing for the healthcare services they need. Medicaid is a nationwide program jointly funded by the federal government and the states. Medicaid eligibility, benefits, and administration are managed by the states within federal guidelines. A program related to Medicaid is the Children's Health Insurance Program (CHIP), which covers low-income children above the poverty line and is sometimes operated in conjunction with a state's Medicaid program. Medicaid is a separate program from Medicare, which provides health coverage for the elderly.
This page provides historical statistics about Medicaid enrollment and spending for all 50 states. To view more current information on Medicaid in your state, click here.
Total spending
Medicaid is administered through matching grants, in which the federal government matches a percentage of state funding. Nationwide, Medicaid spending rose by 4.63 percent between fiscal years 2012 and 2014. Spending amounted to $475.9 billion in 2014. The table below displays Medicaid spending for fiscal years 2012 through 2014. Total spending includes both state and federal spending. Click on the column headings to sort the data.
| Medicaid spending, fiscal year 2012 - 2014 | ||||
|---|---|---|---|---|
| State | Spending, 2012 | Spending, 2013 | Spending, 2014 | Percentage change |
| Alabama | $5,027,020,046 | $5,038,553,636 | $5,241,269,869 | 4.26% |
| Alaska | $1,348,227,744 | $1,356,288,090 | $1,427,318,378 | 5.87% |
| Arizona | $7,904,776,123 | $8,437,589,720 | $9,238,879,857 | 16.88% |
| Arkansas | $4,159,900,817 | $4,206,830,398 | $4,896,343,079 | 17.70% |
| California | $50,165,335,340 | $61,903,522,460 | $63,941,985,764 | 27.46% |
| Colorado | $4,723,953,276 | $5,092,237,084 | $5,959,722,512 | 26.16% |
| Connecticut | $6,759,240,720 | $6,725,505,223 | $7,231,192,158 | 6.98% |
| Delaware | $1,484,593,447 | $1,562,622,464 | $1,726,180,013 | 16.27% |
| Washington, D.C. | $2,110,863,709 | $2,288,326,022 | $2,380,846,860 | 12.79% |
| Florida | $17,906,910,735 | $18,561,488,841 | $20,425,755,781 | 14.07% |
| Georgia | $8,525,953,526 | $8,960,367,262 | $9,485,829,472 | 11.26% |
| Hawaii | $1,492,674,686 | $1,630,194,621 | $1,995,172,756 | 33.66% |
| Idaho | $1,451,713,522 | $1,672,080,653 | $1,608,317,929 | 10.79% |
| Illinois | $13,392,553,588 | $15,658,168,078 | $16,726,311,174 | 24.89% |
| Indiana | $7,486,196,206 | $7,967,961,434 | $9,129,913,143 | 21.96% |
| Iowa | $3,495,120,094 | $3,709,298,321 | $4,038,005,449 | 15.53% |
| Kansas | $2,667,413,390 | $2,578,232,394 | $2,764,679,297 | 3.65% |
| Kentucky | $5,701,684,085 | $5,822,414,805 | $7,907,494,806 | 38.69% |
| Louisiana | $7,358,261,947 | $7,146,504,122 | $7,358,578,753 | 0.0% |
| Maine | $2,413,167,313 | $2,887,138,817 | $2,457,176,578 | 1.82% |
| Maryland | $7,686,649,117 | $7,781,124,159 | $9,372,761,056 | 21.94% |
| Massachusetts | $12,925,713,343 | $13,166,355,820 | $14,602,722,338 | 12.97% |
| Michigan | $12,460,330,219 | $12,386,366,120 | $13,581,206,280 | 9% |
| Minnesota | $8,893,764,778 | $8,918,872,234 | $10,056,174,660 | 13.07% |
| Mississippi | $4,465,933,337 | $4,736,086,751 | $4,884,227,315 | 9.37% |
| Missouri | $8,726,534,192 | $8,951,131,687 | $8,924,174,353 | 2.26% |
| Montana | $972,565,512 | $1,007,145,361 | $1,085,468,758 | 11.61% |
| Nebraska | $1,721,721,025 | $1,833,587,705 | $1,816,793,313 | 5.52% |
| Nevada | $1,738,903,012 | $1,823,482,681 | $2,300,129,644 | 32.27% |
| New Hampshire | $1,186,815,817 | $1,202,784,581 | $1,343,718,320 | 13.22% |
| New Jersey | $10,388,704,680 | $10,605,791,985 | $12,574,194,894 | 21.04% |
| New Mexico | $3,430,059,436 | $3,294,911,999 | $4,181,527,866 | 21.91% |
| New York | $53,305,797,436 | $54,420,497,814 | $54,204,075,597 | 1.69% |
| North Carolina | $12,282,452,337 | $11,915,039,901 | $12,097,786,918 | -1.50% |
| North Dakota | $744,160,777 | $784,117,048 | $654,709,673 | -12.02% |
| Ohio | $16,352,195,540 | $16,803,466,430 | $19,582,062,348 | 19.75% |
| Oklahoma | $4,642,035,524 | $4,795,886,340 | $4,965,898,204 | 6.98% |
| Oregon | $4,587,105,504 | $5,110,832,973 | $6,831,542,103 | 48.93% |
| Pennsylvania | $20,393,353,134 | $21,091,585,036 | $23,622,494,930 | 15.83% |
| Rhode Island | $1,855,780,111 | $1,920,145,481 | $2,448,256,487 | 31.93% |
| South Carolina | $4,847,913,428 | $4,906,583,617 | $5,552,937,136 | 14.54% |
| South Dakota | $749,271,225 | $766,382,971 | $784,945,933 | 4.76% |
| Tennessee | $8,797,895,567 | $8,716,487,022 | $9,263,093,195 | 5.29% |
| Texas | $28,285,538,853 | $28,338,942,175 | $32,202,713,428 | 13.85% |
| Utah | $1,903,197,459 | $2,130,007,800 | $2,093,941,709 | 10.02% |
| Vermont | $1,353,425,573 | $1,473,569,964 | $1,534,774,141 | 13.40% |
| Virginia | $6,906,432,609 | $7,291,109,038 | $7,611,531,956 | 10.21% |
| Washington | $7,560,049,390 | $8,171,329,895 | $10,403,319,036 | 37.61% |
| West Virginia | $2,789,587,443 | $3,024,226,160 | $3,349,005,677 | 20.05% |
| Wisconsin | $7,096,309,146 | $7,105,874,963 | $7,494,803,035 | 5.62% |
| Wyoming | $528,478,993 | $554,122,142 | $547,711,059 | 3.64% |
| United States | $415,154,234,831 | $438,233,172,298 | $475,910,000,000 | 4.63% |
| Source: The Henry J. Kaiser Family Foundation, "State Health Facts: Total Medicaid spending, 2014" | ||||
Spending details
During fiscal year 2012, combined federal and state spending for Medicaid totaled about $415.15 billion, or about $6,833 per enrollee. The federal government contributed about 57 percent of this total, while states paid the remaining 43 percent. The table below presents detailed information on Medicaid spending for fiscal year 2012. Click on the column headings to sort the data.[1][2][3][4][5]
| Detailed Medicaid spending, fiscal year 2012 | |||||||
|---|---|---|---|---|---|---|---|
| State | Total spending*† | Per enrollee*† | Total growth‡ | Compound annual growth rate‡ | Federal share* | State share* | Percent of state budget |
| Alabama | $5,027,020,046 | $4,847 | 47% | 3.2% | 69% | 31% | 23.3% |
| Alaska | $1,348,227,744 | $12,047 | 114% | 6.5% | 58% | 42% | 11.6% |
| Arizona | $7,904,776,123 | $5,429 | 169% | 8.6% | 69% | 31% | 23.7% |
| Arkansas | $4,159,900,817 | $6,889 | 103% | 6.1% | 71% | 29% | 32% |
| California | $50,165,335,340 | $4,803 | 83% | 5.2% | 51% | 49% | 21.4% |
| Colorado | $4,723,953,276 | $6,967 | 89% | 5.5% | 50% | 50% | 21.6% |
| Connecticut | $6,759,240,720 | $9,042 | 60% | 4% | 50% | 50% | 20.7% |
| Delaware | $1,484,593,447 | $7,035 | 120% | 6.8% | 54% | 46% | 21.4% |
| Washington, D.C. | $2,110,863,709 | $13,039 | 100% | 5.9% | 70% | 30% | 15.9% |
| Florida | $17,906,910,735 | $5,111 | 82% | 5.1% | 56% | 44% | 30.6% |
| Georgia | $8,525,953,526 | $6,524 | 53% | 3.6% | 66% | 34% | 21.5% |
| Hawaii | $1,492,674,686 | $5,876 | 71% | 4.6% | 50% | 50% | 12.3% |
| Idaho | $1,451,713,522 | $6,412 | 88% | 5.4% | 70% | 30% | 27.2% |
| Illinois | $13,392,553,588 | $4,846 | 32% | 2.4% | 50% | 50% | 19.7% |
| Indiana | $7,486,196,206 | $7,434 | 71% | 4.5% | 67% | 33% | 27.3% |
| Iowa | $3,495,120,094 | $6,897 | 62% | 4.1% | 61% | 39% | 19.6% |
| Kansas | $2,667,413,390 | $7,420 | 48% | 3.3% | 57% | 43% | 18.6% |
| Kentucky | $5,701,684,085 | $7,138 | 43% | 3% | 71% | 29% | 22.5% |
| Louisiana | $7,358,261,947 | $5,949 | 62% | 4.1% | 69% | 31% | 26.7% |
| Maine | $2,413,167,313 | $6,401 | 61% | 4% | 63% | 37% | 28.8% |
| Maryland | $7,686,649,117 | $8,361 | 89% | 5.4% | 50% | 50% | 21.5% |
| Massachusetts | $12,925,713,343 | $11,105 | 57% | 3.8% | 50% | 50% | 20.7% |
| Michigan | $12,460,330,219 | $6,462 | 35% | 2.6% | 66% | 34% | 26.1% |
| Minnesota | $8,893,764,778 | $9,950 | 98% | 5.9% | 50% | 50% | 27.6% |
| Mississippi | $4,465,933,337 | $6,499 | 76% | 4.8% | 74% | 26% | 23.4% |
| Missouri | $8,726,534,192 | $8,558 | 72% | 4.6% | 64% | 36% | 35% |
| Montana | $972,565,512 | $8,840 | 67% | 4.4% | 68% | 32% | 16.8% |
| Nebraska | $1,721,721,025 | $8,082 | 26% | 1.9% | 57% | 43% | 16.7% |
| Nevada | $1,738,903,012 | $5,410 | 124% | 6.9% | 57% | 43% | 25.4% |
| New Hampshire | $1,186,815,817 | $8,374 | 16% | 1.3% | 50% | 50% | 23.9% |
| New Jersey | $10,388,704,680 | $9,415 | 36% | 2.6% | 50% | 50% | 21.6% |
| New Mexico | $3,430,059,436 | $6,055 | 117% | 6.7% | 70% | 30% | 24.7% |
| New York | $53,305,797,436 | $10,031 | 33% | 2.4% | 50% | 50% | 29.4% |
| North Carolina | $12,282,452,337 | $7,391 | 76% | 4.8% | 65% | 35% | 24.7% |
| North Dakota | $744,160,777 | $11,469 | 37% | 2.6% | 56% | 44% | 12.1% |
| Ohio | $16,352,195,540 | $7,508 | 69% | 4.4% | 64% | 36% | 24.4% |
| Oklahoma | $4,642,035,524 | $6,370 | 107% | 6.3% | 65% | 35% | 23.9% |
| Oregon | $4,587,105,504 | $7,314 | 66% | 4.3% | 63% | 37% | 18.2% |
| Pennsylvania | $20,393,353,134 | $8,967 | 53% | 3.6% | 55% | 45% | 33.2% |
| Rhode Island | $1,855,780,111 | $10,689 | 26% | 2% | 52% | 48% | 25% |
| South Carolina | $4,847,913,428 | $5,148 | 36% | 2.6% | 70% | 30% | 21.7% |
| South Dakota | $749,271,225 | $6,969 | 50% | 3.4% | 63% | 37% | 20.9% |
| Tennessee | $8,797,895,567 | $5,690 | 41% | 2.9% | 67% | 33% | 30.7% |
| Texas | $28,285,538,853 | $5,985 | 101% | 6% | 58% | 42% | 30.1% |
| Utah | $1,903,197,459 | $6,657 | 80% | 5% | 71% | 29% | 17.5% |
| Vermont | $1,353,425,573 | $7,816 | 89% | 5.4% | 57% | 43% | 25.3% |
| Virginia | $6,906,432,609 | $7,452 | 92% | 5.6% | 50% | 50% | 16.2% |
| Washington | $7,560,049,390 | $6,190 | 45% | 3.1% | 50% | 50% | 12.1% |
| West Virginia | $2,789,587,443 | $7,642 | 59% | 3.9% | 73% | 27% | 12.7% |
| Wisconsin | $7,096,309,146 | $6,680 | 70% | 4.5% | 61% | 39% | 16.5% |
| Wyoming | $528,478,993 | $7,713 | 86% | 5.3% | 51% | 49% | 9.5% |
| United States | $415,154,234,831 | $6,833 | 63% | 4.1% | 57% | 43% | N/A |
| * "Expenditures do not include administrative costs, accounting adjustments, or the U.S. Territories." † Includes both state and federal expenditures. ‡ 2000–2012. Includes payments for services, administrative expenses, and DSH payments. Sources: The Henry J. Kaiser Family Foundation, "State Health Facts" MACPAC, "Medicaid Benefit Spending per Full-Year Equivalent Enrollee by State and Eligibility Group, FY 2012" | |||||||
Distribution of enrollment and spending
In 2010, there were nearly 66.4 million United States residents enrolled in Medicaid, or about 21.5 percent of the total population. The majority of spending, 64 percent, was on the elderly and disabled, who made up 24 percent of Medicaid enrollees. This pattern was typical of most states, since this group of enrollees is "more likely to have complex health care needs that require costly acute and long-term care services." The proportion of these individuals who are enrolled in Medicaid is taken into consideration when lawmakers make appropriations for the program each year.[6]
The dollar amounts in the table below are presented in billions of dollars. For instance, $4.1 would translate to $4,100,000,000. Click the column headings to sort the data.
| Distribution of Medicaid enrollment and spending, 2010 | ||||||
|---|---|---|---|---|---|---|
| State | Enrollment rates | Payment for services | ||||
| Total | Elderly and disabled individuals | Parents and children* | Total (in billions) | Elderly and disabled individuals | Parents and children* | |
| Alabama | 1,015,576 | 33% | 67% | $4.2 | 60% | 40% |
| Alaska | 127,853 | 20% | 80% | $1.2 | 55% | 45% |
| Arizona | 1,531,122 | 16% | 84% | $9.2 | 42% | 58% |
| Arkansas | 720,907 | 30% | 70% | $3.7 | 72% | 28% |
| California | 11,428,811 | 18% | 82% | $39.3 | 68% | 32% |
| Colorado | 618,334 | 21% | 79% | $3.9 | 65% | 35% |
| Connecticut | 712,350 | 24% | 76% | $5.4 | 66% | 34% |
| Delaware | 225,426 | 18% | 82% | $1.3 | 49% | 51% |
| Washington, D.C. | 214,290 | 26% | 74% | $1.7 | 76% | 24% |
| Florida | 3,703,388 | 28% | 72% | $16.4 | 67% | 33% |
| Georgia | 1,869,622 | 25% | 75% | $7.3 | 59% | 41% |
| Hawaii | 265,588 | 20% | 80% | $1.4 | 58% | 42% |
| Idaho | 227,849 | 25% | 75% | $1.4 | 67% | 33% |
| Illinois | 2,822,634 | 19% | 81% | $14.9 | 54% | 46% |
| Indiana | 1,209,849 | 22% | 78% | $5.8 | 70% | 30% |
| Iowa | 562,459 | 22% | 78% | $3.1 | 70% | 30% |
| Kansas | 394,417 | 29% | 71% | $2.4 | 70% | 30% |
| Kentucky | 919,864 | 36% | 64% | $5.5 | 63% | 37% |
| Louisiana | 1,204,829 | 28% | 72% | $6.3 | 66% | 34% |
| Maine | 375,943 | 38% | 62% | $2.2 | 75% | 25% |
| Maryland | 975,437 | 23% | 77% | $6.9 | 64% | 36% |
| Massachusetts | 1,690,693 | 26% | 74% | $11.6 | 66% | 34% |
| Michigan | 2,261,732 | 22% | 78% | $11.1 | 65% | 35% |
| Minnesota | 936,488 | 25% | 75% | $7.4 | 69% | 31% |
| Mississippi | 772,141 | 33% | 67% | $0.9 | 66% | 34% |
| Missouri | 1,065,266 | 28% | 72% | $7.3 | 64% | 36% |
| Montana | 128,792 | 25% | 75% | $0.9 | 65% | 35% |
| Nebraska | 265,540 | 23% | 77% | $1.6 | 66% | 34% |
| Nevada | 340,520 | 21% | 79% | $1.4 | 56% | 44% |
| New Hampshire | 167,560 | 27% | 73% | $1.1 | 69% | 31% |
| New Jersey | 1,055,940 | 31% | 69% | $8.8 | 75% | 25% |
| New Mexico | 576,138 | 19% | 81% | $3.3 | N/A* | N/A* |
| New York | 5,570,094 | 24% | 76% | $49.6 | 70% | 30% |
| North Carolina | 1,813,298 | 27% | 73% | $10.5 | 62% | 38% |
| North Dakota | 82,762 | 26% | 74% | $0.7 | 74% | 26% |
| Ohio | 2,308,999 | 25% | 75% | $14.5 | 72% | 28% |
| Oklahoma | 856,835 | 22% | 78% | $4.1 | 58% | 42% |
| Oregon | 643,940 | 24% | 76% | $3.9 | 64% | 36% |
| Pennsylvania | 2,417,096 | 35% | 65% | $17.6 | 73% | 27% |
| Rhode Island | 216,302 | 33% | 67% | $1.8 | 64% | 36% |
| South Carolina | 922,560 | 26% | 74% | $4.7 | 63% | 37% |
| South Dakota | 133,739 | 23% | 77% | $0.8 | 61% | 39% |
| Tennessee | 1,509,354 | 28% | 72% | $8.4 | 53% | 47% |
| Texas | 4,844,337 | 22% | 78% | $25.6 | 55% | 45% |
| Utah | 349,595 | 16% | 84% | $1.7 | 58% | 42% |
| Vermont | 196,412 | 24% | 76% | $1.2 | 56% | 44% |
| Virginia | 1,027,075 | 28% | 72% | $6.1 | 64% | 36% |
| Washington | 1,352,939 | 22% | 78% | $6.6 | 61% | 39% |
| West Virginia | 416,858 | 38% | 62% | $2.5 | 72% | 28% |
| Wisconsin | 1,253,656 | 25% | 75% | $6.6 | 70% | 30% |
| Wyoming | 87,433 | 20% | 80% | $0.5 | 66% | 34% |
| United States | 66,390,642 | 24% | 76% | $369.3 | 64% | 36% |
| *Note: Although the Affordable Care Act allowed states to expand their Medicaid programs to cover childless adults, this provision did not go into effect until 2014. In 2010, the year of this data, adults could only enroll in Medicaid if they had children. This was still true of the 19 states that had chosen not to expand as of August 2017. Source: The Pew Charitable Trusts, "State Health Care Spending on Medicaid" | ||||||
See also
Medicaid in the 50 states
Click on a state below to read more about the Medicaid program in that state.
Footnotes
- ↑ The Henry J. Kaiser Family Foundation, "Total Medicaid Spending," accessed July 17, 2015
- ↑ Medicaid and CHIP Payment and Access Commission, "Medicaid Benefit Spending per Full-Year Equivalent Enrollee by State and Eligibility Group, FY 2012," accessed September 14, 2015
- ↑ The Pew Charitable Trusts, "State Health Care Spending on Medicaid" Table B.1, accessed July 17, 2015
- ↑ The Henry J. Kaiser Family Foundation, "Federal and State Share of Medicaid Spending," accessed July 17, 2015
- ↑ National Association of State Budget Officers, "State Expenditure Report: Examining Fiscal 2011-2013 State Spending: Table 5," accessed July 17, 2015
- ↑ The Pew Charitable Trusts, "State Health Care Spending on Medicaid," July 2014
