Medicaid and CHIP Payment and Access Commission: Medicaid Spending by State Fiscal Year 2015

This table lists the amount of spending by the federal, state, and territorial governments for Medicaid in each state and territory for Fiscal Year 2015. The total amount of federal government spending was $556 billion, and the federal government share was nearly $352 billion, or 63%. States and territories expended over $204.5 billion on Medicaid, with the states of California (over $33.8 billion), New York (over $26.8 billion), Texas (over $14.7 billion), Pennsylvania (over $10.5 billion), and Florida (over $8.1 billion) having the highest state spending on Medicaid.

The table also lists the amount of federal funding each state received for Medicaid, including funding for the expansion of Medicaid under the Affordable Care Act. The states of California (over $56.7 billion), New York (over $32.7 billion), Texas (over $21.4 billion), Pennsylvania (over $13.5 billion), and Florida (over $13.3 billion) received the highest levels of federal funding for their Medicaid programs. These levels of funding are threatened by proposals to defund or repeal that expansion of Medicaid, and to change the federal funding for Medicaid into either block grants or per capita caps.

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