| Page | Year | Description |
| home | Home page with charts of spending, debt, deficit, and GDP | |
| numbers | Table of federal, state, and local spending data by major spending function. Also individual states. Drill down for details | |
| custom_chart | Customize your own chart of government spending and/or download data. Also debt and deficits | |
| analysis | Analysis briefs on government spending | |
| past_spending | History of government spending | |
| pie chart | Pie charts for total, federal, state, and local spending | |
| debt deficit | Charts and text on federal deficit for last 200 years | |
| debt analysis | Charts and text on federal debt for last 200 years | |
| compare states | Comparison tables of individual state spending | |
| us budget | Charts and tables on federal budget | |
| spend_history | Charts and briefing on US government spending for last 100 years | |
| tour | Take a tour of usgovernmentspending.com and its features | |
| blog | Check usgovernmentspending.com blog for news | |
| FAQs | Check usgovernmentspending.com blog for FAQs | |
| download year | Download a year of spending data. US or state data | |
| download multiyear | Download up to 5 data series. US or state data | |
| taxes | Switch to usgovernmentrevenue.com for government revenue data |
| Debt Now: | $38,380,536,147,996.03 | Debt 2/2020: | $23,409,959,150,243.63 |
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On January 14, 2026, 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 2023. On January 15, 2026, usgovernmentspending.com updated its Medicaid data.
| Item | 2024 Estimate | 2024 Actual |
| Federal Medicaid | $567.2 bn | $567.2 bn |
| State Medicaid (net) | $124.4 bn | $253.2 bn |
| Total Medicaid | $691.6 bn | $820.4 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 2023) to the last year in the Historical Tables of the federal budget. (currently 2029 from the FY25 budget). 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.
> blog
President’s FY 2025 Budget Release Scheduled for March 11
Although the FY 2024 appropriations process is not yet resolved
Biden to Release Budget March 9
will press McCarthy On Default Risk - Bloomberg
Biden to Release 2023 Budget Request on March 28
how the administration expects to spend money for priorities including aid to Ukraine and the continuing effort to fight the coronavirus pandemic, as well as legislative proposals such as increased funding for community policing programs, cancer research, and mental health education.
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