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USGovernmentSpending.com gives you a penetrating look at government spending in the United States. Of course, the big story is federal spending; but you can also look at state and local government spending.
You can look at an overview of spending for the federal government and the states. You can look at our spending chart gallery, or you can create your own spending chart.
You can look at the trends of federal, state and local government spending over the last century, and you can look at federal spending going back to 1792.
You can download spending data by cutting and pasting tab-delimited data or by downloading a CSV file.
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Medicaid Update for FY2024
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.
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