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Numbers tell a bigger story.

CMS · FEDERAL MEDICAID FUNDING

Medicaid

Follow federal Medicaid funding for medical care and program administration across states and territories.

Numbers tell a bigger story.

Week starts Monday · YTD starts January 1 · UTC. All-time history is not yet available.

FEDERAL SHARE
WN Estimate
Estimated spending · YTD$499,778,382,438Historical pace · USD, UTC

A constant historical pace, not payments recorded today. State-funded Medicaid spending is excluded.

REPORTED FEDERAL MEDICAID$612,391,730,046Fiscal year 2024

FOLLOW THE MONEY

Where Medicaid funding goes

States and territories, ranked by federal Medicaid spending. Explore each destination for care and administration.

This breakdown covers Medicaid only: federal medical assistance and administration. State-funded shares, CHIP, research and other Health-function programs are excluded. It is not a state allocation of the broader Treasury Health function.

Baseline: Fiscal year 2024 · Official historical observations

56 destinations

California

#1 · FEDERAL MEDICAID SHARE

WN Estimate
Estimated spending · YTD$79,207,577,022Historical pace · USD, UTC

New York

#2 · FEDERAL MEDICAID SHARE

WN Estimate
Estimated spending · YTD$46,002,163,351Historical pace · USD, UTC

Texas

#3 · FEDERAL MEDICAID SHARE

WN Estimate
Estimated spending · YTD$24,405,582,823Historical pace · USD, UTC

Pennsylvania

#4 · FEDERAL MEDICAID SHARE

WN Estimate
Estimated spending · YTD$21,905,579,225Historical pace · USD, UTC

Ohio

#5 · FEDERAL MEDICAID SHARE

WN Estimate
Estimated spending · YTD$20,054,184,766Historical pace · USD, UTC

North Carolina

#6 · FEDERAL MEDICAID SHARE

WN Estimate
Estimated spending · YTD$17,987,771,058Historical pace · USD, UTC

Florida

#7 · FEDERAL MEDICAID SHARE

WN Estimate
Estimated spending · YTD$17,058,427,291Historical pace · USD, UTC

Illinois

#8 · FEDERAL MEDICAID SHARE

WN Estimate
Estimated spending · YTD$16,877,383,791Historical pace · USD, UTC

Michigan

#9 · FEDERAL MEDICAID SHARE

WN Estimate
Estimated spending · YTD$14,819,887,574Historical pace · USD, UTC

Arizona

#10 · FEDERAL MEDICAID SHARE

WN Estimate
Estimated spending · YTD$12,560,362,533Historical pace · USD, UTC

Massachusetts

#11 · FEDERAL MEDICAID SHARE

WN Estimate
Estimated spending · YTD$12,003,410,512Historical pace · USD, UTC

New Jersey

#12 · FEDERAL MEDICAID SHARE

WN Estimate
Estimated spending · YTD$11,899,092,728Historical pace · USD, UTC

Virginia

#13 · FEDERAL MEDICAID SHARE

WN Estimate
Estimated spending · YTD$11,702,225,169Historical pace · USD, UTC

Kentucky

#14 · FEDERAL MEDICAID SHARE

WN Estimate
Estimated spending · YTD$11,666,037,685Historical pace · USD, UTC

Indiana

#15 · FEDERAL MEDICAID SHARE

WN Estimate
Estimated spending · YTD$11,470,412,355Historical pace · USD, UTC

Washington

#16 · FEDERAL MEDICAID SHARE

WN Estimate
Estimated spending · YTD$10,833,902,809Historical pace · USD, UTC

Louisiana

#17 · FEDERAL MEDICAID SHARE

WN Estimate
Estimated spending · YTD$10,671,041,530Historical pace · USD, UTC

Oregon

#18 · FEDERAL MEDICAID SHARE

WN Estimate
Estimated spending · YTD$9,755,977,515Historical pace · USD, UTC

Missouri

#19 · FEDERAL MEDICAID SHARE

WN Estimate
Estimated spending · YTD$9,477,979,919Historical pace · USD, UTC

Minnesota

#20 · FEDERAL MEDICAID SHARE

WN Estimate
Estimated spending · YTD$9,141,402,928Historical pace · USD, UTC

Maryland

#21 · FEDERAL MEDICAID SHARE

WN Estimate
Estimated spending · YTD$8,990,456,241Historical pace · USD, UTC

Georgia

#22 · FEDERAL MEDICAID SHARE

WN Estimate
Estimated spending · YTD$8,445,079,440Historical pace · USD, UTC

Tennessee

#23 · FEDERAL MEDICAID SHARE

WN Estimate
Estimated spending · YTD$7,752,466,673Historical pace · USD, UTC

Colorado

#24 · FEDERAL MEDICAID SHARE

WN Estimate
Estimated spending · YTD$7,029,796,875Historical pace · USD, UTC

Wisconsin

#25 · FEDERAL MEDICAID SHARE

WN Estimate
Estimated spending · YTD$6,368,934,180Historical pace · USD, UTC

South Carolina

#26 · FEDERAL MEDICAID SHARE

WN Estimate
Estimated spending · YTD$5,811,135,172Historical pace · USD, UTC

Oklahoma

#27 · FEDERAL MEDICAID SHARE

WN Estimate
Estimated spending · YTD$5,716,558,868Historical pace · USD, UTC

Connecticut

#28 · FEDERAL MEDICAID SHARE

WN Estimate
Estimated spending · YTD$5,486,302,202Historical pace · USD, UTC

New Mexico

#29 · FEDERAL MEDICAID SHARE

WN Estimate
Estimated spending · YTD$5,413,174,906Historical pace · USD, UTC

Arkansas

#30 · FEDERAL MEDICAID SHARE

WN Estimate
Estimated spending · YTD$5,198,896,004Historical pace · USD, UTC

Iowa

#31 · FEDERAL MEDICAID SHARE

WN Estimate
Estimated spending · YTD$5,141,473,391Historical pace · USD, UTC

Alabama

#32 · FEDERAL MEDICAID SHARE

WN Estimate
Estimated spending · YTD$5,019,607,046Historical pace · USD, UTC

Mississippi

#33 · FEDERAL MEDICAID SHARE

WN Estimate
Estimated spending · YTD$4,550,571,520Historical pace · USD, UTC

Nevada

#34 · FEDERAL MEDICAID SHARE

WN Estimate
Estimated spending · YTD$3,678,086,976Historical pace · USD, UTC

Puerto Rico

#35 · FEDERAL MEDICAID SHARE

WN Estimate
Estimated spending · YTD$3,295,712,318Historical pace · USD, UTC

West Virginia

#36 · FEDERAL MEDICAID SHARE

WN Estimate
Estimated spending · YTD$3,235,832,547Historical pace · USD, UTC

Utah

#37 · FEDERAL MEDICAID SHARE

WN Estimate
Estimated spending · YTD$3,005,652,555Historical pace · USD, UTC

Kansas

#38 · FEDERAL MEDICAID SHARE

WN Estimate
Estimated spending · YTD$2,711,272,558Historical pace · USD, UTC

District of Columbia

#39 · FEDERAL MEDICAID SHARE

WN Estimate
Estimated spending · YTD$2,610,741,011Historical pace · USD, UTC

Maine

#40 · FEDERAL MEDICAID SHARE

WN Estimate
Estimated spending · YTD$2,594,648,449Historical pace · USD, UTC

Idaho

#41 · FEDERAL MEDICAID SHARE

WN Estimate
Estimated spending · YTD$2,477,078,528Historical pace · USD, UTC

Nebraska

#42 · FEDERAL MEDICAID SHARE

WN Estimate
Estimated spending · YTD$2,009,935,784Historical pace · USD, UTC

Rhode Island

#43 · FEDERAL MEDICAID SHARE

WN Estimate
Estimated spending · YTD$1,894,232,647Historical pace · USD, UTC

Hawaii

#44 · FEDERAL MEDICAID SHARE

WN Estimate
Estimated spending · YTD$1,889,367,790Historical pace · USD, UTC

Delaware

#45 · FEDERAL MEDICAID SHARE

WN Estimate
Estimated spending · YTD$1,828,459,991Historical pace · USD, UTC

Alaska

#46 · FEDERAL MEDICAID SHARE

WN Estimate
Estimated spending · YTD$1,781,283,064Historical pace · USD, UTC

Montana

#47 · FEDERAL MEDICAID SHARE

WN Estimate
Estimated spending · YTD$1,552,374,968Historical pace · USD, UTC

New Hampshire

#48 · FEDERAL MEDICAID SHARE

WN Estimate
Estimated spending · YTD$1,215,210,263Historical pace · USD, UTC

Vermont

#49 · FEDERAL MEDICAID SHARE

WN Estimate
Estimated spending · YTD$1,183,121,545Historical pace · USD, UTC

South Dakota

#50 · FEDERAL MEDICAID SHARE

WN Estimate
Estimated spending · YTD$901,339,336Historical pace · USD, UTC

North Dakota

#51 · FEDERAL MEDICAID SHARE

WN Estimate
Estimated spending · YTD$763,996,110.55Historical pace · USD, UTC

Wyoming

#52 · FEDERAL MEDICAID SHARE

WN Estimate
Estimated spending · YTD$384,202,243.99Historical pace · USD, UTC

Guam

#53 · FEDERAL MEDICAID SHARE

WN Estimate
Estimated spending · YTD$135,478,328.27Historical pace · USD, UTC

U.S. Virgin Islands

#54 · FEDERAL MEDICAID SHARE

WN Estimate
Estimated spending · YTD$97,927,000.15Historical pace · USD, UTC

Northern Mariana Islands

#55 · FEDERAL MEDICAID SHARE

WN Estimate
Estimated spending · YTD$66,429,224.78Historical pace · USD, UTC

American Samoa

#56 · FEDERAL MEDICAID SHARE

WN Estimate
Estimated spending · YTD$41,144,094.42Historical pace · USD, UTC

How these numbers work

CMS Medicaid Financial Management Report, federal share only, medical assistance plus administration. Excludes CHIP and state shares. Fiscal year 2024; compare separately with Treasury net outlays. Models expire 2027-01-01.

Running amounts apply a constant historical pace: the reported amount divided by every second in Fiscal year 2024, multiplied by elapsed time in the selected range. They illustrate the flow; they do not track actual transactions today. Week starts Monday and YTD starts January 1, in UTC. Dollar increments show motion, not dollar-level measurement accuracy.

“Reported period” restores the original source amounts. This pace model freezes at 2027-01-01 unless a newer official snapshot is imported. These program snapshots have their own reporting periods and coverage, which differ from the national Treasury budget-function counter.

Official sources, versions & audit trail

Version: wn-spending-breakdowns-v1. Source-file SHA-256 checksums, original observations and the model are included in the audit download. Illustrative images are AI-generated and do not identify actual recipients, facilities or contract work.

Download data & audit