7/14/2023 0 Comments Us budget breakdown 2015![]() Medicaid spending is often compared to education spending, another major state expenditure, but the picture is incomplete when looking at state budgets alone. Source: MACPAC analysis of data in National Association of State Budget Officers 2017. State-funded state budgets include all non-federal funds, and consist of state general funds (expenditures from revenues raised through income, sales, and other broad-based state taxes) other state funds (expenditures from revenue sources that are restricted by law for particular government functions or activities, which for Medicaid includes provider taxes and local funds) and bonds (expenditures from the sale of bonds, generally for capital projects). Total state budgets include all state (solid segments) and federal funds (dotted segments). The program accounted for 15.9 percent of spending from state general funds and other non-federal amounts that are not a part of general funds, such as provider taxes levied for Medicaid purposes (Figures 1 and 2).įIGURE 1: Distribution of Medicaid, Education, and All Other Spending from Total State Budgets versus State-Funded State Budgets, SFY 2016.Medicaid accounted for 19.6 percent of spending from state general funds, which are raised through income, sales, and other broad-based state taxes (Figure 2).Looking only at the state-funded portion of state budgets for SFY 2015, which states must finance on their own through taxes and other means: Federal funding provides the majority of Medicaid expenditures.Medicaid accounted for 28.7 percent of spending from all sources (Figure 1).Looking at spending from total state budgets for state fiscal year SFY 2016, including funds from all state and federal sources: Medicaid’s share of state budgets varies across states and differs substantially depending on how it is measured. ![]() Given this diversity of nonfederal funding sources, MACPAC typically reports Medicaid’s share of state-funded budgets counting all state funds, rather than state general funds alone. In state fiscal year (SFY) 2012, 69 percent of funds came from state general revenues, 16 percent from local governments (including intergovernmental transfers and certified public expenditures), 10 percent from health care-related taxes, and 5 percent from other sources (see Government Accountability Office 2014). By law, at least 40 percent must be financed by the state and up to 60 percent may come from local governments. Funding for the state (often referred to as the nonfederal) share of Medicaid comes from a variety of sources. ![]()
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