Medicaid Budget Survey


KFF's annual Medicaid budget survey tracks national enrollment and spending trends as well as state policy actions in key areas, including related to delivery systems, reimbursement rates and provider taxes, benefits, and pharmacy policy. The annual survey is conducted at the beginning of each state fiscal year, and the results have typically been published every fall. Mid-fiscal year surveys were conducted in select years.

Annual and mid-year reports published since 2016 can be found below. Older reports have been archived here. The survey instrument and additional methods information are included in each published report.

The annual survey is conducted by KFF and Health Management Associates (HMA), in collaboration with the National Association of Medicaid Directors (NAMD).

Enrollment & Spending Briefs: 2025 | 2024 | 2023 | 2022 | 2021 | 2020 | 2019 | 2018 | 2017 | 2016 | Older Reports

Annual Policy Reports: 2025 | 2024 | 2023 | 2022 | 2021 | 2020 | 2019 | 2018 | 2017 | 2016 | Older Reports

Mid-Year Reports: 2022 | 2021


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