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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 Older reports have been archived here.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

Trend Report | 2016

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  • New Analysis Shows Effect of Rising Unemployment on Health Coverage, Medicaid and SCHIP Spending and Enrollment

    Event

    As the country faces another economic downturn, many states are scrambling to deal with the impact of poor economic conditions on programs, like Medicaid and the State Children’s Health Insurance Program (SCHIP), that are reliant on state funding. To be better able to cope, states are looking for fiscal relief from the federal government as well as obtaining a moratorium on federal regulations that would reduce Medicaid funding for states from the Congress. New analyses…