MedicaidFY2025 and FY2026 to date
How much does the federal government spend on Medicaid?
$668.1 billion in fiscal year 2025: 9.53% of all federal spending.That is about $1,955 per US resident. In FY2026 through August 2026 it spent $655.0 billion, up 8% on the same months of FY2025 ($607.8 billion). Treasury figures for Medicaid (federal grants to states).
By year
Medicaid: $349.8 billion in FY2015, $668.1 billion in FY2025
Net outlays by fiscal year (October to September), nominal dollars ยท FY2026* = to August 2026
Every year as a table, with the share of federal outlays
| Fiscal year | Net outlays | Share of federal outlays |
|---|---|---|
| FY2026 to Aug '26 | $655.0 billion | 9.62% |
| FY2025 | $668.1 billion | 9.53% |
| FY2024 | $617.5 billion | 9.15% |
| FY2023 | $615.8 billion | 10.04% |
| FY2022 | $591.9 billion | 9.44% |
| FY2021 | $520.6 billion | 7.64% |
| FY2020 | $458.5 billion | 7.00% |
| FY2019 | $409.4 billion | 9.21% |
| FY2018 | $389.2 billion | 9.47% |
| FY2017 | $374.7 billion | 9.41% |
| FY2016 | $368.3 billion | 9.56% |
| FY2015 | $349.8 billion | 9.48% |
U.S. Treasury, Monthly Treasury Statement, Table 5.
By month
Largest month: June 2026, $68.2 billion
Net outlays in each month. Large one-month amounts are usually lump-sum transfers or accounting adjustments.
Monthly figures as a table
| Month | Outlays in the month | Fiscal year to date |
|---|---|---|
| August 2026 | $56.8 billion | $655.0 billion |
| July 2026 | $58.3 billion | $598.2 billion |
| June 2026 | $68.2 billion | $539.9 billion |
| May 2026 | $62.7 billion | $471.7 billion |
| April 2026 | $56.0 billion | $409.0 billion |
| March 2026 | $67.8 billion | $353.0 billion |
| February 2026 | $57.1 billion | $285.2 billion |
| January 2026 | $51.8 billion | $228.1 billion |
| December 2025 | $65.3 billion | $176.3 billion |
| November 2025 | $55.1 billion | $110.9 billion |
| October 2025 | $55.8 billion | $55.8 billion |
| September 2025 | $60.4 billion | $668.1 billion |
| August 2025 | $54.3 billion | $607.8 billion |
| July 2025 | $62.1 billion | $553.5 billion |
| June 2025 | $55.1 billion | $491.4 billion |
| May 2025 | $58.2 billion | $436.3 billion |
| April 2025 | $58.1 billion | $378.1 billion |
| March 2025 | $56.6 billion | $320.0 billion |
| February 2025 | $52.7 billion | $263.3 billion |
| January 2025 | $51.2 billion | $210.7 billion |
| December 2024 | $55.1 billion | $159.4 billion |
| November 2024 | $51.2 billion | $104.3 billion |
| October 2024 | $53.1 billion | $53.1 billion |
| September 2024 | $57.1 billion | $617.5 billion |
U.S. Treasury, Monthly Treasury Statement, Table 5.
Federal Medicaid money by state, FY2025
Obligations under Assistance Listing 93.778 (Medical Assistance Program) by state, from USAspending.gov, FY2025. California received the most ($107.8 billion); per resident, District of Columbia was highest ($4,787) and Wyoming lowest ($817), against $1,930 across all states. Per resident uses the Census Bureau 2025 population. Select a column to sort.
| State | Federal Medicaid grants | Per resident |
|---|---|---|
| California | $107.8B | $2,739 |
| New York | $60.8B | $3,041 |
| Texas | $31.2B | $984 |
| Pennsylvania | $29.3B | $2,240 |
| Ohio | $27.1B | $2,273 |
| North Carolina | $25.2B | $2,248 |
| Florida | $22.1B | $940 |
| Illinois | $21.1B | $1,662 |
| Michigan | $18.6B | $1,836 |
| Virginia | $16.7B | $1,878 |
| New Jersey | $16.4B | $1,714 |
| Arizona | $16.0B | $2,095 |
| Massachusetts | $15.8B | $2,204 |
| Indiana | $15.6B | $2,230 |
| Kentucky | $15.5B | $3,366 |
| Louisiana | $14.0B | $3,030 |
| Oregon | $13.1B | $3,065 |
| Washington | $13.0B | $1,620 |
| Georgia | $12.5B | $1,110 |
| Minnesota | $12.1B | $2,080 |
| Missouri | $11.8B | $1,880 |
| Tennessee | $11.5B | $1,571 |
| Maryland | $11.2B | $1,783 |
| Colorado | $9.7B | $1,611 |
| Wisconsin | $9.0B | $1,503 |
| New Mexico | $8.2B | $3,869 |
| Oklahoma | $7.6B | $1,849 |
| South Carolina | $7.5B | $1,350 |
| Connecticut | $7.2B | $1,945 |
| Arkansas | $7.0B | $2,247 |
| Iowa | $6.9B | $2,119 |
| Alabama | $6.2B | $1,190 |
| Nevada | $6.0B | $1,817 |
| Mississippi | $5.8B | $1,959 |
| West Virginia | $4.6B | $2,606 |
| Kansas | $4.1B | $1,388 |
| Maine | $3.5B | $2,470 |
| Utah | $3.4B | $962 |
| Idaho | $3.4B | $1,667 |
| Nebraska | $3.4B | $1,670 |
| Puerto Rico | $3.4B | $1,057 |
| District of Columbia | $3.3B | $4,787 |
| Rhode Island | $2.6B | $2,328 |
| Alaska | $2.5B | $3,373 |
| Delaware | $2.2B | $2,102 |
| Hawaii | $2.1B | $1,431 |
| Montana | $2.0B | $1,776 |
| New Hampshire | $1.8B | $1,254 |
| Vermont | $1.5B | $2,339 |
| South Dakota | $1.2B | $1,303 |
| North Dakota | $1.0B | $1,309 |
| Wyoming | $481.3M | $817 |
| Guam | $173.7M | n/a |
| U.S. Virgin Islands | $123.4M | n/a |
| Northern Mariana Islands | $104.0M | n/a |
| American Samoa | $95.5M | n/a |
Medicaid within Health and Human Services
Net outlays from the same Treasury table.
| Account | FY2015 | FY2025 | FY2026 so far |
|---|---|---|---|
| Medicaid | $349.8B | $668.1B | $655.0B |
| All of CMS (incl. Medicare) | $1.30T | $2.48T | $2.49T |
| All of HHS | $1.03T | $1.88T | $1.82T |
On your tax bill
Federal spending is paid for by all taxes and borrowing together, so each dollar of federal income tax is split in proportion to spending. Medicaid took 9.53% of it in FY2025.
| Income | Income tax | To Medicaid |
|---|---|---|
| $40,000 | $2,620 | $250 |
| $60,000 | $5,020 | $478 |
| $75,000 | $7,670 | $731 |
| $100,000 | $13,170 | $1,255 |
| $150,000 | $24,734 | $2,357 |
What this counts
The federal share of Medicaid: grants to states that pay part of what each state's Medicaid program spends on health care and long-term care. States pay the rest of the cost, and the state share is not in these figures. The Children's Health Insurance Program is a separate account.
Figures are net outlays: payments made, minus any offsetting collections credited to the same accounts, as printed in the Monthly Treasury Statement. They are not adjusted for inflation. In the budget-function view it falls under health care and Medicaid.
Questions and answers
- How much does the US spend on Medicaid a year?
- $668.1 billion in fiscal year 2025 (October 2024 to September 2025), in net outlays recorded by the Treasury for Medicaid (federal grants to states). In FY2024 it was $617.5 billion.
- What share of the federal budget goes to Medicaid?
- 9.53% of all federal outlays in FY2025 ($668.1 billion of $7.01 trillion): about $95 of every $1,000 the government spent.
- Which state gets the most federal Medicaid money?
- California: $107.8 billion in FY2025 (USAspending). Per resident, District of Columbia received the most ($4,787).
- How much is that per person?
- About $1,955 per US resident in FY2025, or $1.8 billion a day.
- How much has been spent on Medicaid in 2026?
- In FY2026 through August 2026 it spent $655.0 billion, up 8% on the same months of FY2025 ($607.8 billion). Fiscal year 2026 ended on 30 September 2026; the September statement, published in mid-October, completes it.
- Has spending on Medicaid gone up?
- From $349.8 billion in FY2015 to $668.1 billion in FY2025, +91% in nominal dollars.
- Is this the budget or actual spending?
- Actual spending: outlays are what the Treasury paid out in each fiscal year. The budget Congress passes sets budget authority (what an agency may commit), which can be spent over several years, so appropriations in the news can differ from these figures.
Related
- Federal revenueby source
- Tariff revenueby month
- Federal deficitby year
- Spending as % of GDPsince 1930
- Immigration enforcementby year
- Customs and Border Protectionby year
- Federal Bureau of Prisonsby year
- Disaster reliefby year
Sources and notes
- U.S. Department of the Treasury, Monthly Treasury Statement, Table 5: Outlays of the U.S. Government, line "Grants to States for Medicaid", every month from March 2015 to 2026-08-31, Fiscal Data API. Public domain.
- Population: U.S. Census Bureau, Vintage 2025 estimates, 50 states and DC.
- Tax on your bill: 2026 IRS brackets and standard deduction (Rev. Proc. 2025-32 as amended), as in our calculator.
- State figures: USAspending.gov obligations, Assistance Listing 93.778, FY2025, retrieved 2026-10-04.