*This is an archive page. The links are no longer being updated. 1992.12.31 : Medicaid Program Costs in 1990 Contact: Anne Verano (202) 690-6145 December 31, 1992 Federal and state governments, through the Medicaid program, spent 31 percent more on health care for poor Americans in fiscal year 1991 than in fiscal year 1990, the Health Care Financing Administration announced today. Medicaid, a federal-state program, pays for health care for certain groups of low-income Americans, mainly women, children, and the poor elderly and disabled. Total Medicaid outlays were $94.5 billion in FY 1991, compared with $72.1 billion in FY 1990. The federal share was $52.5 billion in FY 1991, up from $41.1 billion in FY 1990. "In FY 1991, 12 percent more poor Americans received health care services through Medicaid than in the previous fiscal year," said William Toby Jr., acting HCFA administrator. "That amounted to an additional 3 million people, raising the total coverage under Medicaid to 28.3 million people in FY 1991." Medicaid rolls increased because of the economic recession and expanded eligibility mandated by legislation. In addition, states were able to raise total Medicaid spending by increasing state revenues through new or expanded taxes on Medicaid providers. That, in turn, caused federal matching funds to the states to increase. This practice has now been restricted by recently enacted legislation. Under Medicaid law, states get matching payments ranging from 50 percent to 83 percent, depending on state per-capita income. That means the federal government pays more of a poorer state's Medicaid expenses. (Contact the Health Care Financing Administration's press office for state-by-state data on Medicaid payments and recipients in FY 1990 and 1991.) # # # EDITOR'S NOTE: HCFA, which also oversees the Medicare program, helps pay the medical bills of 62 million Americans. HCFA's estimated fiscal year 1993 expenditures are $230 billion, the 12th largest governmental budget of any kind in the world.