1993.03.17 : Medicaid Program Costs in 1992 Contact: Anne Verano (202) 690-6145 March 17, 1993 Medicaid spending by the federal government and the states increased 25 percent in fiscal year 1992, with total Medicaid outlays reaching $118.2 billion, compared with $94.5 billion in FY 1991, the Health Care Financing Administration announced today. However, the rate of increase declined slightly from the 31 percent rise recorded for FY 1991 over FY 1990. HCFA estimates the number of people covered by Medicaid in FY 1992 rose approximately 12 percent to about 31.6 million, up from 28.3 million in FY *This is an archive page. The links are no longer being updated. 1991. Medicaid pays for health care for certain groups of low- income Americans, mainly women, children, the elderly poor and the disabled. The program is administered by the states, with federal matching payment. Under Medicaid, states get matching payments ranging from 50 percent to 83 percent, depending on state per-capita income. This means the federal government pays a greater share of a poorer state's Medicaid expenses. The federal share amounted to $67.8 billion in FY 1992, up from $52.5 billion in FY *This is an archive page. The links are no longer being updated. 1991. Increases in Medicaid expenditures and the number of people served are attributed to the economic recession, expanded eligibility mandated by congressional legislation, and state use of provider tax and donation programs. According to the current estimates, total Medicaid spending will reach about $140.3 billion in FY 1993 and $161.9 billion in FY 1994. In addition, a recent HCFA study projected that Medicaid's portion of national health expenditures could increase from 11.3 percent in 1990 to nearly 21 percent by the year 2000, given recent rates of growth. (See attached tables for state-by-state data on Medicaid payments and recipients in FY 1991 and 1992.) # # # EDITOR'S NOTE: HCFA, an agency of the U.S. Department of Health and Human Services, directs the Medicare and Medicaid programs, which help pay the medical bills of 67 million Americans. HCFA's estimated fiscal year 1993 expenditures are almost $230 billion, the 12th largest governmental budget of any kind in the world. MEDICAID RECIPIENTS FY 1991 FY 1992 Alabama 403,255 466,918 Alaska 51,288 57,540 Arizona 313,142 402,212 Arkansas 284,674 320,875 California 4,019,084 4,485,743 Colorado 223,444 258,690 Connecticut 271,903 316,278 Delaware 50,680 60,696 District of Columbia 100,065 108,514 Florida 1,248,883 1,537,926 Georgia 746,241 863,671 Hawaii 91,162 99,666 Idaho 70,060 86,924 Illinois 1,144,272 1,313,140 Indiana 415,167 506,829 Iowa 261,419 278,828 Kansas 209,329 226,991 Kentucky 525,497 583,089 Louisiana 640,562 702,264 Maine 150,623 162,441 Maryland 362,520 377,075 Massachusetts 651,056 675,872 Michigan 1,112,533 1,129,023 Minnesota 421,738 406,491 Mississippi 469,684 486,861 Missouri 503,310 554,477 Montana 63,615 60,186 Nebraska 133,751 150,791 Nevada 59,296 77,525 New Hampshire 59,684 71,179 New Jersey 614,073 697,193 New Mexico 161,995 211,805 New York 2,461,537 2,557,701 North Carolina 667,203 785,043 North Dakota 52,539 57,068 Ohio 1,299,285 1,442,289 Oklahoma 304,659 360,039 Oregon 263,303 295,320 Pennsylvania 1,277,428 1,426,887* Puerto Rico 1,201,199 1,341,739* Rhode Island 163,704 182,857* South Carolina 375,233 431,083 South Dakota 57,145 64,230 Tennessee 697,411 785,231 Texas 1,728,629 2,024,554 Utah 129,274 137,264 Vermont 70,699 77,502 Virgin Islands 11,722 13,221 Virginia 442,073 515,064 Washington 506,279 568,673 West Virginia 283,708 308,034 Wisconsin 415,942 440,134 Wyoming 36,804 42,401 TOTALS 28,279,781 31,594,047** * Latest estimate, final total not reported to HCFA ** Includes estimates from Pa., R.I. and Puerto Rico MEDICAID PAYMENTS (In $ millions) FY 1991 FY 1992 Federal State Total Federal State Total Alabama 796 307 1,103 1,119 421 1,540 Alaska 105 85 190 115 97 212 Arizona 526 326 852 780 453 1,233 Arkansas 560 193 753 720 239 959 California 4,520 4,479 8,999 6,187 6,116 12,303 Colorado 423 355 778 567 457 1,024 Connecticut 758 748 1,506 1,152 1,139 2,291 Delaware 99 95 194 119 114 233 D.C. 254 252 506 307 303 610 Florida 1,841 1,540 3,381 2,312 1,909 4,221 Georgia 1,254 780 2,034 1,575 971 2,546 Hawaii 148 125 273 190 170 360 Idaho 162 61 223 206 78 284 Illinois 1,308 1,284 2,592 2,224 2,187 4,411 Indiana 1,132 662 1,794 1,440 819 2,259 Iowa 512 298 810 595 322 917 Kansas 390 315 705 554 385 939 Kentucky 1,113 374 1,487 1,351 509 1,860 Louisiana 1,507 528 2,035 2,534 851 3,385 Maine 380 219 599 468 283 751 Maryland 747 784 1,531 1,025 1,007 2,032 Massachusetts 2,216 2,329 4,545 2,123 2,102 4,225 Michigan 1,906 1,564 3,470 2,226 1,775 4,001 Minnesota 943 825 1,768 1,105 923 2,028 Mississippi 660 176 836 876 228 1,104 Missouri 1,012 687 1,699 1,440 924 2,364 Montana 179 69 248 199 81 280 Nebraska 264 157 421 320 175 495 Nevada 100 99 199 191 186 377 New Hampshire 202 198 400 561 557 1,118 New Jersey 1,587 1,715 3,302 2,357 2,331 4,688 New Mexico 285 106 391 402 138 540 New York 8,036 9,922 17,958 9,781 9,641 19,422 North Car. 1,405 704 2,109 1,672 856 2,528 North Dakota 162 70 232 185 70 255 Ohio 2,318 1,560 3,878 2,962 1,928 4,890 Oklahoma 631 287 918 781 337 1,118 Oregon 471 277 748 557 326 883 Pennsylvania 2,473 1,929 4,402 3,611 2,742 6,353 Puerto Rico 79 79 158 79 79 158 Rhode Island 344 301 645 421 370 791 South Carolina 928 359 1,287 1,125 431 1,556 South Dakota 147 57 204 178 66 244 Tennessee 1,300 601 1,901 1,641 764 2,405 Texas 2,678 1,551 4,229 4,043 2,263 6,306 Utah 275 98 373 331 114 445 Vermont 131 81 212 163 103 266 Virgin Islands 2.5 2.5 5.0 2.6 2.6 5.2 Virginia 671 654 1,325 838 820 1,658 Washington 873 731 1,604 1,168 951 2,119 West Virginia 438 157 595 742 224 966 Wisconsin 1,068 723 1,791 1,241 811 2,052 Wyoming 68 31 99 87 39 126 Subtotal $52,392 41,915 94,307 $68,953 51,192 120,145 TOTAL * $52,533 41,915 94,525 $67,827 50,339 118,166 * Includes adjustments after fiscal years 1991 and 1992