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Home > Advocacy > No Caps on Kids! Campaign > Medicaid Spending by State [Urban Institute Data]

 
 

Medicaid Spending by State [Urban Institute Data]

Congress passed a FY 2006 budget resolution earlier this year that requires that reconciliation legislation be prepared by September 16, 2005, that reduces federal spending by a total of $35 billion over five years. The budget resolution specifically calls on Congress to enact $10 billion in cuts to Medicaid and other entitlement or mandatory programs, as well as implement $70 billion in additional tax cuts.

While the budget resolution does not specifically call for a cap or reduction in federal funding for foster care or adoption assistance, congressional committees could decide to make changes to these programs in order to achieve their specified cuts.

The below chart provides state specific information about total child welfare financing and the proportion of federal Medicaid and Title IV-E dollars to the total amount of child welfare funding that each state receives from the federal government. The Medicaid funding includes only Medicaid spending for Medicaid Targeted Case Management and Rehabilitative Services for children in the child welfare system and does not include health care costs covered by Medicaid.

If Congress imposes a federal cap, restriction, or disallows the use of any of these funding sources, it would disproportionately shift the burden of responsibility to states and communities to provide services to children and families in the child welfare system

State Total Child Welfare Spending (Federal, State & Local) Total Federal Child Welfare Spending ^ Federal Title IV-E Spending % of Federal Title IV-E Spending to Total Federal Child Welfare Spending Federal Medicaid Spending * % of Federal Medicaid Spending to Total Federal Child Welfare Spending
Alabama 271,997,873 175,368,538 31,059,893 18% 75,492,004 43%
Alaska 82,246,655 31,219,555 14,752,952 47% 5,588,047 18%
Arizona 263,162,613 159,312,366 56,923,703 36%  --- N/A
Arkansas 68,005,126 45,108,952 35,183,839 78% 109,305 0.2%
California 3,969,123,381 1,795,256,381 1,271,781,000 71% 32,880,000 2%
Colorado 369,968,558 174,491,524 64,105,711 37% 66,766,205 38%
Connecticut 139,672,616 73,862,288 68,367,027 93%  --- N/A
Delaware 51,369,725 20,549,252 13,349,993 65% 257,004 1%
D.C. 218,074,750 77,138,769 38,728,989 50% 23,595,312 31%
Florida 766,109,440 436,772,421 183,180,612 42% 3,978,767 1%
Georgia 385,718,188 230,144,157 87,889,807 38% 54,297,824 24%
Hawaii 80,423,767 37,028,343 25,105,189 68%  --- N/A
Idaho 49,785,800 29,142,100 8,375,900 29% 623,300 2%
Illinois 1,373,409,026 738,430,027 392,190,791 53% 36,339,907 5%
Indiana 383,761,912 108,725,458 65,071,406 60%  --- N/A
Iowa 317,371,621 141,224,971 44,871,784 32% 47,345,909 34%
Kansas 183,960,499 114,299,519 38,346,048 34% 22,963,462 20%
Kentucky 331,951,216 127,241,464 67,052,988 53%  0 0%
Louisiana 205,212,594 121,369,877 58,783,946 48%  0 0%
Maine 143,503,838 60,019,217 50,163,202 84% 1,229,304 2%
Maryland 431,512,479 206,423,022 124,057,282 60% 9,308,216 5%
Massachusetts 634,846,929 249,648,754 89,789,754 36% 60,681,838 24%
Michigan 760,995,545 465,605,966 242,590,718 52%  --- N/A
Minnesota 621,865,000 226,856,439 93,335,925 41% 69,116,749 30%
Mississippi 56,899,368 34,410,873 14,919,822 43%  --- N/A
Missouri 487,278,630 302,682,132 85,593,591 28% 30,711,483 10%
Montana 44,723,037 21,764,484 14,087,929 65%  0 0%
Nebraska 143,945,744 63,422,608 27,797,428 44% 30,090,267 47%
Nevada 78,232,653 42,752,577 19,296,286 45% 10,244,697 24%
New Hampshire 58,082,783 27,627,924 6,741,662 24% 13,264,122 48%
New Jersey 460,389,862 189,600,334 87,405,658 46% 28,511,958 15%
New Mexico 77,273,580 43,862,816 25,336,344 58% 8,275,800 19%
New York 2,552,961,000 1,386,157,000 631,433,000 46%  0 0%
North Carolina 314,207,149 204,357,182 71,827,809 35%  --- N/A
North Dakota 32,237,497 25,271,693 9,957,507 39% 5,137,091 20%
Ohio 860,302,907 429,794,881 378,472,533 88% 1,454,163 0.3%
Oklahoma 195,095,580 125,228,618 47,498,021 38% 29,062,178 23%
Oregon 259,147,279 174,773,370 50,795,095 29% 55,276,966 32%
Pennsylvania 1,281,310,642 614,835,766 319,357,487 52% 3,276,077 1%
Rhode Island 166,940,105 78,080,105 19,782,067 25% 41,345,820 53%
South Carolina 239,800,000 170,276,000 40,649,000 24% 83,512,000 49%
South Dakota 39,441,666 23,258,291 7,135,548 31% 3,934,262 17%
Tennessee 425,944,946 187,333,669 38,297,764 20% 102,962,485 55%
Texas 824,978,690 540,113,780 160,891,955 30% 70,498,771 13%
Utah 120,228,300 57,838,300 24,704,200 43% 18,931,900 33%
Vermont 67,265,907 43,886,480 19,710,181 45% 12,565,013 29%
Virginia 335,031,670 218,242,752 71,311,559 33%  0 0%
Washington 396,477,199 188,857,649 66,132,748 35% 39,627,388 21%
West Virginia 154,448,327 89,537,723 32,740,679 37%  --- N/A
Wisconsin 349,464,994 159,964,994 112,516,763 70% 366,634 0.2%
Wyoming 30,087,462 15,278,008 3,825,606 25% 2,498,677 16%
U.S. Total 22,156,246,128 11,304,449,369 5,553,276,701 49% 1,102,120,905 10%

Source: The Urban Institute. The Cost of Protecting Vulnerable Children IV. Available online.

^ Federal Spending includes dollars from Title IV-E, Title IV-B, TANF, SSBG, Medicaid, SSI, and Survivor's Benefits.

* The Medicaid funding includes only Medicaid spending for Medicaid Targeted Case Management and Rehabilitative Services for children in the child welfare system and does not include health care costs covered by Medicaid.

0 = State does not use funding stream.

 --- = State uses funding stream but could not provide data.

Notes: U.S. spending totals are based on data from all 50 states and District of Columbia.

Limitations: Connecticut was unable to provide State FY 2002 data. The data presented were taken from HHS with the corresponding state match.




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