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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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