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Medicaid Expenditures, FY2003 and FY2004 (CRS Report for Congress)

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Release Date Revised Jan. 17, 2006
Report Number RS21071
Report Type Report
Authors Karen Tritz, Domestic Social Policy Division
Source Agency Congressional Research Service
Older Revisions
  • Premium   Revised Feb. 15, 2005 (6 pages, $24.95) add
  • Premium   June 7, 2004 (6 pages, $24.95) add
Summary:

Medicaid is a health insurance program jointly funded by the states and the federalgovernment. Generally, eligibility is limited to low-income children, pregnant women,parents of dependent children, people with disabilities, and the elderly. Each statedesigns and administers its own program within broad federal guidelines.The federal government shares in a state's Medicaid costs by means of a statutoryformula based on a state's per capita income, adjusted annually. The federal medicalassistance percentage (FMAP) is the percentage of Medicaid benefit costs paid for bythe federal government. FMAPs must not fall below 50% and may not exceed 83%.During FY2003 and FY2004, the federal government financed about 59% of allMedicaid costs.In FY2003, federal payments for health care services and administration of theMedicaid program totaled $161 billion, 9.7% higher than in FY2002. Combined stateand federal spending in FY2003 for Medicaid totaled $275 billion, a 6.9% increase overFY2002.In FY2004, federal payments for health care services and administration of theMedicaid program totaled $174 billion, 8.6% higher than in FY2003. Combined stateand federal spending for Medicaid totaled $295 billion in FY2004, a 7.2% increase overFY2003.