KFF October 6, 2025
Editorial Note
Originally published in August 2024, this data note was updated on October 6, 2025 with data from 2023, the most current Medicaid data available at the time of this analysis.
Medicaid is the primary program providing comprehensive health and long-term care coverage to approximately one in five low-income Americans. States administer Medicaid programs within broad federal rules, but have flexibility in designing programs, which creates variation in spending and enrollment as well as spending per enrollee across eligibility groups and states.
Over the coming years, state Medicaid programs may see significant reductions to their Medicaid enrollment and spending, resulting in changes to their spending per enrollee, across eligibility groups due to the recently enacted...
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