Which states' Medicaid funding grew fastest since 2023?
Obligations in FY2025 compared with FY2023: U.S. Virgin Islands $123.37M vs $73.64M (+67.5%); North Carolina $25.17B vs $15.19B (+65.8%); Northern Mariana Islands $103.96M vs $63.64M (+63.3%).
| State | Obligations | Obligations baseline | Change | Change % |
|---|---|---|---|---|
| U.S. Virgin Islands | $123.37M | $73.64M | $49.73M | 67.5% |
| North Carolina | $25.17B | $15.19B | $9.99B | 65.8% |
| Northern Mariana Islands | $103.96M | $63.64M | $40.32M | 63.3% |
| Nevada | $5.96B | $4.12B | $1.84B | 44.7% |
| South Dakota | $1.22B | $852.50M | $365.52M | 42.9% |
| Iowa | $6.86B | $4.91B | $1.95B | 39.8% |
| California | $107.80B | $81.20B | $26.61B | 32.8% |
| Guam | $173.68M | $131.25M | $42.43M | 32.3% |
| Nebraska | $3.37B | $2.64B | $731.05M | 27.7% |
| Tennessee | $11.49B | $9.08B | $2.42B | 26.6% |
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How to read this
- Amounts are obligations (money committed), not outlays (money paid).
- Location is where the work is performed, not where the recipient is based.
- Medicare payments are published as aggregate records placed where Medicare's claims contractors are (mostly Minnesota, Indiana, Pennsylvania, Kentucky, North Dakota, Connecticut, Florida and South Carolina), not where patients live, so those states show far more HHS money than their population suggests (ask for Medicare payments by patients' home state for where beneficiaries live).
- '(outside the US)' is work performed abroad; '(not reported)' has no location in the source.
- Assistance only (program numbers exist only for grants, loans and payments).
- Compares FY2025 with FY2023; the % change is blank when the earlier year is zero.