Which states got the most Medicaid money in FY2024?
- Pennsylvania includes Medicare payments booked where Medicare's claims contractors are, for patients across the country, so its total runs high. Ask for Medicare by patients' home state to see where beneficiaries live.
Top 57 by obligations in FY2024. Leading: California ($96.90B); New York ($59.51B); Texas ($31.83B).
| State | Obligations |
|---|---|
| California | $96.90B |
| New York | $59.51B |
| Texas | $31.83B |
| Pennsylvania | $27.32B |
| Ohio | $23.92B |
| North Carolina | $21.29B |
| Florida | $20.99B |
| Illinois | $19.87B |
| Michigan | $19.06B |
| Arizona | $15.23B |
| Massachusetts | $14.48B |
| Kentucky | $14.43B |
| Virginia | $14.38B |
| Indiana | $14.16B |
| New Jersey | $14.03B |
| Louisiana | $12.91B |
| Missouri | $12.09B |
| Oregon | $11.60B |
| Georgia | $11.32B |
| Washington | $11.07B |
| Minnesota | $10.88B |
| Maryland | $10.61B |
| Tennessee | $9.63B |
| Colorado | $8.42B |
| Wisconsin | $7.54B |
First 25 of 57 rows.
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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).