1/17/2024 0 Comments Us budget spending 2016![]() ![]() 1īetween SFY 19, Medicaid’s share of state budgets reflected similar trends regardless of whether federal funds were counted (Figure 2). In comparison, when examining amounts that include spending by state and local governments, Medicaid’s share is smaller (an estimated 16 percent in SFY 2015) and education’s share is about the same (37 percent) (MACPAC analysis of data in Barnett et al. For example, Medicaid’s share of spending by state governments (from all revenue sources, including federal dollars) was over 25 percent and education’s share was above 30 percent in SFY 2016 (Figure 1). ![]() As a result, when combined state and local budgets are examined (rather than state budgets alone), education’s share of spending remains similar and Medicaid’s becomes smaller. In contrast, Medicaid is a shared responsibility between the federal government and states, and most of the program’s funding flows through state budgets. Funding for education is generally a state and local responsibility, but the local portion is generally not reflected in state budgets. Medicaid spending is often compared to education spending, another major state expenditure, but the picture is incomplete when looking at state budgets alone. Source: MACPAC analysis of data in National Association of State Budget Officers 2017. State-funded state budgets include all non-federal funds, and consist of state general funds (expenditures from revenues raised through income, sales, and other broad-based state taxes) other state funds (expenditures from revenue sources that are restricted by law for particular government functions or activities, which for Medicaid includes provider taxes and local funds) and bonds (expenditures from the sale of bonds, generally for capital projects). ![]() Total state budgets include all state (solid segments) and federal funds (dotted segments).
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