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official CategoryBUDGET_FUNC_550_MEDICAID
Medicaid Spending
Verified Data • Sourced from USAspending.gov API (August 2026)
Joint federal-state health assistance program outlays for eligible low-income individuals, children, pregnant women, elderly, and people with disabilities.
Key Financial Summary • FY2026
Medicaid Outlays at a Glance
Verified Data • Sourced from USAspending.gov API (August 2026)
Total Outlays
$680.00 Billion
Total reported federal spending
Share of Budget
10.1%
Relative allocation percentage
Daily Outlay Rate
$1.86 Billion
Estimated outlay per day
Hourly Rate
$77.63 Million
Estimated / hour
Minute Rate
$1.29 Million
Estimated / min
Per Second Rate
$22 Thousand
Estimated / sec
Fiscal Year
FY 2026
Outlays of total $6.75T
Verified Subcategory Breakdown (Donut View — FY2026)
Medicaid FY2026$680.00 Billion
Acute Care Federal Matching Grants
$442.00 Billion
65%
Long-Term Services & Home Care Grants
$176.00 Billion
25.9%
Disproportionate Share Hospital (DSH) Grants
$38.00 Billion
5.6%
Program Administration & Integrity
$24.00 Billion
3.5%
Subcategory Breakdown Table (FY2026)
| Subcategory Component | Outlays | Share of Category | Fiscal Year |
|---|---|---|---|
| Acute Care Federal Matching Grants | $442.00 Billion | 65% | FY2026 |
| Long-Term Services & Home Care Grants | $176.00 Billion | 25.9% | FY2026 |
| Disproportionate Share Hospital (DSH) Grants | $38.00 Billion | 5.6% | FY2026 |
| Program Administration & Integrity | $24.00 Billion | 3.5% | FY2026 |
Spending by Year (2018 – 2026)
Top Associated Executive Agencies
Top Primary Recipients / Contractors
Medicaid Geographic State Distribution (FY2026)
State-level outlay distribution where supported by official place-of-performance data.
CACalifornia
$105.20 Billion(15.5%)
NYNew York
$74.80 Billion(11%)
TXTexas
$48.60 Billion(7.1%)
FLFlorida
$31.50 Billion(4.6%)
PAPennsylvania
$28.90 Billion(4.3%)
OHOhio
$24.10 Billion(3.5%)
Related Contextual Data & Detail Pages
Source: USAspending.govFiscal Year: FY2026Data Type: Federal OutlaysLast Updated: August 2026Classification Type: OFFICIAL
All monetary figures represent verified U.S. federal government budget outlays. Time-based rates (daily, hourly, minute, second) are mathematical rates derived directly from total annual outlays.