Federal and state Medicaid spending under overhaul

A look at how President Barack Obama’s health care overhaul law would change federal and state Medicaid spending from 2013-2022. The figures, in millions of dollars, include the cost of expanding Medicaid to cover childless adults, as well as the cost of enrolling people eligible under current laws but not signed up. The table shows how spending would change if every state adopted the Medicaid expansion in the law. A few states would save.
State Change in federal spending Change in state spending
Alabama 15,384 1,280
Alaska 1,637 325
Arizona 17,280 3,137
Arkansas 13,186 1,221
California 84,607 13,970
Colorado 11,568 1,496
Connecticut 9,992 -351
Delaware 2,725 -505
District of Columbia 990 126
Florida 73,294 8,885
Georgia 37,942 3,139
Hawaii 3,775 132
Idaho 3,749 261
Illinois 29,443 6,433
Indiana 18,920 1,385
Iowa 5,430 -321
Kansas 6,696 1,043
Kentucky 18,732 1,574
Louisiana 16,745 1,778
Maine 3,512 -436
Maryland 13,500 -504
Massachusetts 11,553 -4,014
Michigan 25,556 4,026
Minnesota 7,055 1,931
Mississippi 15,668 1,201
Missouri 20,963 2,798
Montana 2,815 436
Nebraska 3,412 518
Nevada 6,620 1,197
New Hampshire 2,659 315
New Jersey 19,799 3,375
New Mexico 5,694 608
New York 84,494 -17,669
North Carolina 44,710 5,098
North Dakota 2,895 456
Ohio 58,010 6,627
Oklahoma 9,147 1,021
Oregon 14,707 803
Pennsylvania 43,341 3,995
Rhode Island 3,152 450
South Carolina 17,003 1,527
South Dakota 2,222 192
Tennessee 25,247 2,306
Texas 77,330 9,636
Utah 7,007 707
Vermont 1,324 -667
Virginia 16,413 2,616
Washington 10,166 1,420
West Virginia 9,131 576
Wisconsin 13,755 725
Wyoming 1,500 204
U.S. Totals 952,454 76,479
Source: The Urban Institute
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