Healthcare & Medicaid


Healthcare & Medicaid

Key healthcare and Medicaid issues create enormous financial and policy challenges for states.  The rapid growth in healthcare costs continues to be a significant fiscal issue for states.  In fiscal 2011, it is estimated that Medicaid comprised 23.6 percent of total state expenditures. There are also many challenges ahead as states move forward with implementing national health care reform. 

Staff Contact: Stacey Mazer

NASBO Publications

  • This report shows that state budgets are expected to continue on a path of stable, moderate growth, with 42 governors recommending spending increases for fiscal 2016. However, progress is slow, and structural issues and long-term spending pressures will require difficult budget choices for many states. States’ spending proposals continue to be cautious as they plan for limited revenue growth.
  • This report shows that state fiscal conditions are moderately improving in fiscal 2015 as the economic recovery enters its sixth year. Consistent annual growth in the economy, while not as robust as many would like, is leading most states back to budget growth. States have replenished some spending for areas cut back during the recession, such as K-12 education and higher education. In addition to bolstering state spending, economic growth has produced higher revenue collections.

Recently Released Reports