Expenditures

This updated annual report examines spending in the functional areas of state budgets and includes fiscal 2017-2019 data. The report looks at spending in the areas of elementary and secondary education, higher education, public assistance, Medicaid, corrections, transportation, and all other. It includes state-by-state breakdowns, highlights data on capital expenditures by program area, and reviews revenue sources.

This semi-annual report analyzes the fiscal condition of the states and includes data summaries of state general fund revenues, expenditures, and balances. State fiscal conditions continue to show signs of improvement and greater stability. Fiscal 2019 is projected to be the ninth year in a row with moderate state spending and revenue growth. State general fund spending is expected to grow 4.3 percent in fiscal 2019 compared to fiscal 2018 levels.

On February 13th, the Government Accountability Office publicly released a report on Medicaid personal care services. In the study, GAO examined the data available regarding personal care services and its effectiveness for program monitoring. GAO makes four key recommendations for CMS to improve data regarding personal care services.

Mathematica Policy Research released a report that evaluated the implementation and impacts of Comprehensive Primary Care (CPC) initiative over its first two years. In October of 2012, the Center for Medicare & Medicaid Innovation (CMMI) under the Centers for Medicare & Medicaid Services (CMS) launched the CPC initiative to test a new model of care delivery for about 500 primary care practices. This report also evaluates how different factors, like participation, have changed.

The LEAD Center published a policy brief that examines the impact of employment programs on health care costs for working-age people with disabilities. People with disabilities are responsible for a disproportionate amount of healthcare spending each year, mainly through Medicare and Medicaid. Employment of people with disabilities shows a "protective impact" on health, which would ultimately help to lower public spending on health care for this population.