Motivated by Medicaid’s growing share of federal and state budgets, some policymakers have expressed concerns about the program’s sustainability and proposed changes to the program’s federal financing structure. But states themselves also have incentives and policy levers that enable them to limit growth in state Medicaid spending. In addition to an overview of the state budget process, this presentation describes the experience of nine states as they sought to manage Medicaid spending to achieve budget targets over recent state budget cycles.
Learn more about current state policy levers to control Medicaid spending.