How much does Medicaid cost in Texas?
Updated monthly
A combined $49.4 billion in state and federal spending in fiscal year (FY) 2024, the most recent data available. A health insurance program for low-income individuals, Medicaid is jointly funded by both levels of government, with the federal government covering 60.5% of the spending and state governments covering 39.5%. The cost came out to $10,400 per enrollee or $1,600 for every state resident.
$49.4B
combined federal and state spending on Medicaid in Texas (FY 2024)
41.6%
Medicaid’s share of Texas state government spending (FY 2023)
In FY 2023, the latest year of data available, Medicaid accounted for 41.6% of the state's budget (this includes federal funding), higher than the 30% average among all states.
In FY 2024, the federal and Texas government spent a combined $49.4 in the state on Medicaid.
Medicaid spending in Texas by level of government, FY 2014–2024
How much of Texas state government spending is on Medicaid?
Medicaid is a state-administered program and one of the largest categories of spending for state governments. In Texas during FY 2023, the latest year of data available, Medicaid accounted for 41.6% of the state’s budget. This includes funds that came from the federal government.
In FY 2023, Medicaid accounted for 41.6% of Texas state government spending.
Shares of state government spending, including federally funded, by category
What does Medicaid spending in Texas pay for?
About 61.9% of Texas's Medicaid benefit spending in FY 2024 went to managed care. These are payments to private health plans that states contract with to deliver Medicaid services.
Unlike Medicare or most private insurance, Medicaid pays for long-term services and supports like nursing home care and home health (10.2% of Medicaid benefit spending in FY 2024). Medicaid also helps low-income seniors and people with disabilities afford Medicare by covering their premiums and out-of-pocket costs (3.3%).
In FY 2024, 10.2% of Medicaid benefit spending in Texas went toward long-term services and supports.
Medicaid benefit spending, by service type
Medicaid spending per enrollee
In FY 2023, state and federal governments spent a combined $9,109 per Medicaid enrollee.
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Methodology
USAFacts standardizes data, in areas such as time and demographics, to make it easier to understand and compare.
The analysis was generated with the help of AI and reviewed by USAFacts for accuracy.
Page sources
USAFacts endeavors to share the most up-to-date information available. We sourced the data on this page directly from government agencies; however, the intervals at which agencies publish updated data vary.
