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Health Care Spending Slowdown? Not for States and Localities

State and Local Health Spending Accelerated in 2011, Bucking Recent National Trend

Infographics: State and Local Government Health Care Spending

References

Chart 1
Source: Centers for Medicare & Medicaid Services, Office of the Actuary, National Health Statistics Groups; January 2013. Bureau of Economic Analysis, National Income and Product Accounts, Table 3.3 State and Local Government Current Receipts and Expenditures.

Note: Percentages were calculated by dividing expenditure data from the National Health Expenditure Accounts by revenue data from the Bureau of Economic Analysis’ National Income and Product Accounts. State and local revenues are state and local current receipts minus contributions for government social insurance and minus federal grants-in-aid.

Chart 2

Source: Centers for Medicare & Medicaid Services, Office of the Actuary, National Health Statistics Groups; January 2013

Note: Data for calendar years 1987-2011 were converted to 2011 dollars using the Implicit Price Deflator for Gross Domestic Product included in the Bureau of Economic Analysis’ National Income and Product Accounts. Data for calendar years 2012-2021 were converted to 2011 dollars using the Congressional Budget Office’s economic projections included in “An Update to the Budget and Economic Outlook: Fiscal Years 2012 to 2022,” August 2012. “Other programs” include other public and general assistance, maternal and child health, vocational rehabilitation, public health activities, hospital subsidies, state phase-down payments, and investment (research, structures and equipment). The projections include impacts from the Affordable Care Act.

Chart 3

Source: Government Accountability Office, “State and Local Governments’ Fiscal Outlook: April 2012 Update”

 

 [1] Centers for Medicare & Medicaid Services, National Health Expenditure Accounts, Sponsor Highlights, January 2013, http://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-Reports/NationalHealthExpendData/NationalHealthAccountsHistorical.html. Bureau of Economic Analysis, National Income and Product Accounts, “Table 3.3 State and Local Government Current Receipts and Expenditures,” http://www.bea.gov/iTable/iTable.cfm?ReqID=9&step=1.

 [2] Kaiser Family Foundation, “Impact of the Medicaid Fiscal Relief Provisions in the American Recovery and Reinvestment Act (ARRA),” October 2011, http://www.kff.org/medicaid/upload/8252.pdf.

 [3] For all inflation adjustments, data for calendar years 1987-2011 were converted to 2011 dollars using the Implicit Price Deflator for Gross Domestic Product included in the Bureau of Economic Analysis’ National Income and Product Accounts, http://www.bea.gov/iTable/iTable.cfm?ReqID=9&step=1. Data for calendar years 2012-2021 were converted to 2011 dollars using the Congressional Budget Office’s economic projections. Congressional Budget Office, “An Update to the Budget and Economic Outlook: Fiscal Years 2012 to 2022,” August 2012, http://www.cbo.gov/sites/default/files/cbofiles/attachments/08-22-2012-Update_to_Outlook.pdf. CMS projections include impacts from the Affordable Care Act.

 [4] Government Accountability Office, “State and Local Governments’ Fiscal Outlook: April 2012 Update,” April 2012, http://www.gao.gov/assets/590/589908.pdf.

 [5] John Holahan, Lisa Clemans-Cope, Emily Lawton, and David Rousseau, “Medicaid Spending Growth over the Last Decade and the Great Recession, 2000-2009,” Kaiser Commission on Medicaid and the Uninsured, February 2011, http://www.kff.org/medicaid/upload/8152.pdf.

 [6] Kaiser Commission on Medicaid and the Uninsured, “Medicaid Enrollment: June 2011 Data Snapshot,” June 2012, http://www.kff.org/medicaid/upload/8050-05.pdf.

Date:
January 29, 2013
Contacts:
Matt Mulkey | 202.862.9864
Project:
State Health Care Spending
Issues:
Health Care Costs, Medicaid
State:
National

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PCS.PRODUCTION.1.20130430.1315 (PEWSUWVMWAPP01)