Health Care Spending Slowdown? Not for States and Localities
State and Local Health Spending Accelerated in 2011, Bucking Recent National Trend
About This Analysis
The Centers for Medicare & Medicaid Services tracks state and local government spending on Medicaid, health benefits for public employees (including the employers’ portion of Medicare), public health, and other programs. In upcoming research, the State Health Care Spending Project—launched jointly by Pew and the John D. & Catherine T. MacArthur Foundation—will produce a more comprehensive state-by-state total of expenditures, creating a baseline that lawmakers can use when making policy decisions.
 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.
 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.
 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.
 Government Accountability Office, “State and Local Governments’ Fiscal Outlook: April 2012 Update,” April 2012, http://www.gao.gov/assets/590/589908.pdf.
 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.
 Kaiser Commission on Medicaid and the Uninsured, “Medicaid Enrollment: June 2011 Data Snapshot,” June 2012, http://www.kff.org/medicaid/upload/8050-05.pdf.