[20060117]RS21071_2003财年和2004财年医疗补助支出.pdf

Congressional Research Service The Library of CongressCRS Report for CongressReceived through the CRS WebOrder Code RS21071Updated January 17, 2006Medicaid Expenditures, FY2003 and FY2004Karen TritzAnalyst in Social LegislationDomestic Social Policy DivisionSummaryMedicaid is a health insurance program jointly funded by the states and the federalgovernment. Generally, eligibility is limited to low-income children, pregnant women,parents of dependent children, people with disabilities, and the elderly. Each statedesigns and administers its own program within broad federal guidelines.The federal government shares in a states Medicaid costs by means of a statutoryformula based on a states per capita income, adjusted annually. The federal medicalassistance percentage (FMAP) is the percentage of Medicaid benefit costs paid for bythe federal government. FMAPs must not fall below 50% and may not exceed 83%.During FY2003 and FY2004, the federal government financed about 59% of allMedicaid costs.In FY2003, federal payments for health care services and administration of theMedicaid program totaled $161 billion, 9.7% higher than in FY2002. Combined stateand federal spending in FY2003 for Medi