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Video 01: Spending 101

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Revenue Data Sources

Revenue data is from official government sources.

Gross Domestic Product data comes from US Bureau of Economic Analysis and measuringworth.com.

Detailed table of revenue data sources here.

Federal revenue data begins in 1792.

State and local revenue data begins in 1820.

State and local revenue data for individual states begins in 1957.

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Data Sources for 2021_2029:

Sources for 2021:

GDP, GO: GDP, GO Sources
Federal: Fed. Budget: Hist. Tables 2.1, 2.4, 2.5, 7.1
State and Local: State and Local Gov. Finances
'Guesstimated' by projecting the latest change in reported revenue forward to future years

Sources for 2029:

GDP, GO: GDP, GO Sources
Federal: Fed. Budget: Hist. Tables 2.1, 2.4, 2.5, 7.1
State and Local: State and Local Gov. Finances
'Guesstimated' by projecting the latest change in reported revenue forward to future years

> data sources for other years
> data update schedule.

Blog

Medicaid Update for FY2024

On January 14, 2026, the Centers for Medicare and Medicaid Services (CMS) published its annual report on National Health Expenditures and its NHE Tables includes data on Medicaid from 1960 to 2023. On January 15, 2026, usgovernmentspending.com updated its Medicaid data.

Item2024
Estimate
2024
Actual
Federal Medicaid$567.2 bn$567.2 bn 
State Medicaid (net)$124.4 bn$253.2 bn 
Total Medicaid$691.6 bn$820.4 bn 

The federal Medicaid number comes from the Federal Budget Subfunction 558: Grants to states for Medicaid. The state contribution comes from the NHE Tables.

usgovernmentspending.com publishes "guesstimates" of state and local spending from the latest year published by the Census Bureau (currently FY 2023) to the last year in the Historical Tables of the federal budget. (currently 2029 from the FY25 budget). So we have developed "guesstimates" of Medicaid spending going out to 2029, assuming that the overall Medicaid spending increases at the same rate as the federal "Grants to States for Medicaid" increases.

National Health Expenditure data is updated each year in mid December. 

CBO Long Term Budget Outlook for 2025
On March 27, 2025 the Congressional Budget Office released its annual Long Term Budget Outlook for 2025, which projects federal spendin ...

State FY25 Taxes Update
On November 22, 2025 usgovernmentspending.com updated FY2025 state revenue with quarterly tax data released by the US Ce ...

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