Headed for a Crunch: An Update on Medicaid Spending, Coverage and Policy Heading into an Economic Downturn

September 2008 Results from a 50-State Medicaid Budget Survey for State Fiscal Years 2008 and 2009 At the beginning of fiscal year 2008, many states were moving forward with Medicaid improvements. One year later, over half of the states face budget shortfalls and slower than anticipated revenue growth. Despite the growing crunch, few states cut down on Medicaid spending. This report tracks trends in Medicaid spending, enrollment, and policy initiatives in all 50 states for the state fiscal years 2008 and 2009 . . .