In fiscal year 2021, the Children’s Health Insurance Program (CHIP) spent a total of about 20.9 billion U.S. dollars, of which 15.8 billion U.S. dollars were federal-funded and 5.1 billion U.S. dollars were state-funded. California had, as expected the highest spending and also the largest number of children enrolled in CHIP/Medicaid. The federal government matches spending for both Medicaid and CHIP, but has a higher match rate for CHIP than traditional Medicaid. The Federal Medical Assistance Percentage (FMAP) varies by state depending on the state's per capita income compared to the national average.
This statistic illustrates CHIP spending in the United States in FY 2021, by state and state & federal share.
CHIP spending in the United States in FY 2021, by state and state & federal share
(in million U.S. dollars)
Characteristic
Federal share
State share
California
2,876.9
1,170.1
New York
1,229.4
539.4
Texas
1,243.8
359.8
Massachusetts
610.5
258.7
New Jersey
535.8
243.5
Pennsylvania
580.6
238.5
Illinois
532.2
228.7
Florida
600.2
171.5
Virginia
333.2
146.1
Ohio
496.8
131.4
North Carolina
565.3
127.7
Maryland
279
123.1
Oregon
374.2
113.2
Created with Highcharts 7.2.2Spending in million U.S. dollars4,0474,0471,768.81,768.81,603.61,603.6869.2869.2779.3779.3819.1819.1760.9760.9771.7771.7479.3479.3628.2628.2693693402.1402.1487.4487.4337.6337.6280.2280.2520.1520.1451.3451.3381.6381.6390390403.9403.9309309275275356.9356.9272.3272.3270.2270.2327.3327.3171.4171.4175.4175.4249.7249.7221.1221.1220220110.6110.6112.9112.91191199999127.3127.367.767.781.981.992.292.252.552.585.385.359.959.943.543.530.130.133.233.248.948.925.425.48.88.8151553.553.562.362.3-5.9-5.9-45.8-45.8Federal shareState shareCaliforniaNew YorkTexasMassachusettsNew JerseyPennsylvaniaIllinoisFloridaVirginiaOhioNorth CarolinaMarylandOregonColoradoWashingtonGeorgiaLouisianaMissouriTennesseeAlabamaMichiganWisconsinArizonaOklahomaIndianaKentuckyKansasIowaMississippiArkansasSouth CarolinaRhode IslandNebraskaUtahMontanaNew MexicoHawaiiNevadaIdahoDelawareWest VirginiaDistrict of ColumbiaMaineNorth DakotaSouth DakotaNew HampshireAlaskaWyomingVermontConnecticutMinnesota
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* These states have negative state-share of CHIP spending, thus their total CHIP spending (federal and state share) amounted to:
Minnesota = 16.5m USD
Connecticut = 47.6m USD
This statistic cannot be directly compared to this one, since one is in calendar years and one in fiscal years.
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Medicaid and CHIP Payment and Access Commission, & CMS. (December 13, 2022). CHIP spending in the United States in FY 2021, by state and state & federal share (in million U.S. dollars) [Graph]. In Statista. Retrieved April 14, 2025, from https://www.statista.com/statistics/1281523/chip-spending-by-state/
Medicaid and CHIP Payment and Access Commission, und CMS. "CHIP spending in the United States in FY 2021, by state and state & federal share (in million U.S. dollars)." Chart. December 13, 2022. Statista. Accessed April 14, 2025. https://www.statista.com/statistics/1281523/chip-spending-by-state/
Medicaid and CHIP Payment and Access Commission, CMS. (2022). CHIP spending in the United States in FY 2021, by state and state & federal share (in million U.S. dollars). Statista. Statista Inc.. Accessed: April 14, 2025. https://www.statista.com/statistics/1281523/chip-spending-by-state/
Medicaid and CHIP Payment and Access Commission, and CMS. "Chip Spending in The United States in Fy 2021, by State and State & Federal Share (in Million U.S. Dollars)." Statista, Statista Inc., 13 Dec 2022, https://www.statista.com/statistics/1281523/chip-spending-by-state/
Medicaid and CHIP Payment and Access Commission & CMS, CHIP spending in the United States in FY 2021, by state and state & federal share (in million U.S. dollars) Statista, https://www.statista.com/statistics/1281523/chip-spending-by-state/ (last visited April 14, 2025)
CHIP spending in the United States in FY 2021, by state and state & federal share (in million U.S. dollars) [Graph], Medicaid and CHIP Payment and Access Commission, & CMS, December 13, 2022. [Online]. Available: https://www.statista.com/statistics/1281523/chip-spending-by-state/
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