Demand for Medicaid increases when the economy is weak, driving up enrollment and costs just as state budgets tighten. This fact sheet, updated to include information from recent interviews with state Medicaid directors, summarizes the relationship of Medicaid with state budgets and discusses the current fiscal situation in the states and how it is affecting Medicaid programs.

 Fact Sheet: September 2009 (.pdf)

Previous versions:

 January 2009 (.pdf)

 November 2008 (.pdf)

 November 2007 (.pdf)