Cost of Medicaid expansion coverage in SFY 2024

The federal government foots 90% of the bill for the Medicaid expansion group, with the state covering 10%. Because voters put coverage of the expanded group in the Missouri Constitution, if the federal government changes how much of the expansion group cost they cover, the state would be forced to make up the difference.

Bar chart showing that in fiscal year 2024, the state paid about $311 million to cover the adult expansion group while the federal government paid the remaining about $2.8 billion dollars.