2026 Enacted Budget Medicaid Scorecard

  • Scorecard is available in Portable Document Format (PDF)
(State Share - $ in millions) Eff. Date Article VII/ Admin   FY 2026   FY 2027
Global Cap Forecast (Surplus)/Deficit   $2,935.50   $4,180.70
Signed Legislation       $41.50   $43.50
Medically Fragile Young Adults (S5969A/A3674A) 4/12/25 Legal   $11.70   $14.30
Medically Fragile Adult Demo Program (A10189B/S9519A) 12/21/24 Legal   $29.80   $29.80
Treatment in Place (A9102C/S8486C) 10/1/24 Legal   ($0.50)   ($1.10)
Enhancing Access for Opioid Use Disorder (S7177B/A5984B) 2/20/25 Legal   $0.50   $0.50
Global Cap Index Update 4/1/23 Admin   ($209.20)   ($345.00)
Reallocation of Other State Agency Costs 4/1/25 Admin   ($2,111.30)   ($2,213.30)
Global Cap (Surplus)/Deficit       $656.40   $1,665.90
Budget Actions       ($138.50)   ($210.30)
Hospital Actions       ($56.70)   ($56.70)
Restructure the Public Indigent Care Pool 4/1/25 Art. VII   ($56.70)   ($56.70)
Other Long-Term Care Actions       ($40.60)   ($97.70)
Discontinue Funding for Managed Long-Term Care Quality Pool 4/1/25 Admin   ($22.40)   ($22.40)
Reform the Nursing Home Transition & Diversion (NHTD) Waiver 7/1/25 Admin   ($18.20)   ($75.30)
Managed Care Actions       ($41.30)   ($56.00)
Shift Funding for Managed Care Quality Pool 4/1/25 Admin   ($26.30)   ($26.30)
MMC to FFS Shift for Nursing Home Long-Term Stays 10/1/25 Art. VII   ($7.60)   ($15.20)
Authorize Plan Penalties 4/1/25 Art. VII   ($5.00)   ($5.00)
Applied Behavior Analysis (ABA) Reforms 10/1/25 Admin   ($2.40)   ($9.50)
State of the State Investments       $9.60   $16.70
Improve & Expand Access to Infertility Treatments 10/1/25 Art. VII   $2.30   $4.60
Support Mobility for People with Physical Disabilities 1/1/26 Admin   $4.10   $8.70
Health Equity for Justice-Involved Youth 7/1/25 Admin   $3.20   $3.40
Total Global Cap (Surplus)/Deficit       $527.60   $1,472.30
Healthcare Stability Fund Investments       $1,470.00   $1,415.00
Hospital Investments 4/1/25 Art. VII   $305.00   $305.00
Nursing Home/Hospice Investments 4/1/25 Art. VII   $222.50   $192.50
Assisted Living Program (ALP) Investments 4/1/25 Art. VII   $7.50   $7.50
Physician Fee Schedule Investments 4/1/25 Admin   $50.00   $50.00
Clinic Investments 4/1/25 Art. VII   $20.00   $10.00
Value Based Provider Investments 4/1/25 Admin   $15.00   $0.00
Managed Care Quality Pool Investments 4/1/25 Admin   $50.00   $50.00
Safety Net Transformation Program Investments 4/1/25 Admin   $300.00   $300.00
Healthcare Stability Fund Global Cap Offset 4/1/25 Admin   $500.00   $500.00
Global Cap Adjustments       ($1,970.00)   ($1,915.00)
Healthcare Stability Fund Investment Exclusion 4/1/25 Admin   ($1,470.00)   ($1,415.00)
Global Cap Offset 4/1/25 Admin   ($500.00)   ($500.00)
Total Global Cap (Surplus)/Deficit       $27.60   $972.30
Adds       $502.30   $2.30
Financially Distressed and Safety-net Hospital Support 4/1/25 Admin   $500.00   $0.00
Neoplastic Disease Care Hospital Investments 4/1/25 Admin   $2.30   $2.30
Financial Plan Resources       ($529.90)   ($2.30)
Financial Plan Support for Restorations and Adds 4/1/25 Admin   ($529.90)   ($2.30)
Total Global Cap (Surplus)/Deficit       $0.00   $972.30