US, State Population Update for 2025

On January 21, 2026 the US Census Bureau released its US national and state population estimates for July 1, 2025.  On February 7, 2026 usgovernmentspending.com updated its US and state population data as follows:

• We updated 2020-2025 population data from US and states using data from US Census National Population Totals and Components of Change 2020-2025 in file NST-EST2025-POP.xlsx.
• We projected 2022 thru 2030 for the US and states projecting population rate change for 2024-25 through 2030.

usgovernmentspending.com uses population data in computing per capita spending and revenue data. You can see per capita spending data in a chart here, and in a table of spending here.

You can check the data update schedule here.

Medicaid Update for FY2024

On January 14, 2026, the Centers for Medicare and Medicaid Services (CMS) published its annual report on National Health Expenditures and its NHE Tables includes data on Medicaid from 1960 to 2023. On January 15, 2026, usgovernmentspending.com updated its Medicaid data.

Item	2024 Estimate	2024 Actual
Federal Medicaid	$567.2 bn	$567.2 bn
State Medicaid (net)	$124.4 bn	$253.2 bn
Total Medicaid	$691.6 bn	$820.4 bn

The federal Medicaid number comes from the Federal Budget Subfunction 558: Grants to states for Medicaid. The state contribution comes from the NHE Tables.

usgovernmentspending.com publishes "guesstimates" of state and local spending from the latest year published by the Census Bureau (currently FY 2023) to the last year in the Historical Tables of the federal budget. (currently 2029 from the FY25 budget). So we have developed "guesstimates" of Medicaid spending going out to 2029, assuming that the overall Medicaid spending increases at the same rate as the federal "Grants to States for Medicaid" increases.

National Health Expenditure data is updated each year in mid December. 

CBO Long Term Budget Outlook for 2025

On March 27, 2025 the Congressional Budget Office released its annual Long Term Budget Outlook for 2025, which projects federal spending and revenue out to 2055.  As before, the data for the CBO study shows that federal health-care programs and interest costs will eat the budget, with federal spending exceeding 25 percent GDP by the 2040s while federal revenue stays a little over 19 percent GDP.

UsGovernmentspending.com has updated its chart of the CBO Long Term Budget Outlook here.  You can download the data and also view CBO Long Term Budget Outlooks going back to 1999.