Department

Nevada Health Authority

Nevada Health Authority spent $9.42 billion in FY2026 — 91% of a $10.3 billion budget. It is the largest of the state's 41 departments: about $1 in every $3 of all state spending.

That is 6.4% more than in FY2025 ($8.85 billion), not adjusted for inflation.

Spent FY2026: $9.42 billion$9,415,285,346
Budget FY2026: $10.35 billionplus $387 million held in reserve
Share of budget spent: 91%Spent ÷ budget
Change from FY2025: +6.4%FY2025: $8.85 billion

81.1% of Health and Human Services spending.

Spent each year, FY2006 onwards · dashed line: budgetHistory follows the budget accounts in this department in FY2026, looked up by code in every year.

Year

Compare with

Where the money went

Explore Nevada Health Authority by division: select a block to go a level deeper, or switch views. Totals leave out reserves, pass-through accounts and money paid on to other state accounts.

Budget vs spent, by division

5 divisions. The largest, Nevada Medicaid, accounts for 86% of the total.

Divisions of Nevada Health Authority, FY2026
Division	Spent FY2026	Budget FY2026	% of budget spent	Share
Nevada Medicaid	$8.13 billion

Spent and budget each fiscal year
Fiscal year	Spent	Budget
FY2006	$1.59 billion	Not available
FY2007	$1.77 billion	Not available
FY2008	$1.87 billion	Not available
FY2009	$2.01 billion	Not available
FY2010	$2.15 billion	$2.26 billion
FY2011	$2.27 billion	$2.37 billion
FY2012	$2.27 billion	$2.51 billion
FY2013	$2.45 billion	$2.68 billion
FY2014	$2.77 billion	$2.90 billion
FY2015	$3.76 billion	$4.17 billion
FY2016	$4.02 billion	$4.21 billion
FY2017	$4.39 billion	$4.62 billion
FY2018	$4.65 billion	$4.94 billion
FY2019	$4.94 billion	$5.04 billion
FY2020	$4.93 billion	$5.17 billion
FY2021	$4.70 billion	$6.03 billion
FY2022	$6.37 billion	$6.52 billion
FY2023	$6.86 billion	$7.45 billion
FY2024	$6.06 billion	$7.61 billion
FY2025	$8.85 billion	$9.76 billion
FY2026	$9.42 billion	$10.35 billion
FY2027	See note	$9.51 billion

NVHA - Public Employees' Benefits Program	$966 millionof $1.04 billion	$1.04 billion	93%	10.3%

NVHA - Nevada Health Authority Director's Office	$288 millionof $537 million	$537 million	54%	3.1%

NVHA - Silver State Health Insurance Exchange	$17.9 millionof $21.9 million	$21.9 million	82%	0.2%

NVHA - Health Care Facility Reg	$14.8 millionof $17.3 million	$17.3 million	86%	0.2%

Spent each year by divisions
Fiscal year	Nevada Medicaid	NVHA - Public Employees' Benefits Program	NVHA - Nevada Health Authority Director's Office	NVHA - Silver State Health Insurance Exchange	NVHA - Health Care Facility Reg	Budget
FY2006	$1.23 billion	$331 million	$19.9 million	$728 thousand	$4.60 million	—
FY2007	$1.31 billion	$437 million	$21.2 million	$841 thousand	$5.32 million	—
FY2008	$1.33 billion	$508 million

Funding sources by group and revenue ledger code, FY2026 budget
Group	Revenue ledger	Legislature approved	Current budget
Federal funds	$5.20 billion	$6.53 billion
FF	3511 Fed Title XIX Receipts	$5.08 billion	$6.20 billion
FF	3500 Dept of Defense Funds	$0	$200 million
FF	3501 Fed Title XXI Receipts	$111 million	$115 million
FF	3564 Fed Medicare Cert Grant	$1.79 million	$1.79 million
FF	3537 Fed Share, Health Service Cost

Budget journey for FY2026: each step and the running total
Step	Amount	Running total
Governor recommended	$8.95 billion	$8.95 billion
Changes made by the Legislature	−$225 million= $8.73B	$8.73 billion
Legislature approved	$8.73 billion	$8.73 billion
Accounts outside the operating budget	+$207 million= $8.94B	$8.94 billion
Federal money added after the session	+$1.13 billion= $10.06B	$10.06 billion
Money carried over from earlier years	+$82.3 million= $10.15B	$10.15 billion
Other changes after the session	+$201 million= $10.35B	$10.35 billion
Current budget	$10.35 billion	$10.35 billion

FY2009	$1.43 billion	$547 million	$22.0 million	$1.90 million	$6.81 million	—

FY2010	$1.49 billion	$579 million	$74.1 million	$1.65 million	$7.66 million	$2.26 billion

FY2011	$1.58 billion	$607 million	$77.0 million	$1.74 million	$7.95 million	$2.37 billion

FY2012	$1.68 billion	$505 million	$79.3 million	$3.15 million	$7.31 million	$2.51 billion

FY2013	$1.79 billion	$533 million	$109 million	$14.6 million	$7.00 million	$2.68 billion

FY2014	$2.07 billion	$560 million	$121 million	$16.3 million	$7.49 million	$2.90 billion

FY2015	$3.02 billion	$558 million	$147 million	$28.5 million	$7.59 million	$4.17 billion

FY2016	$3.27 billion	$591 million	$149 million	$5.14 million	$7.64 million	$4.21 billion

FY2017	$3.60 billion	$609 million	$166 million	$8.68 million	$8.13 million	$4.62 billion

FY2018	$3.82 billion	$636 million	$171 million	$12.8 million	$9.84 million	$4.94 billion

FY2019	$4.09 billion	$645 million	$179 million	$17.8 million	$10.8 million	$5.04 billion

FY2020	$4.08 billion	$682 million	$142 million	$17.9 million	$11.1 million	$5.17 billion

FY2021	$3.94 billion	$617 million	$125 million	$11.1 million	$11.2 million	$6.03 billion

FY2022	$5.53 billion	$658 million	$152 million	$14.6 million	$11.0 million	$6.52 billion

FY2023	$5.97 billion	$694 million	$166 million	$13.7 million	$14.7 million	$7.45 billion

FY2024	$5.22 billion	$615 million	$192 million	$14.4 million	$15.1 million	$7.61 billion

FY2025	$7.73 billion	$840 million	$249 million	$15.7 million	$19.3 million	$9.76 billion

FY2026	$8.13 billion	$966 million	$288 million	$17.9 million	$14.8 million	$10.35 billion

FY2027	—	—	—	—	—	$9.51 billion

General Fund	$1.26 billion	$1.23 billion
GF	2501 General Fund Appropriation	$1.26 billion	$1.23 billion

General Fund

2501 General Fund Appropriation

Medicaid rebates and provider taxes	$749 million	$856 million
OF	4218 Drug Rebate	$485 million	$525 million
OF	4108 Mco Enhanced Rates	$93.4 million	$120 million
OF	3337 Long Term Care Provider Tax	$51.9 million	$51.9 million
OF	4101 Unmet Freecare Obligations	$26.4 million	$49.0 million
OF	4218 Ppo RX Rebates	$44.6 million	$44.6 million
OF	4104 Receipts County Inpatient Upl	$24.9 million	$30.2 million
OF	4106 Receipts From County Gme	$10.9 million	$19.2 million
OF	4103 Receipts From Practitioner Upl	$8.95 million	$12.2 million
OF	4107 Receipts County Outpatient Upl	$3.19 million	$3.82 million

Medicaid rebates and provider taxes

4218 Drug Rebate

4108 Mco Enhanced Rates

3337 Long Term Care Provider Tax

4101 Unmet Freecare Obligations

4218 Ppo RX Rebates

4104 Receipts County Inpatient Upl

4106 Receipts From County Gme

4103 Receipts From Practitioner Upl

4107 Receipts County Outpatient Upl

Property and school support taxes	$434 million	$567 million
OF	3330 Centrally Assessed Property TX	$399 million	$522 million
OF	3320 Real Property Taxes	$24.1 million	$24.7 million
OF	3321 One Cent Ad Valorem Tax	$10.9 million	$20.6 million

Property and school support taxes

3330 Centrally Assessed Property TX

3320 Real Property Taxes

3321 One Cent Ad Valorem Tax

Fees, licences and tuition	$30.5 million	$73.8 million
OF	3601 Licenses and Fees	$0	$31.2 million
OF	3601 Per Member Per Month (Pmpm) Fees	$17.0 million	$20.8 million
OF	3601 Health Facility Licenses/Fees	$10.5 million	$10.5 million
OF	3305 Assessments	$0	$7.65 million
OF	3713 Medical Lab Certification Fees	$1.40 million	$1.40 million
OF	3728 Health Cost Containment Fee	$1.25 million	$1.25 million
OF	3602 Licenses and Fees	$0	$651 thousand
OF	3729 Audit Fees	$171 thousand	$171 thousand
OF	3730 Cpe Audit Fees	$168 thousand	$168 thousand

Fees, licences and tuition

3601 Licenses and Fees

3601 Per Member Per Month (Pmpm) Fees

3601 Health Facility Licenses/Fees

3305 Assessments

3713 Medical Lab Certification Fees

3728 Health Cost Containment Fee

3602 Licenses and Fees

3729 Audit Fees

3730 Cpe Audit Fees

Everything else	$118 million	$118 million
OF	4103 County Reimbursements	$65.1 million	$75.2 million
OF	4326 Treasurer's Interest Distrib	$17.3 million	$26.6 million
OF	4101 RTC Reimbursements	$6.38 million	$10.8 million
OF	4209 Recoveries	$2.13 million	$2.05 million
OF	4355 Ncu Premiums	$1.75 million	$1.75 million
OF	4356 Katie Beckett Premiums	$0	$518 thousand
OF	4105 School District Reimbursements	$340 thousand	$340 thousand
OF	4677 Trans From Ba 3214 (Wic Food Supplement)	$130 thousand	$130 thousand
OF	4157 Cost Containment Fines	$83.6 thousand	$83.6 thousand
OF	4152 Fines/Forfeitures/Penalties	$57.7 thousand	$71.2 thousand
OF	4156 Penalties	$0	$50.0 thousand
OF	4151 CIVIL Penalties	$41.9 thousand	$41.9 thousand
OF	4254 Miscellaneous Revenue	$19.5 thousand	$19.5 thousand
OF	4153 Deposit Forfeiture	$2.6 thousand	$9.4 thousand
OF	4355 Hiwa Premiums	$877	$877
OF	4563 Hospital Assess for Counties	$24.8 million	$0

Everything else

4103 County Reimbursements

4326 Treasurer's Interest Distrib

4101 RTC Reimbursements

4209 Recoveries

4355 Ncu Premiums

4356 Katie Beckett Premiums

4105 School District Reimbursements

4677 Trans From Ba 3214 (Wic Food Supplement)

4157 Cost Containment Fines

4152 Fines/Forfeitures/Penalties

4156 Penalties

4151 CIVIL Penalties

4254 Miscellaneous Revenue

4153 Deposit Forfeiture

4355 Hiwa Premiums

4563 Hospital Assess for Counties

Moved between state accounts · not new money

4753 Transfer From Drug Rebates

4756 Trans From Ba 3177

4325 State Subsidies

4542 Receipts Active Employees Insurance Premiums

4750 Trans From Igt Account

4323 State Employee Premium

4514 Retired Employees Group Insurance

4752 Trans From LTC Provider Tax

4691 Trans 1.5 Cent From 3244 Ihc

4751 Transfer DHHS - Iaf County Indigent

4321 Non State Subsidy

4669 Trans From Dir Private Upl

4754 Transfer for Planning

4319 Non State Retiree Premium

4757 Transfer From Ba 3245

4756 Transfer From Ba 3177

4756 Trans From 3177

4611 Transfer in Fed Arpa

3860 Medicaid Charges

4671 Transfer From Dhhs-Opioid

4752 Transfer From Ba 3160 LTC Provider Tax

4764 Trans From Ba 3145 (Child, Youth & Family Admin)

4751 Trans From Ba 3170 (Behavioral HLTH Prev & Treat)

4750 Transfer From Ba 3157 Igt

4762 Transfer From Traffic Safety-B

…and 16 smaller lines (all in the CSV)

Carried over from last year · not new money

2511 Balance Forward From Previous Year

Moved between state accounts · not new money		$2.20 billion	$2.46 billion
IA	4753 Transfer From Drug Rebates	$484 million	$523 million
IA	4756 Trans From Ba 3177	$381 million	$451 million
IA	4325 State Subsidies	$440 million	$440 million
IA	4542 Receipts Active Employees Insurance Premiums	$357 million	$359 million
IA	4750 Trans From Igt Account	$198 million	$323 million
IA	4323 State Employee Premium	$110 million	$110 million
IA	4514 Retired Employees Group Insurance	$71.5 million	$83.4 million
IA	4752 Trans From LTC Provider Tax	$52.9 million	$52.9 million
IA	4691 Trans 1.5 Cent From 3244 Ihc	$26.0 million	$26.0 million
IA	4751 Transfer DHHS - Iaf County Indigent	$25.5 million	$25.5 million
IA	4321 Non State Subsidy	$22.2 million	$22.2 million
IA	4669 Trans From Dir Private Upl	$9.13 million	$9.35 million
IA	4754 Transfer for Planning	$0	$6.89 million
IA	4319 Non State Retiree Premium	$5.02 million	$5.02 million
IA	4757 Transfer From Ba 3245	$3.65 million	$4.45 million
IA	4756 Transfer From Ba 3177	$2.93 million	$3.78 million
IA	4756 Trans From 3177	$2.16 million	$2.16 million
IA	4611 Transfer in Fed Arpa	$0	$1.87 million
IA	3860 Medicaid Charges	$1.54 million	$1.54 million
IA	4671 Transfer From Dhhs-Opioid	$487 thousand	$607 thousand
IA	4752 Transfer From Ba 3160 LTC Provider Tax	$519 thousand	$519 thousand
IA	4764 Trans From Ba 3145 (Child, Youth & Family Admin)	$506 thousand	$506 thousand
IA	4751 Trans From Ba 3170 (Behavioral HLTH Prev & Treat)	$446 thousand	$446 thousand
IA	4750 Transfer From Ba 3157 Igt	$390 thousand	$390 thousand
IA	4762 Transfer From Traffic Safety-B	$0	$350 thousand
	…and 16 smaller lines (all in the CSV)

Carried over from last year · not new money		$234 million	$316 million
BF	2511 Balance Forward From Previous Year	$234 million	$316 million

Nevada Health Authority

Where the money went

Budget vs spent, by division

Over time

Who pays for it

How the FY2026 budget got here

Notes