Division

Nevada Medicaid

Nevada Medicaid spent $8.13 billion in FY2026 — 93% of a $8.74 billion budget. It is the largest of the state's 109 divisions: about $1 in every $3 of all state spending.

That is 5.2% more than in FY2025 ($7.73 billion), not adjusted for inflation.

Spent FY2026: $8.13 billion$8,128,211,624
Budget FY2026: $8.74 billionplus $237 million held in reserve
Share of budget spent: 93%Spent ÷ budget
Change from FY2025: +5.2%FY2025: $7.73 billion

86.3% of Nevada Health Authority spending.

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

Year

Compare with

Where the money went

Explore Nevada Medicaid by budget account: 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 budget account

11 budget accounts. The largest, NVHA - Nevada Medicaid, Title XIX, accounts for 99% of the total.

Budget accounts of Nevada Medicaid, FY2026
Budget account	Spent FY2026	Budget FY2026	% of budget spent	Share
NVHA - Nevada Medicaid, Title XIX3243

Spent and budget each fiscal year
Fiscal year	Spent	Budget
FY2006	$1.23 billion	Not available
FY2007	$1.31 billion	Not available
FY2008	$1.33 billion	Not available
FY2009	$1.43 billion	Not available
FY2010	$1.49 billion	$1.55 billion
FY2011	$1.58 billion	$1.64 billion
FY2012	$1.68 billion	$1.75 billion
FY2013	$1.79 billion	$1.83 billion
FY2014	$2.07 billion	$2.12 billion
FY2015	$3.02 billion	$3.33 billion
FY2016	$3.27 billion	$3.39 billion
FY2017	$3.60 billion	$3.73 billion
FY2018	$3.82 billion	$4.04 billion
FY2019	$4.09 billion	$4.14 billion
FY2020	$4.08 billion	$4.24 billion
FY2021	$3.94 billion	$5.11 billion
FY2022	$5.53 billion	$5.60 billion
FY2023	$5.97 billion	$6.45 billion
FY2024	$5.22 billion	$6.52 billion
FY2025	$7.73 billion	$8.60 billion
FY2026	$8.13 billion	$8.74 billion
FY2027	See note	$7.90 billion

NVHA - Nevada Check Up Program3178	$73.5 millionof $91.0 million	$91.0 million	81%	0.9%

NVHA - Improve Emt Quality and Access3246	None recordedof $6.89 million	$6.89 million	—	—

NVHA - Data Analytics3203	$3.42 millionof $4.54 million	$4.54 million	75%	0.0%

Graduate Medical Education3176	$1.47 millionof $20.1 million	$20.1 million	7%	0.0%

Nha- Pharmacy Reporting Failure Penalties Non-Exe3159	$237 thousandof $263 thousand	$263 thousand	90%	0.0%

NVHA - Intergovernmental Transfer Program3157	$150 thousandof $5.40 million	$5.40 million	3%	0.0%

NVHA - Indigent Hospital Care3244	$70.0 thousandof $70.0 thousand	$70.0 thousand	100%	0.0%

NVHA - Increased Quality of Nursing Care3160	$0of $0	$0	—	0.0%

NVHA - Improve Health Care Quality & Access3177	$0of $0	$0	—	0.0%

NVHA - Prescription Drug Rebate3245	$0of $0	$0	—	0.0%

Spent each year by budget accounts
Fiscal year	NVHA - Nevada Medicaid, Title XIX	NVHA - Nevada Check Up Program	NVHA - Data Analytics	Graduate Medical Education	Nha- Pharmacy Reporting Failure Penalties Non-Exe	Other (6)	Budget
FY2006	$1.16 billion	$39.5 million	$629 thousand	—	$1.31 million	$30.1 million	—
FY2007	$1.24 billion	$41.9 million	$131 thousand	—	$1.57 million	$24.0 million	—
FY2008	$1.26 billion

Funding sources by group and revenue ledger code, FY2026 budget
Group	Revenue ledger	Legislature approved	Current budget
Federal funds	$5.01 billion	$6.08 billion
FF	3511 Fed Title XIX Receipts	$4.91 billion	$5.97 billion
FF	3501 Fed Title XXI Receipts	$107 million	$110 million
FF	3593 NV Violent Death Reporting	$278 thousand	$278 thousand
General Fund	$1.21 billion	$1.18 billion
GF	2501 General Fund Appropriation

Budget journey for FY2026: each step and the running total
Step	Amount	Running total
Governor recommended	$7.64 billion	$7.64 billion
Changes made by the Legislature	−$215 million= $7.42B	$7.42 billion
Legislature approved	$7.42 billion	$7.42 billion
Accounts outside the operating budget	+$7.15 million= $7.43B	$7.43 billion
Federal money added after the session	+$1.07 billion= $8.50B	$8.50 billion
Money carried over from earlier years	+$82.0 million= $8.58B	$8.58 billion
Other changes after the session	+$155 million= $8.74B	$8.74 billion
Current budget	$8.74 billion	$8.74 billion

FY2009	$1.38 billion	$37.8 million	—	—	$1.93 million	$6.52 million	—

FY2010	$1.45 billion	$33.6 million	—	—	—	$4.25 million	$1.55 billion

FY2011	$1.54 billion	$33.8 million	—	—	—	$3.14 million	$1.64 billion

FY2012	$1.64 billion	$36.0 million	—	—	—	$1.57 million	$1.75 billion

FY2013	$1.75 billion	$36.4 million	—	—	—	$1.99 million	$1.83 billion

FY2014	$2.03 billion	$38.1 million	—	—	—	$745 thousand	$2.12 billion

FY2015	$2.97 billion	$46.1 million	—	—	—	$210 thousand	$3.33 billion

FY2016	$3.22 billion	$44.5 million	—	—	—	$210 thousand	$3.39 billion

FY2017	$3.55 billion	$47.2 million	—	—	—	$1.84 million	$3.73 billion

FY2018	$3.77 billion	$52.4 million	—	—	—	$280 thousand	$4.04 billion

FY2019	$4.04 billion	$55.4 million	—	—	—	$205 thousand	$4.14 billion

FY2020	$4.03 billion	$51.6 million	—	—	—	$220 thousand	$4.24 billion

FY2021	$3.90 billion	$41.1 million	—	—	$0	$220 thousand	$5.11 billion

FY2022	$5.48 billion	$48.6 million	$2.24 million	—	$202 thousand	$220 thousand	$5.60 billion

FY2023	$5.93 billion	$45.0 million	$2.50 million	—	$250 thousand	$220 thousand	$6.45 billion

FY2024	$5.17 billion	$46.3 million	$2.23 million	—	$202 thousand	$220 thousand	$6.52 billion

FY2025	$7.65 billion	$76.0 million	$3.51 million	—	$289 thousand	$220 thousand	$8.60 billion

FY2026	$8.05 billion	$73.5 million	$3.42 million	$1.47 million	$237 thousand	$220 thousand	$8.74 billion

FY2027	—	—	—	—	—	—	$7.90 billion

Medicaid rebates and provider taxes	$704 million	$811 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	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

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	$0	$7.65 million
OF	3305 Assessments	$0	$7.65 million

Fees, licences and tuition

3305 Assessments

Everything else	$89.6 million	$112 million
OF	4103 County Reimbursements	$64.9 million	$74.9 million
OF	4326 Treasurer's Interest Distrib	$16.1 million	$23.9 million
OF	4101 RTC Reimbursements	$6.38 million	$10.8 million
OF	4355 Ncu Premiums	$1.75 million	$1.75 million
OF	4105 School District Reimbursements	$340 thousand	$340 thousand
OF	4677 Trans From Ba 3214 (Wic Food Supplement)	$130 thousand	$130 thousand
OF	4156 Penalties	$0	$50.0 thousand
OF	4355 Hiwa Premiums	$877	$877

Everything else

4103 County Reimbursements

4326 Treasurer's Interest Distrib

4101 RTC Reimbursements

4355 Ncu Premiums

4105 School District Reimbursements

4677 Trans From Ba 3214 (Wic Food Supplement)

4156 Penalties

4355 Hiwa Premiums

Moved between state accounts · not new money	$1.18 billion	$1.42 billion
IA	4753 Transfer From Drug Rebates	$484 million	$523 million
IA	4756 Trans From Ba 3177	$381 million	$451 million
IA	4750 Trans From Igt Account	$198 million	$323 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	4669 Trans From Dir Private Upl	$9.13 million	$9.35 million
IA	4754 Transfer for Planning	$0	$6.89 million
IA	4756 Trans From 3177	$2.16 million	$2.16 million
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	4760 Trans From Ba 3216 (Health Care Facility Reg)	$285 thousand	$285 thousand
IA	4740 Trans From Ba 3222 (Maternal Child HLTH Srvs)	$273 thousand	$273 thousand
IA	4765 Trans From Ba 3228 (Welfare Admin)	$266 thousand	$266 thousand
IA	4766 Trans Form Ba 3165 (Crisis Response)	$154 thousand	$154 thousand
IA	4767 Transfer From Ba 3146 (Dcfs Family Support)	$148 thousand	$148 thousand
IA	4671 Trans From Ba 3060 (Fund for Resilient NV)	$137 thousand	$137 thousand
IA	4750 Trans From Ba 3153 (Cancer Control Regsitry)	$135 thousand	$135 thousand
IA	4706 Trans From Ba 3220 (Chronic Disease)	$122 thousand	$122 thousand
IA	4672 Trans From Ba 3215 (Communicable Diseases)	$119 thousand	$119 thousand
IA	4753 Trans From Ba 3213 (Immunization Program)	$116 thousand	$116 thousand
IA	4761 Trans From Ba 3219 (Health Investigations & Epi)	$116 thousand	$116 thousand
IA	4670 Trans From Ba 3190 (Health Statistics & Planning)	$107 thousand	$107 thousand
IA	4763 Trans From Ba 3222 (Maternal Child HLTH Srvs)	$6.6 thousand	$6.6 thousand

Moved between state accounts · not new money

4753 Transfer From Drug Rebates

4756 Trans From Ba 3177

4750 Trans From Igt Account

4752 Trans From LTC Provider Tax

4691 Trans 1.5 Cent From 3244 Ihc

4751 Transfer DHHS - Iaf County Indigent

4669 Trans From Dir Private Upl

4754 Transfer for Planning

4756 Trans From 3177

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

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

4760 Trans From Ba 3216 (Health Care Facility Reg)

4740 Trans From Ba 3222 (Maternal Child HLTH Srvs)

4765 Trans From Ba 3228 (Welfare Admin)

4766 Trans Form Ba 3165 (Crisis Response)

4767 Transfer From Ba 3146 (Dcfs Family Support)

4671 Trans From Ba 3060 (Fund for Resilient NV)

4750 Trans From Ba 3153 (Cancer Control Regsitry)

4706 Trans From Ba 3220 (Chronic Disease)

4672 Trans From Ba 3215 (Communicable Diseases)

4753 Trans From Ba 3213 (Immunization Program)

4761 Trans From Ba 3219 (Health Investigations & Epi)

4670 Trans From Ba 3190 (Health Statistics & Planning)

4763 Trans From Ba 3222 (Maternal Child HLTH Srvs)

Carried over from last year · not new money

2511 Balance Forward From Previous Year

Nevada Medicaid

Where the money went

Budget vs spent, by budget account

Over time

Who pays for it

How the FY2026 budget got here

Notes

Carried over from last year · not new money		$112 million	$194 million
BF	2511 Balance Forward From Previous Year	$112 million	$194 million