Nevada Medicaid, Title XIX

Official name: NVHA - Nevada Medicaid, Title XIX

Nevada Medicaid, Title XIX spent $8.05 billion in FY2026 — 94% of a $8.61 billion budget. It is the largest single budget account in the state: about $1 in every $3 of all state spending.

That is 5.3% more than in FY2025 ($7.65 billion), not adjusted for inflation.

Spent FY2026: $8.05 billion$8,049,371,933
Budget FY2026: $8.61 billionplus $11.5 million held in reserve
Share of budget spent: 94%Spent ÷ budget
Change from FY2025: +5.3%FY2025: $7.65 billion

99.0% of Nevada Medicaid spending.

Spent each year, FY2006 onwards · dashed line: budgetBudget account 3243, looked up by its code in every year.

Year

Compare with

Where the money went

Explore Nevada Medicaid, Title XIX by category: 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 category

13 categories. The largest, Newly Eligible, accounts for 38% of the total.

Categories of Nevada Medicaid, Title XIX, FY2026
Category	Spent FY2026	Budget FY2026	% of budget spent	Share
Newly Eligible13

Spent and budget each fiscal year
Fiscal year	Spent	Budget
FY2006	$1.16 billion	Not available
FY2007	$1.24 billion	Not available
FY2008	$1.26 billion	Not available
FY2009	$1.38 billion	Not available
FY2010	$1.45 billion	$1.51 billion
FY2011	$1.54 billion	$1.59 billion
FY2012	$1.64 billion	$1.71 billion
FY2013	$1.75 billion	$1.76 billion
FY2014	$2.03 billion	$2.06 billion
FY2015	$2.97 billion	$3.23 billion
FY2016	$3.22 billion	$3.35 billion
FY2017	$3.55 billion	$3.67 billion
FY2018	$3.77 billion	$3.99 billion
FY2019	$4.04 billion	$4.07 billion
FY2020	$4.03 billion	$4.18 billion
FY2021	$3.90 billion	$5.04 billion
FY2022	$5.48 billion	$5.54 billion
FY2023	$5.93 billion	$6.39 billion
FY2024	$5.17 billion	$6.45 billion
FY2025	$7.65 billion	$8.52 billion
FY2026	$8.05 billion	$8.61 billion
FY2027	See note	$7.78 billion

Parents & Children12	$1.92 billionof $1.93 billion	$1.93 billion	99%	23.8%

MAABD14	$1.27 billionof $1.34 billion	$1.34 billion	95%	15.8%

Offline28	$963 millionof $971 million	$971 million	99%	12.0%

County Indigent Program17	$173 millionof $180 million	$180 million	96%	2.1%

Sister Agency Med Payments18	$170 millionof $192 million	$192 million	89%	2.1%

Waiver15	$136 millionof $146 million	$146 million	93%	1.7%

Child Welfare Services19	$133 millionof $146 million	$146 million	91%	1.7%

Pass Thru to Local Govt24	$124 millionof $151 million	$151 million	82%	1.5%

CHIP to Medicaid11	$44.6 millionof $60.2 million	$60.2 million	74%	0.6%

DCFS Medical Payments29	$15.2 millionof $20.1 million	$20.1 million	76%	0.2%

School Based Services20	$10.9 millionof $12.4 million	$12.4 million	88%	0.1%

County Match Cap Fund40	$6.22 millionof $6.30 million	$6.30 million	99%	0.1%

Spent each year by categories
Fiscal year	Newly Eligible	Parents & Children	MAABD	Offline	County Indigent Program	Other (8)	Budget
FY2006	—	$326 million	$474 million	$111 million	$65.6 million	$159 million	—
FY2007	—	$325 million	$469 million	$159 million	$66.1 million	$186 million	—
FY2008	$486 thousand

Funding sources by group and revenue ledger code, FY2026 budget
Group	Revenue ledger	Legislature approved	Current budget
Federal funds	$4.95 billion	$6.01 billion
FF	3511 Fed Title XIX Receipts	$4.91 billion	$5.97 billion
FF	3501 Fed Title XXI Receipts	$39.7 million	$43.2 million
General Fund	$1.18 billion	$1.15 billion
GF	2501 General Fund Appropriation	$1.18 billion	$1.15 billion
Everything else

Budget journey for FY2026: each step and the running total
Step	Amount	Running total
Governor recommended	$7.54 billion	$7.54 billion
Changes made by the Legislature	−$223 million= $7.31B	$7.31 billion
Legislature approved	$7.31 billion	$7.31 billion
Federal money added after the session	+$1.07 billion= $8.38B	$8.38 billion
Other changes after the session	+$223 million= $8.61B	$8.61 billion
Current budget	$8.61 billion	$8.61 billion

FY2009	$120 thousand	$373 million	$490 million	$172 million	$71.1 million	$237 million	—

FY2010	—	$456 million	$522 million	$161 million	$68.0 million	$247 million	$1.51 billion

FY2011	—	$528 million	$550 million	$161 million	$70.2 million	$233 million	$1.59 billion

FY2012	—	$543 million	$550 million	$276 million	$82.4 million	$187 million	$1.71 billion

FY2013	—	$589 million	$602 million	$276 million	$69.4 million	$212 million	$1.76 billion

FY2014	$155 million	$683 million	$657 million	$230 million	$62.7 million	$241 million	$2.06 billion

FY2015	$918 million	$808 million	$680 million	$225 million	$65.0 million	$278 million	$3.23 billion

FY2016	$1.06 billion	$855 million	$750 million	$200 million	$65.7 million	$292 million	$3.35 billion

FY2017	$1.20 billion	$905 million	$853 million	$214 million	$68.4 million	$309 million	$3.67 billion

FY2018	$1.32 billion	$942 million	$924 million	$178 million	$67.8 million	$334 million	$3.99 billion

FY2019	$1.43 billion	$934 million	$928 million	$313 million	$80.4 million	$349 million	$4.07 billion

FY2020	$1.40 billion	$895 million	$993 million	$292 million	$105 million	$347 million	$4.18 billion

FY2021	$1.57 billion	$858 million	$837 million	$190 million	$93.1 million	$346 million	$5.04 billion

FY2022	$2.14 billion	$1.17 billion	$991 million	$584 million	$110 million	$412 million	$5.54 billion

FY2023	$2.31 billion	$1.21 billion	$1.00 billion	$695 million	$98.5 million	$542 million	$6.39 billion

FY2024	$1.85 billion	$1.22 billion	$881 million	$655 million	$79.0 million	$481 million	$6.45 billion

FY2025	$2.90 billion	$1.85 billion	$1.27 billion	$792 million	$165 million	$675 million	$8.52 billion

FY2026	$3.08 billion	$1.92 billion	$1.27 billion	$963 million	$173 million	$640 million	$8.61 billion

FY2027	—	—	—	—	—	—	$7.78 billion

Moved between state accounts · not new money	$1.14 billion	$1.38 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	4751 Transfer DHHS - Iaf County Indigent	$25.5 million	$25.5 million
IA	4754 Transfer for Planning	$0	$6.89 million

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

4751 Transfer DHHS - Iaf County Indigent

4754 Transfer for Planning

Nevada Medicaid, Title XIX

Where the money went

Budget vs spent, by category

Over time

Who pays for it

How the FY2026 budget got here

Notes