Ledger code 7419
Client Medical Provider PMTS-I
Nevada spent $4.48 billion on client medical provider PMTS-I in FY2026 — 96% of a $4.67 billion budget. That is about half of Client and provider payments's spending.
That is 9.1% more than in FY2025 ($4.11 billion), not adjusted for inflation.
- Spent FY2026
- $4.48 billion$4,481,536,407
- Budget FY2026
- $4.67 billionReserves excluded
- Share of budget spent
- 96%Spent ÷ budget
- Change from FY2025
- +9.1%FY2025: $4.11 billion
52.4% of Client and provider payments spending.
Show the numbers
| Fiscal year | Spent | Budget |
|---|---|---|
| FY2006 | $192 million | Not available |
| FY2007 | $192 million | Not available |
| FY2008 | $209 million | Not available |
| FY2009 | $236 million | Not available |
| FY2010 | $296 million | $298 million |
| FY2011 | $356 million | $340 million |
| FY2012 | $375 million | $377 million |
| FY2013 | $385 million | $372 million |
| FY2014 | $572 million | $517 million |
| FY2015 | $1.29 billion | $788 million |
| FY2016 | $1.45 billion | $1.23 billion |
| FY2017 | $1.66 billion | $1.23 billion |
| FY2018 | $1.78 billion | $1.62 billion |
| FY2019 | $1.91 billion | $1.70 billion |
| FY2020 | $1.84 billion | $2.00 billion |
| FY2021 | $1.93 billion | $2.26 billion |
| FY2022 | $2.78 billion | $2.36 billion |
| FY2023 | $2.94 billion | $2.35 billion |
| FY2024 | $2.58 billion | $3.48 billion |
| FY2025 | $4.11 billion | $3.52 billion |
| FY2026 | $4.48 billion | $4.67 billion |
| FY2027 | See note | $3.63 billion |
Where the money went, by budget account
2 budget accounts. The largest, NVHA - Nevada Medicaid, Title XIX, accounts for 99% of the total.
| Budget account | Spent FY2026 |
|---|---|
| NVHA - Nevada Medicaid, Title XIX3243 | $4.43 billionof $4.61 billion |
| NVHA - Nevada Check Up Program3178 | $50.0 millionof $57.0 million |
Over time
Spent each year, stacked by budget account; the dashed line is the budget. Not adjusted for inflation.
- Other (2)
- NVHA - Nevada Check Up Program
- NVHA - Nevada Medicaid, Title XIX
- Budget (current, reserves excluded)
Show the numbers
| Fiscal year | NVHA - Nevada Medicaid, Title XIX | NVHA - Nevada Check Up Program | Other (2) | Budget |
|---|---|---|---|---|
| FY2006 | $169 million | $23.6 million | — | — |
| FY2007 | $164 million | $28.2 million | $209 thousand | — |
| FY2008 | $179 million | $29.6 million | $985 thousand | — |
| FY2009 | $206 million | $28.8 million | $1.24 million | — |
| FY2010 | $271 million | $23.6 million | $1.46 million | $298 million |
| FY2011 | $332 million | $23.0 million | $1.33 million | $340 million |
| FY2012 | $349 million | $25.8 million | $464 thousand | $377 million |
| FY2013 | $358 million | $26.4 million | — | $372 million |
| FY2014 | $543 million | $28.7 million | — | $517 million |
| FY2015 | $1.26 billion | $34.9 million | — | $788 million |
| FY2016 | $1.41 billion | $32.7 million | — | $1.23 billion |
| FY2017 | $1.62 billion | $35.2 million | — | $1.23 billion |
| FY2018 | $1.75 billion | $33.8 million | — | $1.62 billion |
| FY2019 | $1.87 billion | $35.4 million | — | $1.70 billion |
| FY2020 | $1.81 billion | $32.8 million | — | $2.00 billion |
| FY2021 | $1.90 billion | $25.2 million | — | $2.26 billion |
| FY2022 | $2.74 billion | $31.9 million | — | $2.36 billion |
| FY2023 | $2.92 billion | $28.9 million | — | $2.35 billion |
| FY2024 | $2.55 billion | $29.4 million | — | $3.48 billion |
| FY2025 | $4.06 billion | $50.3 million | — | $3.52 billion |
| FY2026 | $4.43 billion | $50.0 million | — | $4.67 billion |
| FY2027 | — | — | — | $3.63 billion |
Budget journey, 2025-27
How the biennium's budget changed from the Governor's proposal to today.
For FY2026 the Legislature approved $3.2 billion, 2.9% less than the Governor recommended. Adjustments since the session, many approved by the Interim Finance Committee, have raised it to $4.67 billion.
| Step | FY2026 | FY2027 |
|---|---|---|
| Governor recommended | $3.30 billion | $3.33 billion |
| Legislature approved | $3.20 billion | $3.63 billion |
| Current budget | $4.67 billion(+$1.47 billion adj.) | $3.63 billion(+$3.00 million adj.) |
Notes
Budget accounts as organised in FY2026. Each row links to its page in Explore.