Client and provider payments

Nevada spent $8.55 billion on client and provider payments in FY2026 — 95% of a $9.03 billion budget. That is about $1 in every $3 of all spending.

That is 4.9% more than in FY2025 ($8.15 billion), not adjusted for inflation.

Spent FY2026: $8.55 billion$8,552,155,824
Budget FY2026: $9.03 billionReserves excluded
Share of budget spent: 95%Spent ÷ budget
Change from FY2025: +4.9%FY2025: $8.15 billion

34.3% of all spending.

Spent each year, FY2006 onwards · dashed line: budget

Show the numbers

Spent and budget each fiscal year
Fiscal year	Spent	Budget
FY2006	$1.32 billion	Not available
FY2007	$1.38 billion	Not available
FY2008	$1.40 billion	Not available
FY2009	$1.52 billion	Not available
FY2010	$1.68 billion	$1.62 billion
FY2011	$1.79 billion	$1.68 billion
FY2012	$1.91 billion	$1.96 billion
FY2013	$2.01 billion	$2.06 billion
FY2014	$2.34 billion	$2.34 billion
FY2015	$3.37 billion	$3.40 billion
FY2016	$3.71 billion	$3.26 billion
FY2017	$4.10 billion	$3.65 billion
FY2018	$4.36 billion	$4.62 billion
FY2019	$4.64 billion	$4.60 billion
FY2020	$4.65 billion	$4.81 billion
FY2021	$4.58 billion	$5.45 billion
FY2022	$5.81 billion	$5.70 billion
FY2023	$6.23 billion	$5.63 billion
FY2024	$5.59 billion	$7.14 billion
FY2025	$8.15 billion	$8.08 billion
FY2026	$8.55 billion	$9.03 billion
FY2027	See note	$8.04 billion

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Year

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Where the money went, by ledger code

59 ledger codes. The largest, Client Medical Provider PMTS-I, accounts for 52% of the total.

Client Medical Provider PMTS-I$4.48B · 52%Client Service Provider PMTS$999M · 12%

Each block is sized by FY2026 spending. Select a block to open it.

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Ledger codes of Client and provider payments, FY2026
Ledger code	Spent FY2026	Budget FY2026	% of budget spent	Share
Client Medical Provider PMTS-I7419	$4.48 billionof $4.67 billion	$4.67 billion	96%	52.4%
Client Service Provider PMTS7400	$999 millionof $84.1 million	$84.1 million	1187%	11.7%
Client Service Provider PMTS-B7402	$452 millionof $513 million	$513 million	88%	5.3%
Client Service Provider PMTS-G7407	$382 millionof $895 million	$895 million	43%	4.5%
Client Medical Provider PMTS-F7416	$244 millionof $240 million	$240 million	102%	2.9%
Client Material Prov Pmts-E7425	$224 millionof $202 million	$202 million	111%	2.6%
Client Material Prov PMTS-I7429	$182 millionof $108 million	$108 million	168%	2.1%
Client Material Prov PMTS-C7423	$153 millionof $173 million	$173 million	89%	1.8%
Professional Services7430	$143 millionof $158 million	$158 million	91%	1.7%
Client Service Provider Pmts-E7405	$137 millionof $340 million	$340 million	40%	1.6%
Client Service Provider PMTS-H7408	$133 millionof $108 million	$108 million	122%	1.6%
Client Medical Provider PMTS7410	$112 millionof $245 million	$245 million	46%	1.3%

Show 47 more rows

Ledger codes of Client and provider payments, FY2026, continued
Ledger code	Spent FY2026	Budget FY2026	% of budget spent	Share
Professional Services-G7437	$106 millionof $54.4 million	$54.4 million	194%	1.2%
Professional Services-H7438	$101 millionof $128 million	$128 million	79%	1.2%
Client Service Provider Pmts-A7401	$73.2 millionof $76.1 million	$76.1 million	96%	0.9%
Client Service Provider PMTS-F7406	$65.2 millionof $191 million	$191 million	34%	0.8%
Client Medical Provider PMTS-B7412	$56.2 millionof $45.7 million	$45.7 million	123%	0.7%
Client Medical Provider PMTS-H7418	$47.0 millionof $19.9 million	$19.9 million	236%	0.5%
Client Medical Provider Pmts-E7415	$46.7 millionof $53.0 million	$53.0 million	88%	0.5%
Scholarships-A7446	$45.7 millionof $109 million	$109 million	42%	0.5%
Client Material Prov PMTS-F7426	$42.2 millionof $45.1 million	$45.1 million	94%	0.5%
Client Service Provider PMTS-C7403	$41.4 millionof $7.91 million	$7.91 million	524%	0.5%
Client Material Prov Pmts-A7421	$41.3 millionof $172 million	$172 million	24%	0.5%
Client Material Prov PMTS-D7424	$40.9 millionof $48.5 million	$48.5 million	84%	0.5%
Client Material Prov PMTS-H7428	$33.9 millionof $37.2 million	$37.2 million	91%	0.4%
Client Material Prov PMTS-B7422	$23.4 millionof $6.92 million	$6.92 million	339%	0.3%
Client Medical Provider Pmts-A7411	$23.1 millionof $18.1 million	$18.1 million	127%	0.3%
Client Service Provider PMTS-D7404	$19.2 millionof $20.2 million	$20.2 million	95%	0.2%
Client Service Provider PMTS-I7409	$18.6 millionof $77.4 million	$77.4 million	24%	0.2%
Prepaid Tuition Payments7449	$13.5 millionof $20.0 million	$20.0 million	67%	0.2%
Professional Services-D7434	$13.4 millionof $13.1 million	$13.1 million	102%	0.2%
Professional Services-C7433	$12.6 millionof $12.8 million	$12.8 million	99%	0.1%
Professional Services-B7432	$8.83 millionof $14.6 million	$14.6 million	61%	0.1%
Professional Services-A7431	$7.25 millionof $722 thousand	$722 thousand	1005%	0.1%
Client Medical Provider PMTS-D7414	$6.12 millionof $37.3 million	$37.3 million	16%	0.1%
Professional Services-F7436	$5.80 millionof $36.4 million	$36.4 million	16%	0.1%
Dept of Admin - Admin Ser Div7439	$5.41 millionof $5.36 million	$5.36 million	101%	0.1%
Equipment Purchases < $1,0007460	$3.69 millionof $1.86 million	$1.86 million	199%	0.0%
Client Material Provider PMTS7420	$2.56 millionof $3.44 million	$3.44 million	74%	0.0%
Caseld DRVN - Inmate Supplies742A	None recordedof $2.34 million	$2.34 million	—	—
Equip > $1,000 Less Than $5,000 - a7465	$1.88 millionof $1.07 million	$1.07 million	176%	0.0%
Client Medical Provider PMTS-C7413	$1.14 millionof $1.36 million	$1.36 million	84%	0.0%
Scholarships7445	$1.14 millionof $33.9 million	$33.9 million	3%	0.0%
New Community Health Worker7442	$1.10 millionof $145	$145	755668%	0.0%
Professional Services-E7435	$224 thousandof $126 thousand	$126 thousand	178%	0.0%
Caseld DRVN - Client Mat. Provider PMTS-B742C	None recordedof $175 thousand	$175 thousand	—	—
Client Medical Provider PMTS-G7417	$155 thousandof $11.6 thousand	$11.6 thousand	1333%	0.0%
Equipment Purchases < $1,000-C7463	$51.5 thousandof $27.7 thousand	$27.7 thousand	186%	0.0%
Equipment Purchases < $1,000-A7461	$48.9 thousandof $27.7 thousand	$27.7 thousand	177%	0.0%
Equipment Purchases < $1,000-D7464	$10.6 thousandof $2.2 thousand	$2.2 thousand	475%	0.0%
Scholarships-B7447	$9.4 thousandNo budget	Not available	—	0.0%
Equip > $1,000 Less Than $5,000 - D7468	$7.3 thousandof $30	$30	24231%	0.0%
Doula Professional Services7441	$4.3 thousandNo budget	Not available	—	0.0%
Equipment Purchases < $1,000-B7462	$3.3 thousandof $600	$600	543%	0.0%
Equip > $1,000 Less Than $5,000 - B7466	$3.2 thousandof $218	$218	1456%	0.0%
Operating Support Costs7498	None recordedof $3.0 thousand	$3.0 thousand	—	—
Equip > $1,000 Less Than $5,000 - E7469	None recordedof $1.6 thousand	$1.6 thousand	—	—
Caseld DRVN - Client Mat. Provider Pmts-A742B	None recordedof $1.3 thousand	$1.3 thousand	—	—
Interview Costs7440	$0No budget	Not available	—	0.0%

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Over time

Spent each year, stacked by ledger code; the dashed line is the budget. Not adjusted for inflation.

Other (61)
Client Medical Provider PMTS-F
Client Service Provider PMTS-G
Client Service Provider PMTS-B
Client Service Provider PMTS
Client Medical Provider PMTS-I
Budget (current, reserves excluded)

Show the numbers

Spent each year by ledger codes
Fiscal year	Client Medical Provider PMTS-I	Client Service Provider PMTS	Client Service Provider PMTS-B	Client Service Provider PMTS-G	Client Medical Provider PMTS-F	Other (61)	Budget
FY2006	$192 million	$322 million	$149 million	$114 million	$46.8 million	$496 million	—
FY2007	$192 million	$338 million	$158 million	$83.1 million	$49.4 million	$562 million	—
FY2008	$209 million	$344 million	$162 million	$81.8 million	$48.5 million	$556 million	—
FY2009	$236 million	$355 million	$172 million	$93.9 million	$55.2 million	$603 million	—
FY2010	$296 million	$349 million	$173 million	$103 million	$53.2 million	$702 million	$1.62 billion
FY2011	$356 million	$374 million	$177 million	$112 million	$70.6 million	$705 million	$1.68 billion
FY2012	$375 million	$417 million	$187 million	$128 million	$73.8 million	$731 million	$1.96 billion
FY2013	$385 million	$446 million	$194 million	$130 million	$77.1 million	$775 million	$2.06 billion
FY2014	$572 million	$420 million	$201 million	$175 million	$89.2 million	$884 million	$2.34 billion
FY2015	$1.29 billion	$538 million	$214 million	$233 million	$92.7 million	$997 million	$3.40 billion
FY2016	$1.45 billion	$585 million	$230 million	$261 million	$110 million	$1.07 billion	$3.26 billion
FY2017	$1.66 billion	$620 million	$250 million	$284 million	$135 million	$1.16 billion	$3.65 billion
FY2018	$1.78 billion	$601 million	$272 million	$286 million	$147 million	$1.27 billion	$4.62 billion
FY2019	$1.91 billion	$707 million	$291 million	$301 million	$147 million	$1.29 billion	$4.60 billion
FY2020	$1.84 billion	$693 million	$319 million	$323 million	$168 million	$1.30 billion	$4.81 billion
FY2021	$1.93 billion	$575 million	$302 million	$327 million	$178 million	$1.27 billion	$5.45 billion
FY2022	$2.78 billion	$690 million	$341 million	$381 million	$182 million	$1.43 billion	$5.70 billion
FY2023	$2.94 billion	$696 million	$352 million	$399 million	$213 million	$1.63 billion	$5.63 billion
FY2024	$2.58 billion	$802 million	$299 million	$335 million	$178 million	$1.39 billion	$7.14 billion
FY2025	$4.11 billion	$901 million	$438 million	$415 million	$241 million	$2.05 billion	$8.08 billion
FY2026	$4.48 billion	$999 million	$452 million	$382 million	$244 million	$1.99 billion	$9.03 billion
FY2027	—	—	—	—	—	—	$8.04 billion

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Budget journey, 2025-27

How the biennium's budget changed from the Governor's proposal to today.

For FY2026 the Legislature approved $7.59 billion, 5.0% less than the Governor recommended. Adjustments since the session, many approved by the Interim Finance Committee, have raised it to $9.03 billion.

Budget journey, 2025-27 biennium
Step	FY2026	FY2027
Governor recommended	$7.98 billion	$8.12 billion
Legislature approved	$7.59 billion	$7.84 billion
Current budget	$9.03 billion(+$1.44 billion adj.)	$8.04 billion(+$198 million adj.)

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