According to a Kaiser Family Foundation survey of state Medicaid directors, enrollment in that program declined an average 0.6 percent in fiscal year 2018, largely due to a strengthening economy. Average combined federal and state Medicaid spending grew by 4.2 percent, similar to the previous year’s growth, and states project an average 5.3 percent increase in spending in FY 2019.
Survey results can be obtained at https://www.kff.org/medicaid/issue-brief/medicaid-enrollment-spending-growth-fy-2018-2019/.