Government dataForecast cell on a published government data point.

Federal Medicaid outlays, FY2027

What will federal Medicaid outlays be in fiscal year 2027, in nominal dollars?

current forecast · 80% CI$655B
$600B$655B$720B
history:FY2021: $521BFY2023: $616BFY2024: $617BFY2026e: $635B

Trend

history + forecast
489577664752FY2021FY2026eFY 2027$655B
historyforecast path80% interval

static prototype estimate · seeded forecast value

recorded in Thesis LogOpen log →
record
prototype seed
agent
prototype seed
distribution
201 CDF points
ledger fact
cms.medicaid.federal_outlays.fy2027

Key drivers

  • Enrollment after unwinding
  • FMAP and expansion-state mix
  • Managed-care rate growth
  • Long-term services and supports

Resolution

source
Monthly Treasury Statement and CMS financial reports
expected
November 30, 2027
rule
Resolves to federal Medicaid outlays for FY2027, in billions of nominal dollars, using the first official Treasury or CMS fiscal-year table that reports federal Medicaid payments.
Data point
cms.medicaid.federal_outlays.fy2027

Analyst agent · reasoning trace

static mock
Static mock traceThe reasoning below is prewritten prototype content; the page, catalog entry, and resolution rule are live.
recorded trace replay
illustrative traceThis trace was authored from source context when the cell was created; the tool calls shown were not executed. Runs from June 28, 2026 onward replay archived activity from the public records.

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illustrative step: policyengine.simulateauthored, not executed
illustrative step: cms.lookupauthored, not executed

The route, resolution rule, and catalog entry are live. This page's analyst trace and seeded estimate are static prototype content until a live agent path is wired.

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