# New York Projects Medicaid Spending Growth

New York projects Medicaid spending will reach nearly $134 billion in the current fiscal year, about $45 billion above the level five years earlier. The state attributes the increase to rising medical costs, an aging population, and greater enrollment in home health care, while forecasting slower spending growth of 1% in FY2028 and 1.5% in FY2029. The report identifies no specific solicitation or contract award, but the spending outlook is relevant to organizations serving New York Medicaid and home health programs.

- Medicaid and home health care providers can use the spending projections and state financial plan to inform capacity and revenue planning; the forecasted slowdown may affect expectations for future program growth.
- Contractors should distinguish the statewide spending trend from an available procurement: the signal names no solicitation, award, contract value, or procurement timetable.

**Jurisdictions:** sled
**Industries:** Healthcare
**Topics:** Grants & Funding
**Published:** November 02, 2026

### Government Entities
- New York State Division of the Budget