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== Enrollment == In 2002, Medicaid enrollees numbered 39.9 million Americans, with the largest group being children (18.4 million or 46%).<ref>{{cite web|title=A Profile of Medicaid: Chartbook 2000|url=https://www.cms.gov/TheChartSeries/downloads/2Tchartbk.pdf|access-date=March 31, 2012}}</ref> From 2000 to 2012, the proportion of hospital stays for children paid by Medicaid increased by 33% and the proportion paid by private insurance decreased by 21%.<ref>{{cite journal |vauthors=Witt WP, Wiess AJ, Elixhauser A |title=Overview of Hospital Stays for Children in the United States, 2012 |journal=HCUP Statistical Brief |issue=186 |publisher=Agency for Healthcare Research and Quality |location=Rockville, MD |date=December 2014 |pmid=25695124 |url=https://www.hcup-us.ahrq.gov/reports/statbriefs/sb187-Hospital-Stays-Children-2012.jsp}}</ref> Some 43 million Americans were enrolled in 2004 (19.7 million of them children) at a total cost of $295 billion. In 2008, Medicaid provided health coverage and services to approximately 49 million low-income children, pregnant women, elderly people, and disabled people. In 2009, 62.9 million Americans were enrolled in Medicaid for at least one month, with an average enrollment of 50.1 million.<ref>{{Cite web|url=http://www.cms.gov/Research-Statistics-Data-and-Systems/Research/ActuarialStudies/downloads/MedicaidReport2010.pdf|title=2010 Actuarial Report on the Financial Outlook for Medicaid|publisher=Office of the Actuary|date=2010-12-21|website=www.cms.gov}}</ref> In [[California]], about 23% of the population was enrolled in [[Medi-Cal]] for at least 1 month in 2009β10.<ref>[http://www.dhcs.ca.gov/dataandstats/statistics/Documents/2_1_Reporting_Year_FY2009-10.pdf Medi-Cal Program Enrollment Totals for Fiscal Year 2009β10] {{Webarchive|url=https://web.archive.org/web/20120619021821/http://www.dhcs.ca.gov/dataandstats/statistics/Documents/2_1_Reporting_Year_FY2009-10.pdf |date=June 19, 2012 }}, [[California Department of Health Care Services]] Research and Analytic Studies Section, June 2011</ref> As of 2017, the total annual cost of Medicaid was just over $600 billion, of which the federal government contributed $375 billion and states an additional $230 billion.<ref name="Franco">{{Cite journal|last1=Franco Montoya|first1=Daniela|last2=Chehal|first2=Puneet Kaur|last3=Adams|first3=E. Kathleen|date=2020-04-02|title=Medicaid Managed Care's Effects on Costs, Access, and Quality: An Update|journal=Annual Review of Public Health|language=en|volume=41|issue=1|pages=537β549|doi=10.1146/annurev-publhealth-040119-094345|pmid=32237985|issn=0163-7525|doi-access=free}}</ref> According to CMS, the Medicaid program provided health care services to more than 92 million people in 2022.<ref>{{Cite web|url=https://www.medicaid.gov|title=New and Notable|access-date=2023-04-02|website=www.medicaid.gov|language=en-us}}</ref> Loss of income and medical insurance coverage during the [[2008 recession|2008β2009 recession]] resulted in a substantial increase in Medicaid enrollment in 2009. Nine U.S. states showed an increase in enrollment of 15% or more, putting a heavy strain on state budgets.<ref>{{Cite news|url=https://www.nytimes.com/2010/10/01/health/policy/01medicaid.html|title=Recession Drove Millions to Medicaid in '09, Survey Finds|last=Sack|first=Kevin | name-list-style = vanc |date=2010-09-30|work=The New York Times|language=en-US|issn=0362-4331}}</ref> The Kaiser Family Foundation reported that for 2013, Medicaid recipients were 40% white, 21% black, 25% Hispanic, and 14% other races.<ref>{{Cite news|url=https://www.kff.org/medicaid/state-indicator/medicaid-enrollment-by-raceethnicity/?currentTimeframe=0&sortModel=%7B%22colId%22:%22Location%22,%22sort%22:%22asc%22%7D|title=Medicaid Enrollment by Race/Ethnicity|work=The Henry J. Kaiser Family Foundation|language=en-US|access-date=January 13, 2018|archive-date=July 26, 2020|archive-url=https://web.archive.org/web/20200726224040/https://www.kff.org/medicaid/state-indicator/medicaid-enrollment-by-raceethnicity/?currentTimeframe=0&sortModel=%7B%22colId%22:%22Location%22,%22sort%22:%22asc%22%7D|url-status=dead}}</ref>
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