Pew's Fiscal Federalism Initiative is currently exploring the impact of federal tax and spending changes on the states by investigating:
- The sensitivity of state budgets to changes in federal spending;
- The interconnectedness of federal and state tax policies;
- How federal regulatory policy has a fiscal impact on states; and
- The impact of federal tax and spending policies on state economies and the potential indirect effect on state finances.
Our original, non-partisan research gives both state and federal policy makers the information they need to make informed fiscal decisions.
Research & AnalysisView All
About two-thirds of federal grant dollars to the states—67 percent—were for Medicaid in 2017, by far the largest category of grants. While funding for this health care program for low-income families and individuals topped the list in all but one state, the mix of funding among the other grant categories varied from state to state. Read More
For many Americans in colder regions of the country, winter brings plunging temperatures and spiking heating bills. The low-income home energy assistance program, or LIHEAP, administered by the U.S. Department of Health and Human Services, provides federal block-grant funding that states can use to help offset heating or cooling energy costs for their low-income residents. Read More
Medicaid is by far the largest federal grant to states, accounting for 67 percent of total grant funding in 2017. The next-largest funding area is income security (temporary cash assistance, employment services, school-provided meals, and similar programs), which at 13 percent is one-fifth the size of Medicaid. Medicaid was the main driver of the 40 percent increase in total federal grants to... Read More