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Fiscal Federalism Initiative


Grants to States

Federal dollars are the second-largest source of state revenue, accounting for about $1 of every $3 states take in. These funds support a wide range of programs and projects, such as Medicaid and transportation. Grants to states have increased over the past decade, largely because of growing Medicaid spending. 

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How much have federal grants to states increased over the past 12 years?

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Federal grants to states rose 42 percent from 2008 to 2019. Learn More

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What is the largest category of federal grants?

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Medicaid made up 65 percent of federal grant dollars to the states in 2019. Learn More