07/16/2026

State Medicaid Spending Comes in Below Budget Estimates

Ohio ended fiscal year 2026 with General Revenue Fund spending approximately $778 million below budget estimates, according to the Office of Budget and Management's June financial report. Much of the underspending came from the Medicaid program, where state expenditures were $450 million below projections.

OBM attributed the Medicaid savings primarily to declining enrollment, with the program now serving approximately 2.8 million Ohioans, returning to pre-pandemic caseload levels following the completion of Medicaid eligibility redeterminations. Health and human services spending also finished the fiscal year below estimates.

Read the July 2026 Monthly Financial Report from the Office of Budget and Management.