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Medicaid caseload and higher per‑case costs drive $240 million FY25 shortfall, agencies say
Summary
OFA and OPM officials told lawmakers that Medicaid is the principal deficiency pressure in FY25, with current estimates of roughly $240 million in unmet need driven by caseload growth and higher costs per case, including hospital services, pharmacy, home care waivers and nursing home care.
Officials from the Office of Fiscal Analysis and the Office of Policy and Management told appropriations and finance legislators that Medicaid is the largest single deficiency pressure in the FY25 general fund.
OPM Secretary Jeffrey Beckham told the committee: “Since last winter, our Medicaid shortfall has continued to trend upwards, and we're currently showing that at $240,000,000.” OFA’s presentation also listed Medicaid among the largest negative components in FY25, with OFA’s slide noting Medicaid projected roughly $225,000,000 above the…
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