Unbridled Spending: Billions for Medicaid Expansion Congress Never Approved

The Biden administration may have failed to convince Congress to double Medicaid spending on home healthcare in 2021, but the funding increase occurred anyway. An RCI analysis of federal data has found that spending on the program, which pays health aides and family members to act as caregivers for elderly and disabled adults, nearly doubled between 2019 and 2024, to $46.4 billion a year – an amount nearly identical to the $50 billion per year Biden wanted. As a result, American taxpayers paid more than $217 billion for home-based care under the program during that five-year span. Lacking congressional approval,...