Issue Brief 22-15
October 5, 2022

The Bureau of Economic Analysis (BEA) has released revised state personal income data for 2021 (release, interactive data). The federal government uses state per capita income to calculate each state’s federal reimbursement rate—the Federal Medical Assistance Percentage (FMAP)—for Medicaid and other grant programs. The Children’s Health Insurance Program (CHIP) uses an enhanced FMAP, which is higher than the Medicaid matching rate.

This BEA release allows calculation of the final fiscal year (FY) 2024 FMAPs and enhanced FMAPs, which are based on per capita incomes for calendar years (CYs) 2019-2021. These FMAPs are the first to incorporate the 2020 decennial census. The personal income data continue to reflect significant federal COVID relief payments.

This Issue Brief summarizes the BEA data and provides FFIS’s estimates of the final FY 2024 FMAPs and enhanced FMAPs. FFIS estimates that FMAPs will increase in 23 states and decline in 16, ranging from a +2.50 percentage-point change in Hawaii to a -3.27 percentage-point change in Arizona.