States may be required to contribute match funding to some federally funded long-term care (LTC) programs and to different extents. In FY 2003 states spent 21.4% of total state expenditure on Medicaid (NASBO, 2004). Total expenditures for HCBS are increasing and totaled $16.4 billion in FY 2001, with states paying between 1.7% and 13.3% of total health care expenditures on HCBS in FY 2001 (Milbank 2003). Medicaid spending grew quickly in the early 2000s, forcing state legislatures and officials to investigate ways to contain Medicaid costs rather than expanding services (Coleman et al 2003).

This paper introduces some of the other, non-waiver public funds that are used to fund HCBS, concentrating on state-only funded HCBS programs. Evidently, like Medicaid programs, some of these have been affected by the budget crises that many states have experienced over the last few years. A table accompanies this paper and selected findings are reported below.