“The federal entitlement program with the insatiable appetite that Friedholm took over in late 1992 ate a total of $6.3 billion that year. In those years the Medicaid budget grew by about $1 billion a year. By 2009, the Medicaid hunger in Texas had grown by nearly four times to $24.6 billion, gobbling up a little more than one in every four dollars in the state budget.
The Texas Department of Health and Human Services projects the annual feeding frenzy to grow by about $3 billion in each of the next two years. Even if the Legislature passed a more austere budget for 2011-12, the percentage of state spending devoted to the health insurance program for the poor is expected to increase, albeit more slowly.”