State Budget Office
State spending on health and human services in fiscal year 2018 totaled $24.1 billion. Medicaid, a state and federal funding partnership, comprises the vast majority of health services spending in Michigan. Medicaid delivers comprehensive medical, mental health, and long-term care services to low-income children, families, elderly, and the disabled. The remainder of health and human services spending is for a variety of programs including mental health services, substance abuse treatment, foster care and adoption, abuse and neglect, cash and food assistance, services provided through local public health operations, and services to the elderly.