Medicaid was created by Congress in 1965, and focused on providing health care benefits to recipients of certain cash assistance programs. More than four decades of incremental policy expansion have made it the largest government health program-providing benefits to more people and at a higher cost than Medicare.
Taxes & Spending
Just the Facts: Local Government Spending
Despite billions in property tax relief provided by recent state legislatures, Texans’ property tax bills continue to increase due to unrestricted spending at the local level. Key points: City and county government spending continues to outstrip increases in both population and inflation. While the state government has constitutional and statutory spending limits, local governments do...
August 10, 2026