state state whereas "traditional" Medicaid costs TX 42% of the total. the federal government only pays 74% state state state state the state pays for about 31% of "standard" Medicaid costs federal government the federal government only pays 74% state state state California has to pay 44% state the federal government only pays 74% state California has to pay 44% using 2013-2014 figures around 30 percent of total Medicaid spending 69% of that. average state using 2013-2014 figures state the federal government only pays 74% state the federal government only pays 74% the state pays for about 31% of "standard" Medicaid costs