A Growing Coalition of States Have Joined the Pledge
CMS has joined with 38 state partners to launch the Investing in Health Outcomes initiative, a pledge that is focused on advancing the Medicaid quality agenda to focus on health outcomes for Medicaid beneficiaries.
As of October 29, 2026:
- 38 states have signed the pledge
- ~56M Medicaid & CHIP beneficiaries covered across pledged states
- ~$701B in Medicaid spending for FY2024 across pledged states
Signed Investing in Health Outcomes pledge