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State Partners

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
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Signed Investing in Health Outcomes pledge

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