23.6% - Numbers are a funny thing. When you're talking about a tax rate, 23.6 percent seems a lot smaller than when you realize that same number is the amount of state budgets taken up by Medicaid expenses in 2011. Medicaid is the single biggest budget item for states and it is eating away at funding that was once going to seemingly "safe" areas like education. The budget tight rope has states looking for ways to bring down Medicaid costs, from reducing eligibility to expanding managed care. At the same time, states are watching the Supreme Court's consideration of challenges to the Affordable Care Act as they gear up to implement associated new policies. Health care has been a huge topic in statehouses for several years and promises to remain so in 2012. To equip state policymakers with the information they need, CSG has identified the Top 5 issues in the area - check it out!