According to a new GAO report, “Recovery Act: Increased Medicaid Funds Aided Enrollment Growth, and Most States Reported Taking Steps to Sustain Their Programs,” states (and the District of Columbia) are on pace to use about 94% ($82 billion) of increased FMAP funds provided by the Recovery Act. Almost all states reported using the increased FMAP to cover increased enrollment costs. While Congress has passed legislation to extend the increased FMAP through June 2011 (albeit at a lower rate than under the Recovery Act), most states reported concern regarding the sustainability of their Medicaid programs without the increased FMAP. To that end, 46 states have taken steps to address sustainability, such as through taxes on health care providers or reducing provider payments, and most states have proposed additional future changes.