Medicaid Funding: The Key to Curbing America’s Gun Problem?


Tackling America’s Gun Problem: Medicaid Funding for Violence Prevention Programs

As the United States grapples with its persistent gun problem, an increasing number of states are turning to Medicaid funding to support community-based programs aimed at curbing gun violence. These initiatives aim to provide additional resources to violence prevention programs that have been overwhelmed by a surge in violent crime since the onset of the COVID-19 pandemic.

Advocates argue that a reliable infusion of federal funding could enable nonprofit organizations to expand their reach and offer assistance to more individuals who are at risk of being victims or perpetrators of gun violence.

States Approving Medicaid Funding for Gun Violence Prevention

Several states, including California, Colorado, Connecticut, Illinois, Maryland, New York, and Oregon, have already passed laws authorizing the use of Medicaid funds for gun violence prevention programs. The Health Alliance for Violence Intervention, which has been advocating for these policy changes, expects more states to follow suit.

“These concrete actions allow us to address the issue of gun violence without getting entangled in debates about the Second Amendment,” said Kyle Fischer, Policy and Advocacy Director for The Health Alliance for Violence Intervention.

Federal Medicaid Dollars for Violence Prevention

With gun control legislation stalled in Congress, the Biden administration has introduced a novel approach to combat firearm violence by opening up federal Medicaid dollars for violence prevention. President Joe Biden announced this initiative in April 2021, and now the funds are beginning to flow to interested states.

However, the process of accessing this funding has been lengthy, and it remains uncertain how much money will ultimately be allocated to these programs. Since Medicaid is a joint state-federal program that provides healthcare for low-income and disabled individuals, states must also approve the use of Medicaid funds for violence prevention.

Illinois Leading the Way

Illinois was among the first states to approve Medicaid spending for violence prevention two years ago. Chicago CRED, a violence prevention group led by former U.S. Education Secretary Arne Duncan, is currently seeking approval for its program this spring. Duncan believes that receiving Medicaid reimbursement will be worth the wait and hopes that Illinois’ experience will pave the way for other states to expedite the process.

“We’re striving to establish a public health infrastructure to combat gun violence,” Duncan explained. “Having Medicaid play a role in this space and create opportunities could be a game changer.”

The Impact of the COVID-19 Pandemic

In 2020, many cities across the country experienced a surge in shootings and homicides as officials implemented pandemic-related shutdowns of schools, businesses, and critical social services. Additionally, the murder of George Floyd in Minneapolis triggered nationwide protests and calls to defund the police, prompting an increase in gun purchases.

Although the pandemic has receded and national homicide rates have decreased, some cities continue to face high levels of gun violence. The United States is estimated to have more guns than people, with approximately 400 million firearms in civilian hands. Violence prevention programs that were successful in the past are struggling to keep up with the current situation.

The Financial Toll of Gun Violence

Gun violence comes with a substantial financial burden. Studies from the Government Accountability Office and Harvard Medical School have shown that caring for gunshot survivors costs between billion in initial treatments and .5 billion over the course of 12 months post-injury. Moreover, it’s not just gunshot victims who require medical assistance; entire communities suffer from ongoing stress and trauma.

“The patients we see experience a great deal of grief. Parents lose their children, grandparents lose their grandchildren. This has a tremendous impact on people’s health,” said Noha Aboelata, CEO of Roots Community Health Center in Oakland.

The Appeal of Medicaid Funding

Despite the lengthy and bureaucratic process, Medicaid funding is highly attractive to community organizations that have traditionally relied on philanthropic donations and grants, which can vary from year to year.

“Medicaid provides reliable support. If you’re doing the work, you qualify for reimbursement for the care you provide,” emphasized Fischer.


By leveraging Medicaid funds for violence prevention programs, states are taking a proactive approach to combatting gun violence. This alternative strategy allows them to bypass contentious debates surrounding gun control and focus on implementing concrete solutions. As more states embrace this approach, it is hoped that the availability of federal funding will enable these programs to expand and reach those most in need, ultimately leading to a reduction in gun violence across the country.