Many states will have to revisit their fiscal 2011 budgets and may have to rearrange their spending plans due to gaps between what they expected and what they actually receive from a six-month extension of extra federal Medicaid funding.

The extension, approved by Congress and signed into law by President Obama last week, will add about $16 billion to the extra Medicaid funds that states are to receive from the federal government under the American Recovery and Reinvestment Act.

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