It was the first time since the early 1990s that every state experienced an increase in Medicaid enrollment, according to a six-page Kaiser "data snapshot," which includes data breakouts by state. In 32 states enrollment grew at least twice as fast as the year before. The four states with the largest jumps saw rates above 15%: for Maryland, 20.4%; for Utah, 18.7%; for Wisconsin, 16.5%; and for Florida, 16.3%. Forty-four states provided data on the aged and disabled Medicaid population, including individuals who are dually eligible for Medicare. This population accounts for more than two-thirds of Medicaid spending (68% in 2006). Whereas rates for adults and children fluctuate from year to year, enrollment has risen consistently for the aged and disabled population. Between June 2000 and June 2008 the annual growth rate averaged 2.9%; however, from 2008 to 2009 the rate was 3.3%. Of the 44 states reporting current data for this population, the three with the highest rates were Wisconsin (8.3%), Florida (7.8%), and Utah (6.9%).