In 2010 private businesses financed $534.5 billion, or 21%, of the nation's health care spending, down from a 23% share in 2007. The federal government financed 29% of total health spending in 2010, or $742.7 billion. This represents an increase of 6 percentage points from the federal government's share of 23% in 2007. As noted in the report, part of the increase is attributable to enhanced federal matching funds for state Medicaid programs under the American Recovery and Reinvestment Act, which expired in 2011. Medicare spending grew 5.0% in 2010, a slowdown from growth of 7.0% in 2009. The rate of growth in Medicaid spending also slowed—7.2% growth in 2010, compared with 8.9% in 2009. State and local governments' share of total health spending declined to 16% in 2010, a total of $421.1 billion, in part due to the temporary assistance provided by the Recovery and Reinvestment Act.