Medicaid spending is expected to reach $1 trillion by 2026, according to a report from government actuaries.

The report, released Thursday by the Centers for Medicare and Medicaid, concludes that the growth in Medicaid expenditures, which are expected to average 5.7 percent a year, would “place a growing strain on federal and state budgets.” In contrast, gross domestic product is projected to grow at an average of 4.1 percent, which would make Medicaid expenditures increase from an estimated 3.1 percent of GDP in 2016 to 3.7 percent of GDP in 2026.