This report marks the fourth time the Urban Institute has collected data from all 50 states and the District of Columbia regarding child welfare spending. Our findings highlight the differences in states' spending patterns and the interaction between federal, state, and local dollars in financing child welfare activities--issues that should be considered during policy and budget debates at the state and national levels. States spent at least $22 billion on child welfare activities in state fiscal year (SFY) 2002, with increases between SFY 2000 and SFY 2002 coming from all levels of government. A rise in TANF and Medicaid spending accounted for nearly all the federal growth. [View the corresponding press release]