Nearly 3.3 million more people enrolled in state Medicaid programs between June 2008 and June 2009, according to a new analysis by the Kaiser Commission on Medicaid and the Uninsured. Enrollment during the one-year period rose by 7.5% to 46.9 million U.S. residents.

Every state experienced an increase and 32 states saw enrollment grow at least twice as fast as the year before, according to the analysis.

"State Medicaid programs have been able to help millions of Americans who have nowhere else to turn in a recession," said KCMU Executive Director Diane Rowland. "But the states obviously face significant fiscal pressures as increases in enrollment push up costs at a time when state budgets are already severely constrained."