The amount the federal government spends on food stamps hit a record $75.7 billion in the 2011 fiscal year—more than double the level of 2008. Enrolment in Medicaid, through which federal and state governments provide health care to low-income Americans, has grown every year since 2008, though its 2012 growth was the slowest since the recession began, and its spending grew at a lower level than enrolment because of federal and state cost-control measures. In 2011 states disbursed $113.3 billion in unemployment benefits to 9.9m recipients, as well as roughly $16.6 billion received in block grants as part of a federal programme called Temporary Assistance for Needy Families.