State Health Care Spending Rank

Compare state and local health care spending for the 50 states against state growth and population.

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	State	State Spending	Local Spending	State and Local Spending	Gross State Product	Real State Growth	Popu- lation (mln)
	North Dakota	2.03%	0.07%	2.09%	$41.60	11.9%	0.7	more
	South Dakota	2.02%	0.21%	2.23%	$42.08	6.3%	0.8	more
	Nevada	1.64%	0.69%	2.33%	$128.64	1.2%	2.7	more
	District of Columbia	0.00%	2.55%	2.55%	$109.95	1.9%	0.6	more
	New Hampshire	2.56%	0.05%	2.61%	$66.56	0.7%	1.3	more
	Nebraska	2.01%	0.72%	2.72%	$100.53	5.6%	1.8	more
	Colorado	2.01%	0.76%	2.77%	$266.11	1.6%	5.1	more
	Maryland	2.63%	0.15%	2.78%	$324.92	2.1%	5.8	more
	Illinois	2.44%	0.34%	2.78%	$691.81	2.2%	12.9	more
	Utah	2.65%	0.21%	2.86%	$125.14	3.4%	2.8	more
	Virginia	2.57%	0.30%	2.87%	$433.68	0.8%	8.1	more
	Connecticut	2.95%	0.06%	3.01%	$233.06	-2.0%	3.6	more
	Delaware	2.98%	0.05%	3.03%	$61.38	4.1%	0.9	more
	New Jersey	3.01%	0.17%	3.18%	$494.29	-1.1%	8.8	more
	Texas	2.43%	0.80%	3.23%	$1,351.78	3.6%	25.6	more
	Alaska	2.97%	0.67%	3.64%	$56.91	0.7%	0.7	more
	Washington	2.69%	0.97%	3.66%	$377.52	2.0%	6.8	more
	Georgia	2.41%	1.25%	3.66%	$433.14	2.0%	9.8	more
	Montana	3.16%	0.51%	3.66%	$40.59	2.5%	1.0	more
	Massachusetts	3.42%	0.39%	3.81%	$423.69	2.2%	6.6	more
	Indiana	2.61%	1.25%	3.86%	$292.37	0.2%	6.5	more
	Oklahoma	3.27%	0.61%	3.87%	$167.21	3.7%	3.8	more
	Wisconsin	3.39%	0.50%	3.89%	$265.44	2.1%	5.7	more
	All states combined	3.09%	0.88%	3.97%	$15,599.70	1.6%	311.6	more
	California	2.71%	1.26%	3.97%	$2,014.05	1.8%	37.6	more
	Arizona	3.61%	0.45%	4.06%	$261.69	2.9%	6.5	more
	Kansas	3.33%	0.85%	4.18%	$136.75	2.8%	2.9	more
	Oregon	3.50%	0.69%	4.19%	$169.69	2.9%	3.9	more
	Hawaii	4.22%	0.11%	4.33%	$68.80	1.4%	1.4	more
	Minnesota	3.49%	0.89%	4.38%	$287.07	2.3%	5.3	more
	Florida	3.23%	1.16%	4.39%	$761.04	-0.3%	19.1	more
	Ohio	3.62%	0.78%	4.40%	$525.46	2.9%	11.5	more
	Missouri	3.66%	0.75%	4.41%	$263.33	-1.0%	6.0	more
	Pennsylvania	3.80%	0.62%	4.41%	$623.77	1.4%	12.7	more
	Michigan	3.36%	1.11%	4.47%	$408.35	2.9%	9.9	more
	Wyoming	2.17%	2.35%	4.53%	$39.62	-0.5%	0.6	more
	North Carolina	2.89%	1.70%	4.59%	$430.04	0.5%	9.7	more
	Rhode Island	4.63%	0.03%	4.66%	$50.12	0.0%	1.1	more
	Louisiana	3.54%	1.18%	4.72%	$230.52	-4.8%	4.6	more
	Tennessee	3.64%	1.09%	4.73%	$270.06	3.0%	6.4	more
	New York	3.71%	1.08%	4.80%	$1,245.77	0.6%	19.5	more
	Vermont	4.83%	0.03%	4.86%	$28.56	2.5%	0.6	more
	Iowa	3.53%	1.34%	4.87%	$149.03	1.8%	3.1	more
	Arkansas	4.74%	0.20%	4.94%	$105.70	2.0%	2.9	more
	West Virginia	4.56%	0.47%	5.03%	$69.37	1.9%	1.9	more
	Kentucky	4.58%	0.53%	5.11%	$171.24	0.9%	4.4	more
	Idaho	3.65%	1.48%	5.14%	$57.42	0.1%	1.6	more
	Maine	5.33%	0.22%	5.55%	$53.10	-0.9%	1.3	more
	Alabama	3.93%	2.08%	6.00%	$182.90	1.0%	4.8	more
	New Mexico	6.17%	0.36%	6.54%	$87.06	-0.2%	2.1	more
	South Carolina	4.81%	2.15%	6.96%	$172.85	2.4%	4.7	more
	Mississippi	6.26%	2.38%	8.63%	$96.80	-0.2%	3.0	more
Notes: actual estimated Data Sources: State GDP Information Federal: Fed. Budget: Hist. Tables 3.2, 5.1, 7.1 State and Local: State and Local Gov. Finances

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Comparison of State and Local Government Spending in the United States Fiscal Year 2011 Amounts in percent GDP Health Care State State Spending Local Spending State and Local Spending Gross State Product Real State Growth % Population (million) North Dakota 2.03 a 0.07 a 2.09 a 41.6 a 11.9 a 0.7 e South Dakota 2.02 a 0.21 a 2.23 a 42.1 a 6.3 a 0.8 e Nevada 1.64 a 0.69 a 2.33 a 128.6 a 1.2 a 2.7 e District of Columbia 0.00 a 2.55 a 2.55 a 110.0 a 1.9 a 0.6 e New Hampshire 2.56 a 0.05 a 2.61 a 66.6 a 0.7 a 1.3 e Nebraska 2.01 a 0.72 a 2.72 a 100.5 a 5.6 a 1.8 e Colorado 2.01 a 0.76 a 2.77 a 266.1 a 1.6 a 5.1 e Maryland 2.63 a 0.15 a 2.78 a 324.9 a 2.1 a 5.8 e Illinois 2.44 a 0.34 a 2.78 a 691.8 a 2.2 a 12.9 e Utah 2.65 a 0.21 a 2.86 a 125.1 a 3.4 a 2.8 e Virginia 2.57 a 0.30 a 2.87 a 433.7 a 0.8 a 8.1 e Connecticut 2.95 a 0.06 a 3.01 a 233.1 a -2.0 a 3.6 e Delaware 2.98 a 0.05 a 3.03 a 61.4 a 4.1 a 0.9 e New Jersey 3.01 a 0.17 a 3.18 a 494.3 a -1.1 a 8.8 e Texas 2.43 a 0.80 a 3.23 a 1,351.8 a 3.6 a 25.6 e Alaska 2.97 a 0.67 a 3.64 a 56.9 a 0.7 a 0.7 e Washington 2.69 a 0.97 a 3.66 a 377.5 a 2.0 a 6.8 e Georgia 2.41 a 1.25 a 3.66 a 433.1 a 2.0 a 9.8 e Montana 3.16 a 0.51 a 3.66 a 40.6 a 2.5 a 1.0 e Massachusetts 3.42 a 0.39 a 3.81 a 423.7 a 2.2 a 6.6 e Indiana 2.61 a 1.25 a 3.86 a 292.4 a 0.2 a 6.5 e Oklahoma 3.27 a 0.61 a 3.87 a 167.2 a 3.7 a 3.8 e Wisconsin 3.39 a 0.50 a 3.89 a 265.4 a 2.1 a 5.7 e All states combined 3.09 a 0.88 a 3.97 a 15,599.7 a 1.6 a 311.6 e California 2.71 a 1.26 a 3.97 a 2,014.1 a 1.8 a 37.6 e Arizona 3.61 a 0.45 a 4.06 a 261.7 a 2.9 a 6.5 e Kansas 3.33 a 0.85 a 4.18 a 136.7 a 2.8 a 2.9 e Oregon 3.50 a 0.69 a 4.19 a 169.7 a 2.9 a 3.9 e Hawaii 4.22 a 0.11 a 4.33 a 68.8 a 1.4 a 1.4 e Minnesota 3.49 a 0.89 a 4.38 a 287.1 a 2.3 a 5.3 e Florida 3.23 a 1.16 a 4.39 a 761.0 a -0.3 a 19.1 e Ohio 3.62 a 0.78 a 4.40 a 525.5 a 2.9 a 11.5 e Missouri 3.66 a 0.75 a 4.41 a 263.3 a -1.0 a 6.0 e Pennsylvania 3.80 a 0.62 a 4.41 a 623.8 a 1.4 a 12.7 e Michigan 3.36 a 1.11 a 4.47 a 408.4 a 2.9 a 9.9 e Wyoming 2.17 a 2.35 a 4.53 a 39.6 a -0.5 a 0.6 e North Carolina 2.89 a 1.70 a 4.59 a 430.0 a 0.5 a 9.7 e Rhode Island 4.63 a 0.03 a 4.66 a 50.1 a 0.0 a 1.1 e Louisiana 3.54 a 1.18 a 4.72 a 230.5 a -4.8 a 4.6 e Tennessee 3.64 a 1.09 a 4.73 a 270.1 a 3.0 a 6.4 e New York 3.71 a 1.08 a 4.80 a 1,245.8 a 0.6 a 19.5 e Vermont 4.83 a 0.03 a 4.86 a 28.6 a 2.5 a 0.6 e Iowa 3.53 a 1.34 a 4.87 a 149.0 a 1.8 a 3.1 e Arkansas 4.74 a 0.20 a 4.94 a 105.7 a 2.0 a 2.9 e West Virginia 4.56 a 0.47 a 5.03 a 69.4 a 1.9 a 1.9 e Kentucky 4.58 a 0.53 a 5.11 a 171.2 a 0.9 a 4.4 e Idaho 3.65 a 1.48 a 5.14 a 57.4 a 0.1 a 1.6 e Maine 5.33 a 0.22 a 5.55 a 53.1 a -0.9 a 1.3 e Alabama 3.93 a 2.08 a 6.00 a 182.9 a 1.0 a 4.8 e New Mexico 6.17 a 0.36 a 6.54 a 87.1 a -0.2 a 2.1 e South Carolina 4.81 a 2.15 a 6.96 a 172.8 a 2.4 a 4.7 e Mississippi 6.26 a 2.38 a 8.63 a 96.8 a -0.2 a 3.0 e Legend: a - actual reported e - out-year estimate in US budget

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Spending Data Sources

Spending data is from official government sources.

• Federal spending data since 1962 comes from the president’s budget.
  
• All other spending data comes from the US Census Bureau.

Gross Domestic Product data comes from US Bureau of Economic Analysis and measuringworth.com.

Detailed table of spending data sources here.
Medicare breakdown here; Medicaid breakdown here.

Federal spending data begins in 1792.

State and local spending data begins in 1820.

State and local spending data for individual states begins in 1957.