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Spending Analyses:
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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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| Comparison of State and Local Government Spending in the United States -5yr -1yr Fiscal Year 2014 +1yr +5yr Amounts in percent GDP |
| State | State Spending | Local Spending | State and Local Spending  | Gross State Product | Real State Growth | Popu- lation (mln) | ||
| New Hampshire | 1.49% | 0.04% | 1.53% | $73.00 | 1.6% | 1.3 | more | |
| North Dakota | 1.76% | 0.09% | 1.84% | $59.93 | 9.3% | 0.7 | more | |
| South Dakota | 1.92% | 0.23% | 2.15% | $46.79 | 1.6% | 0.8 | more | |
| Nevada | 1.61% | 0.61% | 2.22% | $136.01 | 0.9% | 2.8 | more | |
| Illinois | 2.37% | 0.32% | 2.70% | $771.36 | 2.1% | 12.9 | more | |
| District of Columbia | 0.00% | 2.72% | 2.72% | $119.42 | 2.0% | 0.7 | more | |
| Nebraska | 2.02% | 0.72% | 2.74% | $111.95 | 3.1% | 1.9 | more | |
| New Jersey | 2.66% | 0.15% | 2.80% | $542.84 | -0.3% | 8.9 | more | |
| Maryland | 2.89% | 0.15% | 3.03% | $352.76 | 1.6% | 6.0 | more | |
| Colorado | 2.31% | 0.76% | 3.07% | $309.54 | 4.3% | 5.4 | more | |
| Utah | 2.91% | 0.17% | 3.08% | $142.15 | 2.9% | 2.9 | more | |
| Virginia | 2.78% | 0.35% | 3.13% | $465.18 | -0.3% | 8.3 | more | |
| Texas | 2.36% | 0.77% | 3.13% | $1,579.30 | 3.0% | 27.0 | more | |
| Connecticut | 3.11% | 0.06% | 3.16% | $246.60 | -0.1% | 3.6 | more | |
| Delaware | 3.32% | 0.06% | 3.38% | $68.35 | 7.8% | 0.9 | more | |
| Georgia | 2.43% | 1.00% | 3.43% | $490.08 | 3.3% | 10.1 | more | |
| Washington | 2.76% | 0.85% | 3.61% | $440.65 | 3.3% | 7.1 | more | |
| All states combined | 3.05% | 0.84% | 3.89% | $17,804.20 | 3.1% | 318.4 | more | |
| Alaska | 3.24% | 0.70% | 3.94% | $56.48 | -2.1% | 0.7 | more | |
| Arizona | 3.55% | 0.40% | 3.96% | $287.67 | 1.3% | 6.7 | more | |
| Wisconsin | 3.56% | 0.44% | 4.00% | $295.70 | 2.1% | 5.8 | more | |
| Montana | 3.50% | 0.50% | 4.01% | $45.18 | 2.0% | 1.0 | more | |
| Massachusetts | 3.82% | 0.19% | 4.02% | $470.47 | 1.5% | 6.8 | more | |
| Kansas | 3.27% | 0.75% | 4.02% | $150.18 | 2.6% | 2.9 | more | |
| Oklahoma | 3.39% | 0.64% | 4.03% | $196.63 | 6.6% | 3.9 | more | |
| California | 2.73% | 1.31% | 4.04% | $2,335.29 | 3.5% | 38.6 | more | |
| Minnesota | 3.36% | 0.80% | 4.16% | $324.75 | 2.8% | 5.5 | more | |
| Florida | 3.18% | 0.99% | 4.17% | $851.69 | 2.8% | 19.9 | more | |
| Tennessee | 3.13% | 1.04% | 4.17% | $306.15 | 1.5% | 6.5 | more | |
| Pennsylvania | 3.64% | 0.55% | 4.19% | $694.14 | 2.1% | 12.8 | more | |
| Ohio | 3.61% | 0.65% | 4.26% | $595.64 | 3.2% | 11.6 | more | |
| Michigan | 3.30% | 1.01% | 4.30% | $451.77 | 1.3% | 9.9 | more | |
| Idaho | 3.46% | 1.02% | 4.48% | $64.58 | 3.0% | 1.6 | more | |
| Hawaii | 4.46% | 0.04% | 4.51% | $76.77 | 0.6% | 1.4 | more | |
| Missouri | 3.90% | 0.64% | 4.54% | $287.51 | 0.5% | 6.1 | more | |
| Rhode Island | 4.51% | 0.03% | 4.54% | $54.56 | 0.7% | 1.1 | more | |
| New York | 3.60% | 0.95% | 4.55% | $1,430.92 | 1.8% | 19.7 | more | |
| Oregon | 3.99% | 0.63% | 4.62% | $188.12 | 3.0% | 4.0 | more | |
| Iowa | 3.51% | 1.17% | 4.69% | $173.10 | 5.1% | 3.1 | more | |
| Indiana | 3.11% | 1.67% | 4.78% | $327.96 | 3.1% | 6.6 | more | |
| Vermont | 4.83% | 0.03% | 4.86% | $30.10 | 0.8% | 0.6 | more | |
| Maine | 4.66% | 0.23% | 4.89% | $56.41 | 1.5% | 1.3 | more | |
| Louisiana | 3.91% | 1.09% | 5.00% | $240.74 | 3.0% | 4.6 | more | |
| Wyoming | 2.37% | 2.67% | 5.04% | $40.31 | 1.8% | 0.6 | more | |
| North Carolina | 2.98% | 2.13% | 5.10% | $483.19 | 2.3% | 9.9 | more | |
| Kentucky | 4.87% | 0.45% | 5.32% | $187.98 | 0.0% | 4.4 | more | |
| Arkansas | 5.22% | 0.21% | 5.43% | $116.14 | 0.9% | 3.0 | more | |
| West Virginia | 5.08% | 0.47% | 5.55% | $72.65 | 0.0% | 1.9 | more | |
| Alabama | 3.99% | 2.02% | 6.01% | $197.41 | -0.8% | 4.8 | more | |
| New Mexico | 5.84% | 0.37% | 6.21% | $92.19 | 2.5% | 2.1 | more | |
| South Carolina | 4.31% | 2.30% | 6.61% | $194.35 | 2.8% | 4.8 | more | |
| Mississippi | 6.14% | 2.36% | 8.50% | $104.30 | 0.0% | 3.0 | more | |
| Notes: actual estimated Data Sources: | ||||||||
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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.
Gross Federal Debt
| Debt Now: | $34,591,001,330,876.91 | Debt 2/2020: | $23,409,959,150,243.63 |
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Data Sources for 2014:
GDP, GO: GDP, GO Sources
Federal: Fed. Budget: Hist. Tables 3.2, 5.1, 7.1
State and Local: State and Local Gov. Finances
> data sources for other years
> data update schedule.
Blog
Federal Budget for FY25 Released
On March 11, 2024, we updated usgovernmentspending.com with the numbers from the Public Budget Database in the Budget of the United States Government for Fiscal Year 2025.
Here is how headline budget estimates for the upcoming FY 2024 fiscal year have changed since the release of the FY 2024 budget a year ago in Winter 2023.
| $ billion | Estimate for 2024 in FY2024 Budget | Estimate for 2024 in FY2025 Budget | Change |
| Federal Outlays | $6,371.8 | $6,940.9 | +$569.1 |
| Federal Receipts | $4,802.5 | $5,081.6 | +$279.1 |
| Federal Deficit | $1,569.4 | $1,859.4 | +$290.0 |
You can see line item changes from budget to budget here. You can compare budget estimates with actuals here.
Account level spending estimates through FY 2029 come from the Outlays table in the Public Budget Database and were updated on usgovernmentspending.com on March 11, 2024.
Account level budget authority estimates through FY 2029 come from the Budget Authority table in the Public Budget Database and were updated on usgovernmentspending.com on March 11, 2024.
On March 11, 2024, usgovernmentspending.com updated its data for agency debt from the Federal Reserve Board database. Data is now available for the period 1945-2023. You can see our Agency Debt pag ...
On January 19, 2024 usgovernmentspending.com updated its GDP series with the latest data from the Bureau of Economic Analysis, ...
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Budget News
President’s FY 2025 Budget Release Scheduled for March 11
Although the FY 2024 appropriations process is not yet resolved
Biden to Release Budget March 9
will press McCarthy On Default Risk - Bloomberg
Biden to Release 2023 Budget Request on March 28
how the administration expects to spend money for priorities including aid to Ukraine and the continuing effort to fight the coronavirus pandemic, as well as legislative proposals such as increased funding for community policing programs, cancer research, and mental health education.
> archive
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