Total healthcare spending by state

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Healthcare spending and costs have become a top priority for both state and federal legislators amid growing concern from consumers and employers. Healthcare spending as a percentage of the national gross domestic product (GDP) increased from 5 percent in 1960 to reach 17.4 percent in 2009, or over one-sixth of the nation's economy, where it remained steady through 2013. Total healthcare spending in both the public and private sectors amounted to $2.9 trillion in 2013. Federal, state and local governments were responsible for about 43 percent of that spending. Projections have shown that if healthcare spending continues to increase at its current rate, it will reach 19.3 percent of GDP in 2023.[1][2][3][4]

The table below shows total healthcare spending and spending per capita in 2009 for each state, as well as what percentage of gross state product can be attributed to healthcare spending. The table also shows average annual growth in healthcare spending between 1991 and 2009. Wyoming had the lowest total healthcare spending in 2009 at about $3.8 million. California had the highest figure, $230 million. However, per capita, Utah had the lowest spending at $5,031, and Massachusetts had the highest spending at $9,278. While data for total health spending, spending per capita and spending growth come from the Henry J. Kaiser Family Foundation, spending as a percent of gross state product for each state was calculated by Ballotpedia.[5][6][7]

Total healthcare spending*, 2009

State  | Total health spending (in millions)  | Percent of GSP  | Health spending per capita  | Avg. annual percent growth†
Alabama | $29,524 | 17.9% | $6,272 | 5.9%
Alaska | $6,341 | 14% | $9,128 | 8.4%
Arizona | $35,797 | 14.6% | $5,434 | 7.8%
Arkansas | $17,806 | 18% | $6,167 | 6.6%
California | $230,090 | 12.6% | $6,238 | 5.9%
Colorado | $30,060 | 12.3% | $5,994 | 7.3%
Connecticut | $30,416 | 14.2% | $8,654 | 5.8%
Delaware | $7,497 | 12.5% | $8,480 | 7.7%
District of Columbia | $6,209 | 6.3% | $10,349 | 4.5%
Florida | $132,463 | 18.2% | $7,156 | 6.9%
Georgia | $53,655 | 13.7% | $5,467 | 6.6%
Hawaii | $8,833 | 13.8% | $6,856 | 6.2%
Idaho | $8,739 | 16.3% | $5,658 | 7.9%
Illinois | $87,112 | 14% | $6,756 | 5.8%
Indiana | $42,780 | 17.1% | $6,666 | 6.3%
Iowa | $20,822 | 15.6% | $6,921 | 6.1%
Kansas | $19,107 | 15.7% | $6,782 | 6.2%
Kentucky | $28,443 | 18.7% | $6,596 | 6.7%
Louisiana | $30,507 | 15.1% | $6,795 | 5.7%
Maine | $11,213 | 22.4% | $8,521 | 7.4%
Maryland | $42,616 | 15% | $7,492 | 6.6%
Massachusetts | $61,162 | 17% | $9,278 | 6.4%
Michigan | $65,888 | 18.8% | $6,618 | 5.6%
Minnesota | $38,994 | 15.1% | $7,409 | 7%
Mississippi | $19,384 | 21% | $6,571 | 7%
Missouri | $41,681 | 17.6% | $6,967 | 6.7%
Montana | $6,468 | 18.6% | $6,640 | 7%
Nebraska | $12,649 | 14.7% | $7,048 | 6.9%
Nevada | $15,133 | 12.2% | $5,735 | 9.2%
New Hampshire | $10,365 | 17.6% | $7,839 | 7.6%
New Jersey | $65,924 | 14% | $7,583 | 6%
New Mexico | $13,350 | 17.9% | $6,651 | 7.7%
New York | $162,845 | 15.2% | $8,341 | 5.9%
North Carolina | $60,297 | 14.7% | $6,444 | 7.9%
North Dakota | $5,005 | 15.6% | $7,749 | 6.2%
Ohio | $81,598 | 18.1% | $7,076 | 5.8%
Oklahoma | $24,074 | 17.1% | $6,532 | 6.7%
Oregon | $25,155 | 14.7% | $6,580 | 7.5%
Pennsylvania | $97,414 | 18.1% | $7,730 | 5.7%
Rhode Island | $8,786 | 18.4% | $8,309 | 6.3%
South Carolina | $28,798 | 18.4% | $6,323 | 7.3%
South Dakota | $5,721 | 15.5% | $7,056 | 6.9%
Tennessee | $40,331 | 16.5% | $6,411 | 6.6%
Texas | $146,735 | 13% | $5,924 | 7.3%
Utah | $13,990 | 12.5% | $5,031 | 7.9%
Vermont | $4,745 | 19.6% | $7,635 | 7.3%
Virginia | $49,427 | 12.2% | $6,286 | 6.9%
Washington | $45,246 | 13.6% | $6,782 | 7.3%
West Virginia | $13,964 | 23.4% | $7,667 | 6.3%
Wisconsin | $40,871 | 17.3% | $7,233 | 6.7%
Wyoming | $3,833 | 11.2% | $7,040 | 7.6%
United States | $2,505,800 | 17.4% | $8,175 | 6.5%
* "Total Health Spending includes spending for all privately and publicly funded personal health care services and products (hospital care, physician services, nursing home care, prescription drugs, etc.) by state of residence. Hospital spending is included and reflects the total net revenue (gross charges less contractual adjustments, bad debts, and charity care)."
† 1991-2009
‡ Data come directly from the Centers for Medicare and Medicaid Services, "NHE Summary including share of GDP, CY 1960-2013"
Source: The Henry J. Kaiser Family Foundation, "State Health Facts"

## Healthcare policy in the 50 states[edit]

Click on a state below to read more about healthcare policy in that state.

Choose your state...AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWashington, D.C.West VirginiaWisconsinWyoming

http://ballotpedia.org/Healthcare_policy_in_STATE

## See also[edit]

* Healthcare policy in the United States

* Effect of the Affordable Care Act in the United States

* U.S. Department of Health and Human Services

## Footnotes[edit]

1. ↑ Centers for Medicare and Medicaid Services, "National Health Expenditures 2013 Highlights," accessed July 28, 2015
2. ↑ Health Affiars, "National Health Spending In 2013: Growth Slows, Remains In Step With The Overall Economy," December 2014
3. ↑ Health Affiars, "National Health Expenditure Projections, 2013–23: Faster Growth Expected With Expanded Coverage And Improving Economy," September 2014
4. ↑ Peterson-Kaiser Health System Tracker, "Health Spending Explorer," accessed July 28, 2015
5. ↑ The Henry J. Kaiser Family Foundation, "Health Care Expenditures by State of Residence (in millions)," accessed July 17, 2015
6. ↑ The Henry J. Kaiser Family Foundation, "Health Care Expenditures per Capita by State of Residence," accessed July 17, 2015
7. ↑ The Henry J. Kaiser Family Foundation, "Average Annual Percent Growth in Health Care Expenditures by State of Residence," accessed July 17, 2015

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