Site Map  enter code:

Spending Analyses:

Debt, Deficit Analyses:

Numbers — Charts:

State Health Care Spending Rank

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

Download Options

CSV file tab-delimited
text
  download file  print view
Health Care
in percent GDP
Switch to Bubble Chart | Switch to revenue


full screen

Comparison of State and Local Government Spending
in the United States
-5yr -1yr   Fiscal Year 2023 
Amounts in percent GDP
State State
Spending
Local
Spending
State and
Local
Spending
Gross
State
Product
Real
State
Growth
Popu-
lation
(mln)
 Alabama4.27%2.19%6.46%$309.543.5%5.1 more
 Alaska4.48%1.08%5.56%$68.237.3%0.7 more
 Arizona4.81%0.27%5.08%$530.113.3%7.5 more
 Arkansas5.84%0.15%5.99%$178.122.4%3.1 more
 California4.16%1.58%5.73%$3,827.011.8%39.2 more
 Colorado2.69%0.61%3.31%$533.274.2%5.9 more
 Connecticut2.13%0.06%2.18%$341.851.4%3.6 more
 Delaware3.94%0.05%3.99%$103.331.2%1.0 more
 District of Columbia0.00%0.80%0.80%$174.250.1%0.7 more
 Florida2.80%0.92%3.73%$1,624.645.1%22.9 more
 Georgia2.47%0.98%3.45%$835.761.4%11.1 more
 Hawaii4.24%0.05%4.29%$111.742.5%1.4 more
 Idaho2.98%1.13%4.11%$120.592.7%2.0 more
 Illinois3.38%0.61%3.98%$1,100.791.4%12.6 more
 Indiana3.80%1.35%5.16%$496.851.8%6.9 more
 Iowa4.37%1.13%5.50%$253.17-0.6%3.2 more
 Kansas4.41%0.60%5.01%$224.851.4%2.9 more
 Kentucky7.26%0.31%7.57%$283.272.9%4.5 more
 Louisiana5.24%0.98%6.22%$318.043.7%4.6 more
 Maine5.65%0.15%5.80%$93.743.6%1.4 more
 Maryland3.88%0.17%4.05%$515.041.9%6.2 more
 Massachusetts4.50%0.21%4.71%$737.871.2%7.1 more
 Michigan4.27%0.60%4.87%$676.032.7%10.1 more
 Minnesota4.26%0.77%5.03%$483.221.0%5.8 more
 Mississippi5.82%2.18%8.00%$151.513.2%2.9 more
 Missouri4.63%0.89%5.53%$428.892.9%6.2 more
 Montana4.10%0.42%4.52%$74.695.0%1.1 more
 Nebraska2.71%0.50%3.21%$183.785.2%2.0 more
 Nevada2.36%0.55%2.91%$253.443.4%3.2 more
 New Hampshire2.50%0.04%2.54%$114.432.1%1.4 more
 New Jersey3.58%0.08%3.65%$806.892.1%9.4 more
 New Mexico9.50%0.41%9.91%$138.539.4%2.1 more
 New York4.01%0.91%4.92%$2,182.550.7%19.8 more
 North Carolina3.03%2.19%5.22%$794.843.6%10.9 more
 North Dakota2.77%0.13%2.90%$77.908.9%0.8 more
 Ohio4.60%0.43%5.03%$883.961.9%11.8 more
 Oklahoma4.36%0.77%5.13%$255.936.6%4.1 more
 Oregon6.78%0.57%7.35%$314.901.5%4.3 more
 Pennsylvania5.27%0.47%5.74%$966.441.7%13.0 more
 Rhode Island5.59%0.04%5.63%$76.311.0%1.1 more
 South Carolina4.38%1.71%6.09%$332.953.7%5.4 more
 South Dakota2.21%0.18%2.39%$74.463.6%0.9 more
 Tennessee2.96%0.98%3.94%$531.253.1%7.2 more
 Texas2.73%0.83%3.56%$2,637.248.2%30.7 more
 All states combined3.85%0.88%4.74%$27,811.502.9%336.8 more
 Utah3.43%0.45%3.88%$283.233.9%3.4 more
 Vermont6.44%0.03%6.47%$43.931.7%0.6 more
 Virginia4.07%0.41%4.48%$722.773.4%8.7 more
 Washington3.29%0.76%4.05%$801.464.3%7.8 more
 West Virginia6.23%0.58%6.81%$101.483.6%1.8 more
 Wisconsin4.11%0.38%4.49%$431.911.5%5.9 more
 Wyoming2.73%3.38%6.11%$51.355.7%0.6 more
Notes: actual guesstimated1 estimated

1. "Guesstimated" by projecting the latest change in reported number forward to future years. GSP deviation from national GDP growth cut by 40% per year.

Data Sources:
State GDP Information
Federal: Fed. Budget: Hist. Tables 3.2, 5.1, 7.1
State and Local: State and Local Gov. Finances
'Guesstimated' by projecting the latest change in reported spending forward to future years

Download Data

Download Tab-delimited Data

Copy and Paste: To copy and paste data into spreadsheet for analysis, just copy the tab-delimited text in the textbox below (click cursor in text box, then press ctrl-A then press ctrl-C) and paste it into your spreadsheet.

Suggested Video: US Defense Spending

Top Spending Requests:

Find DEFICIT stats and history.

Get WELFARE stats and history.

US BUDGET overview and pie chart.

Find NATIONAL DEBT today.

DOWNLOAD spending data or debt data.

See FEDERAL BUDGET breakdown and estimated vs. actual.

MILITARY SPENDING details, budget and history.

ENTITLEMENT SPENDING history.

See BAR CHARTS of spending, debt.

Check STATE spending: CA NY TX FL and compare.

See SPENDING ANALYSIS briefing.

See SPENDING HISTORY briefing.

Take a COURSE at Spending 101.

Make your own CUSTOM CHART.

Spending Data Sources

Spending data is from official government sources.

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:  $39,293,074,039,354.64
Debt 2/2020:$23,409,959,150,243.63

Site Search

Win Cash for Bugs

File a valid bug report and get a $5 Amazon Gift Certificate.

Get the Books


Price: $0.99
Or download
for free.

From
usgovernment
spending.com
Price: $1.99

Life after liberalism Price: $0.99
Or download
for free.

US Government Spending 2020: only 99¢.

US Government Spending 2012: free.

Data Sources for 2023:

GDP, GO: GDP, GO Sources
Federal: Fed. Budget: Hist. Tables 3.2, 5.1, 7.1
State and Local: State and Local Gov. Finances
'Guesstimated' by projecting the latest change in reported spending forward to future years

> data sources for other years
> data update schedule.

Blog

Medicare/Social Security 2026 Trustees Report Released

On June 16, 2026, the Center for Medicare Services released its annual Medicare Trustees Report, which projects Medicare spending out to 2095.  As in the past, the report shows that federal health-care programs will eat the budget.

In this report the Trustees forecast that Medicare will top out at a little above 6 percent of GDP in the 2080s.

On June 15, 2026, usgovernmentspending.com updated its chart of the Medicare Outlook here based on data in the 2026 Medicare Trustees Report.  You can download the data and also view selected Medicare Trustee forecasts going back to 2005.


In June 2026, the Social Security Administration released its annual OASDI Trustees Report, which projects Social Security spending out to 2095.  As in the past, the report shows that Social Security spending will max out at about 6 percent of GDP. UsGovernmentspending.com uses the Supplemental Single Year Tables.

On June 15, 2026, usgovernmentspending.com updated its chart of the Social Security Outlook here based on data in the 2026 OASDI Trustees Report.  You can download the data and also view selected OASDI Trustee forecasts going back to 1997.

CBO Long Term Budget Outlook for 2026
On February 25, 2026 the Congressional Budget Office released its annual Long Term Budget Outlook for 2026, which projects ...

Gross State Product for 2025
The US Bureau of Economic Analysis (BEA) released its Gross State Product (GSP) data for 2025 on April 9, 2026.Usgovernment ...

> blog

Spend Links

us numbersus budgetcustom chartdeficit/gdpspend/gdpdebt/gdpus gdpus real gdpstate gdpbreakdownfederalstatelocal202420252026californiatexas

Masthead

usgovernmentspending.com was designed and executed by:

Christopher Chantrill.

Email here.


presented by Christopher Chantrill

Data Sources  •   •  Contact

closed