State Health Care Spending

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The State Health Care Spending Project, a collaboration between The Pew Charitable Trusts and the John D. and Catherine T. MacArthur Foundation, is examining seven major areas of state health care spending—Medicaid, the Children’s Health Insurance Program, substance abuse treatment, mental health services, prison health care, active state government employee health insurance, and retired state government employee health insurance. The project will provide a comprehensive examination of each of these health programs that states fund. The programs vary by state in many ways, so the research will highlight those variations and some of the principal factors driving them. The project is concurrently releasing state-by-state data on 20 key health indicators to complement the programmatic spending analysis.

State Health Care Spending Project Reports

These reports provide 50-state analysis of states’ spending on health care.

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Our Work

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  • How Medicaid Enrollment of Inmates Facilitates Health Coverage After Release

    As more states and localities have begun to re-evaluate and reform their criminal justice systems in recent years, policymakers have devoted increased attention to the health care provided to individuals transitioning in and out of prisons and jails. Read More

  • State and Local Correctional Health Care Spending

    Effectively administering health care programs is a critical element of sound fiscal management for state and local governments. As health care and corrections have emerged in recent years as fiscal pressure points, so too has the intersection of these two spheres—health care for inmates. The manner in which states and localities manage prison and jail health care services affects taxpayers’... Read More

  • Substance Use Disorder and the Role of States

    October marks National Substance Abuse Prevention Month, which was first instituted by President Barack Obama in 2011. In the proclamation issued by the president, he asked Americans to “come together to acknowledge the role every person can play in preventing substance abuse and recommit to fostering a culture where all our people can live up to their fullest potential.” Despite all... Read More

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Jeremy Ratner

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202.540.6507