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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  • State Health Care Costs Vary Significantly

    When it comes to health care spending, states face a complicated set of challenges and financial burdens,  with obligations ranging from caring for their most vulnerable populations—the poor, elderly, very young, chronically ill, or incarcerated—to providing coverage for state employees and retirees as part of compensation packages.  Read More

  • State Health Care Spending: Key Findings

    Health care spending presents a complicated set of challenges and financial burdens for states, whose obligations range from caring for the neediest residents—those who cannot afford health care or health insurance on their own—to providing coverage for state employees and retirees who have negotiated it as part of their compensation packages. States spend, in the aggregate, hundreds... Read More

  • State Retiree Health Plan Spending

    This report, a first-of-its-kind effort, provides data on state OPEB liabilities—the cost in today’s dollars of benefitsto be paid to current workers and retirees over future years—and funding trends and how they are affected byaspects of state retiree health plans. Read More

Media Contact

Jeremy Ratner

Director, Communications

202.540.6507