Governing Magazine/February 2004

THE GOVERNMENT PERFORMANCE PROJECT
A Case of Neglect

A BUDGET BUSTER

State spending on prescription drugs and Rx spending as a percentage
of all Medicaid expenditures

                  DRUG          PERCENT  DRUGS AS %
                  EXPENDITURES  CHANGE   MEDICAID
STATE             FY 2002       2001-02  SPENDING
Alabama           $452,269,953  16.9     14.5%
Alaska             $70,820,710  20.4     10.1%
Arizona*            $3,754,074  45.0      0.1%
Arkansas          $273,258,152  13.1     12.1%
California      $3,588,682,134  20.2     15.3%
Colorado          $189,717,036  14.3      8.2%
Connecticut       $357,919,257  17.4     10.0%
Delaware           $97,750,161  20.4     15.4%
Florida         $1,719,583,398  16.5     17.3%
Georgia           $873,411,174  19.0     13.6%
Hawaii             $87,293,917  18.8     11.6%
Idaho             $119,177,013  15.7     14.9%
Illinois        $1,278,418,754  43.6     14.3%
Indiana           $631,637,846  12.5     14.3%
Iowa              $286,818,905  21.3     12.4%
Kansas            $210,476,558  10.5     11.4%
Kentucky          $652,904,065  10.3     17.1%
Louisiana         $715,521,536  22.1     14.5%
Maine             $220,156,654  14.8     15.1%
Maryland          $297,291,733  21.7      8.1%
Massachusetts     $962,188,017  20.5     11.0%
Michigan          $671,465,090  14.9      8.9%
Minnesota         $310,175,326  16.7      6.7%
Mississippi       $567,313,801  15.0     19.5%
Missouri          $790,665,732  17.1     14.8%
Montana            $83,587,410  15.2     14.2%
Nebraska          $207,796,832  21.6     15.1%
Nevada             $86,945,316  41.4     10.6%
New Hampshire      $99,682,997   8.7      9.7%
New Jersey        $690,055,943   5.2      8.9%
New Mexico         $73,877,785  27.4      4.2%
New York        $3,654,848,012  22.5     10.1%
North Carolina  $1,089,180,219  10.6     16.0%
North Dakota       $52,508,626  19.1     11.2%
Ohio            $1,334,136,463  21.3     13.6%
Oklahoma          $285,071,939  66.5     12.4%
Oregon            $279,047,125  22.1     10.8%
Pennsylvania      $718,204,613   3.7      5.9%
Rhode Island      $125,187,888  21.9      9.0%
South Carolina    $457,066,475   4.1     13.5%
South Dakota       $62,383,701  20.6     11.3%
Tennessee         $912,746,185  34.1     15.7%
Texas           $1,591,068,749  20.0     11.9%
Utah              $140,103,478  19.7     13.9%
Vermont           $114,157,870   9.5     17.2%
Virginia          $459,799,544   8.1     13.3%
Washington        $541,964,359  18.2     10.0%
West Virginia     $277,039,990   7.3     17.3%
Wisconsin         $443,594,557  15.5     11.3%
Wyoming            $39,130,761  24.2     14.1%

*Arizona has a statewide managed care system. These figures reflect
only the very small fee-for-service population.

Source: MEDSTAT Group Inc. from Centers for Medicare and Medicaid
Services data

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