Awards per resident rose 76% from FY2014 to FY2025, Medicare set aside; Alaska’s rose 140% and Utah’s 74%

Source. USAspending.gov state profiles (prime award obligations by place of performance) and spending by geography (Medicare listings 93.773, 93.774, 93.770, by recipient location); Census Bureau population, July 1, via FRED. Fiscal years 2014–2025.

Method and data

Method. Per resident, in nominal dollars, FY2014 to FY2025: the 50 states and DC together ($2,127,048 million ÷ 318,386.3 thousand residents = $6,681 in FY2014; $4,026,681 million ÷ 341,784.9 thousand = $11,781 in FY2025), with the highest state (Alaska) and the lowest (Utah) in FY2025, Medicare set aside. The District of Columbia, at $70,232 in FY2025, is off this scale; every state’s series is in Exhibit 5 and its CSV. Fiscal year FY matches calendar year FY’s population (Census Bureau, July 1; Vintage 2025 for 2020 onward, earlier vintages for 2014–2019, via FRED). All series are in the dollars of their year. The CPI-U rose about 36 percent between FY2014 and FY2025 (BLS, fiscal-year averages of the monthly index, 236.008 and 319.997), so the national per-resident rise of 76% is roughly 30% in real terms (1.7635 ÷ 1.3559 − 1). The contract, direct-payment, grant and as-recorded figures for the 50 states and DC are in the table.

Fiscal year	50 states and DC	Alaska	Utah	50 states and DC, contracts	50 states and DC, direct payments, Medicare set aside	50 states and DC, grants	50 states and DC, all awards as recorded
2014	6,681	10,428	4,537	1,273	3,372	1,821	8,482
2015	7,019	11,168	4,575	1,245	3,645	1,901	8,927
2016	7,410	11,161	4,695	1,343	3,788	2,031	9,479
2017	7,641	12,209	4,823	1,435	3,821	2,146	9,738
2018	7,922	13,328	4,966	1,552	3,891	2,222	10,019
2019	8,213	14,096	5,258	1,653	4,113	2,244	10,512
2020	11,619	22,756	7,985	1,879	5,084	2,786	14,297
2021	12,862	25,418	8,664	1,809	6,066	3,923	15,310
2022	10,561	20,244	7,310	1,916	5,053	3,290	13,212
2023	10,920	22,010	7,543	2,077	5,454	3,257	13,845
2024	11,047	22,613	8,420	2,046	5,546	3,417	14,052
2025	11,781	25,027	7,875	2,164	6,021	3,542	15,158

Download 05c-awards-per-resident-fifty-states-and-dc-fy2014-fy2025.csv

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Higgins Strategy. “Awards per resident rose 76% from FY2014 to FY2025, Medicare set aside; Alaska’s rose 140% and Utah’s 74%” Exhibit 4, Federal Dollars by State, Over Time (Study V · Part Three). October 12, 2026. https://higginsstrategy.com/charts/05c-awards-per-resident-fifty-states-and-dc-fy2014-fy2025/