From FY2019 to FY2021 awards per resident rose $11,322 in Alaska and $3,185 in Alabama, Medicare set aside

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 2019 and 2021.

Method and data

Method. Change in awards per resident, FY2019 to FY2021, Medicare set aside, nominal dollars, one tile per state, shaded in three bins (under $4,000; $4,000–$5,000; $5,000 and over); the table sorts every state from the largest rise. The District of Columbia’s rise, $32,392 per resident, is in the top bin. Each rise is FY2021 per resident less FY2019 per resident, unrounded.

State	FY2019	FY2021	Rise	Rise (%)
District of Columbia	48,529	80,921	32,392	67
Alaska	14,096	25,418	11,322	80
North Dakota	8,455	16,526	8,072	95
South Dakota	9,034	15,653	6,620	73
Wyoming	7,921	14,507	6,586	83
Louisiana	8,179	14,489	6,311	77
Minnesota	7,131	13,416	6,285	88
New Mexico	13,109	19,298	6,189	47
Vermont	9,230	15,322	6,092	66
Oklahoma	7,970	13,961	5,990	75
Hawaii	8,584	14,451	5,867	68
Massachusetts	9,767	15,575	5,809	59
New York	8,817	14,568	5,751	65
Arizona	8,939	14,619	5,680	64
Rhode Island	8,726	14,380	5,654	65
Virginia	13,180	18,560	5,380	41
Illinois	6,762	11,967	5,205	77
Kentucky	9,968	15,034	5,066	51
Montana	9,138	14,187	5,049	55
California	7,238	12,207	4,969	69
Delaware	8,240	13,135	4,894	59
Oregon	7,985	12,834	4,849	61
Nebraska	6,975	11,666	4,691	67
Texas	6,929	11,593	4,664	67
West Virginia	10,017	14,585	4,568	46
Maryland	12,392	16,790	4,398	35
Nevada	6,784	11,121	4,338	64
Colorado	7,578	11,783	4,206	56
Michigan	7,830	11,975	4,145	53
Iowa	7,663	11,803	4,140	54
Georgia	6,531	10,664	4,133	63
Kansas	7,015	11,147	4,131	59
Washington	8,598	12,695	4,097	48
Ohio	7,379	11,460	4,081	55
New Jersey	6,974	11,016	4,042	58
Tennessee	8,011	12,047	4,036	50
Connecticut	12,429	16,412	3,983	32
Pennsylvania	8,887	12,832	3,945	44
Wisconsin	7,517	11,421	3,904	52
Arkansas	8,345	12,213	3,868	46
South Carolina	8,030	11,872	3,842	48
North Carolina	7,237	11,067	3,829	53
Indiana	7,452	11,264	3,812	51
Maine	10,756	14,508	3,752	35
Florida	7,547	11,245	3,697	49
Mississippi	10,116	13,707	3,591	36
Missouri	9,243	12,820	3,577	39
Idaho	7,610	11,049	3,439	45
Utah	5,258	8,664	3,406	65
New Hampshire	8,859	12,235	3,376	38
Alabama	10,322	13,508	3,185	31

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Higgins Strategy. “From FY2019 to FY2021 awards per resident rose $11,322 in Alaska and $3,185 in Alabama, Medicare set aside” Exhibit 8, Federal Dollars by State, Over Time (Study V · Part Three). October 12, 2026. https://higginsstrategy.com/charts/05c-pandemic-rise-by-state-fy2019-fy2021/