Employed But Not Insured - Appendices

State-Specific Earnings Thresholds for Working Parents Who Already Are Enrolled in Medicaid

**Table 6**
How Much Can a Working Parent Already Enrolled in Medicaid Earn and Still Retain Eligibility for Coverage? (Based on a 3-person family with one wage earner. Assumes that the family's only source of income is earnings.)
	Monthly Earnings Threshold	Annual Earnings Limit Threshold	Earnings as a % of the Federal Poverty Level
Alabama	$253	$3,036	22%
Alaska	$1,778	$21,340	125%
Arizona	$584	$7,011	51%
Arkansas	$637	$7,650	56%
California	$1,788	$21,456	157%
Colorado	$510	$6,120	45%
Connecticut *	$1,138	$13,656	100%
Delaware **	$1,228	$14,730	108%
District of Columbia	$2,275	$27,300	200%
Florida	$804	$9,648	71%
Georgia	$513	$6,156	45%
Hawaii **	$1,309	$15,708	100%
Idaho	$406	$4,872	36%
Illinois*	$597	$7,164	52%
Indiana	$377	$4,524	33%
Iowa	$1,063	$12,750	93%
Kansas	$762	$9,140	67%
Kentucky	$615	$7,380	54%
Louisiana	$263	$3,156	23%
Maine	$1,227	$14,724	108%
Maryland *	$523	$6,276	46%
Massachusetts **	$1,513	$18,156	133%
Michigan	$548	$6,576	48%
Minnesota **	$3,128	$37,538	275%
Mississippi	$457	$5,484	40%
Missouri	$381	$4,572	33%
Montana	$833	$10,000	73%
Nebraska *	$490	$5,880	43%
Nevada	$434	$5,205	38%
New Hampshire	$686	$8,235	60%
New Jersey	$533	$6,396	47%
New Mexico	$702	$8,424	62%
New York	$1,067	$12,809	94%
North Carolina	$634	$7,608	56%
North Dakota	$625	$7,496	55%
Ohio	$972	$11,664	85%
Oklahoma	$426	$5,112	37%
Oregon **	$1,138	$13,650	100%
Pennsylvania	$804	$9,648	71%
Rhode Island	$2,194	$26,333	193%
South Carolina	$668	$8,016	59%
South Dakota	$796	$9,546	70%
Tennessee	$766	$9,192	67%
Texas *	$364	$4,368	32%
Utah *	$657	$7,884	58%
Vermont **	$1,797	$21,564	158%
Virginia	$380	$4,560	33%
Washington	$1,090	$13,080	96%
West Virginia	$342	$4,104	30%
Wisconsin	$737	$8,844	65%
Wyoming	$789	$9,468	69%
Median state	$686	$8,235	60%
Unless otherwise noted, the earnings thresholds presented in this table are based on the income standards and earnings disregards used by states under their family coverage categories to determine the ongoing eligibility of a parent who has been working for 12 months or more. States marked with an "" have not yet established a family coverage category and base their earnings thresholds on their medically needy eligibility rules. States marked with "*" have expanded coverage to low-income working parents under an 1115 waiver and the table is based on the eligibility rules that apply to parents under the waiver. See Appendices B and C for additional information.

**Table 7**
How Many Hours Can a Parent Already Enrolled in Medicaid Work and Still Retain Eligibility for Coverage? (Based on a 3-person family with one wage earner. Assumes that the family's only source of income is earnings.)
	At a $7 an hour job, can a parent work full time?	If no, how many hours a week can the parent work?	At the federal minimum wage ($5.15 per hour), can a parent work full time?	If no, how many hours can a parent work at $5.15 an hour?
Alabama	NO	8	NO	11
Alaska	YES		YES
Arizona	NO	19	NO	26
Arkansas	NO	21	NO	29
California	YES		YES
Colorado	NO	17	NO	23
Connecticut *	NO	38	YES
Delaware **	YES		YES
District of Columbia	YES		YES
Florida	NO	27	NO	36
Georgia	NO	17	NO	23
Hawaii **	YES		YES
Idaho	NO	13	NO	18
Illinois*	NO	20	NO	27
Indiana	NO	12	NO	17
Iowa	NO	35	YES
Kansas	NO	25	NO	34
Kentucky	NO	20	NO	28
Louisiana	NO	9	NO	12
Maine	YES		YES
Maryland *	NO	17	NO	23
Massachusetts **	YES		YES
Michigan	NO	18	NO	25
Minnesota **	YES		YES
Mississippi	NO	15	NO	20
Missouri	NO	13	NO	17
Montana	NO	27	NO	36
Nebraska *	NO	16	NO	22
Nevada	NO	14	NO	19
New Hampshire	NO	23	NO	31
New Jersey	NO	18	NO	24
New Mexico	NO	23	NO	31
New York	NO	35	YES
North Carolina	NO	21	NO	28
North Dakota	NO	21	NO	28
Ohio	NO	32	YES
Oklahoma	NO	14	NO	19
Oregon **	NO	38	YES
Pennsylvania	NO	27	NO	36
Rhode Island	YES		YES
South Carolina	NO	22	NO	30
South Dakota	NO	26	NO	36
Tennessee	NO	25	NO	34
Texas *	NO	12	NO	16
Utah *	NO	22	NO	29
Vermont **	YES		YES
Virginia	NO	13	NO	17
Washington	NO	36	YES
West Virginia	NO	11	NO	15
Wisconsin	NO	24	NO	33
Wyoming	NO	26	NO	35
Median state	NO	23	NO	31
Unless otherwise noted, the earnings threshold presented in this table are based on the income standards and earnings disregards used by states under their family coverage categories to determine the ongoing eligibility of a parent who has been working for 12 months or more. States marked with an "" have not yet established a family coverage category and base their earnings threshold on their medically needy eligibility rules. States marked with "*" have expanded coverage to low-income working parents under an 1115 waiver and the table is based on the eligibility rules that apply to parents under the waiver. See Appendices B and C for additional information. Some states have minimum wage levels that are higher than the federal level.

Methodology Used to Develop Tables with State-Specific Information on Medicaid Eligibility Rules for Parents

This Appendix describes the methodology used to develop the tables in this report that provide state-specific information on Medicaid eligibility rules for parents. It applies to Tables 3 through 5, which appear in the body of the report, as well as to Tables 6 and 7, which appear in Appendix A.

The tables with state-specific information about Medicaid eligibility rules for parents in this report are based on the eligibility rules that apply to a three-person family that is not on welfare and that has one working parent.

Technically, the Medicaid rules described in these tables are used to determine the eligibility of families with children, not just parents. However, since most children also are eligible for Medicaid under other eligibility categories (e.g., poverty level eligibility categories for children) at higher income levels than are presented in these tables, the thresholds and rules noted in these tables relate primarily to parents.

When eligibility rules for income vary within a state, the tables display the rules that apply in the sub-state area with the largest number of Medicaid beneficiaries.

In many states, parents have more than one route to Medicaid eligibility. Unless otherwise specified, the tables display the eligibility rules used under a state's "family coverage" category (i.e., the "delinking" or "section 1931" eligibility category based on a state's July 16, 1996 AFDC income, resource, and family composition rules that replaced the automatic eligibility link between Medicaid and cash welfare when the 1996 federal welfare law was enacted). There are two circumstances under which the information in the tables is not based on the rules that apply to the family coverage category.

Tables 3 and 4 provide information on how much a working parent who applies for Medicaid can earn and still be found eligible for coverage. Table 3 presents the information in terms of dollar limits on earnings and Table 4 presents it in terms of how many hours a week a parent can work. Both tables take into account how states treat a family's earnings when evaluating their application for Medicaid. For example, many states disregard $90 in earnings each month for each wage earner when determining a family's countable income to account for expenses associated with working. Thus, a state that covers a working parent in a three-person family with countable income below $600 a month would extend coverage to a parent with gross earnings of $690 a month ($690 - $90 = $600, the state's countable income threshold of $600 a month). A number of states, however, have adopted significantly more generous disregards of earnings and these are reflected in Tables 3 and 4.

The earnings thresholds presented in these tables do not take into account other possible disregards or deductions a family might receive, the most significant of which is the deduction for child care expenses. A parent who pays out-of-pocket for child care costs is likely to be eligible for Medicaid at somewhat higher gross earnings levels than are presented in the table. At the same time, a parent with income from sources other than earnings may be eligible for Medicaid at lower income levels than those identified in these tables because the parent may not be able to take full advantage of a state's earnings disregard policy.

Note that states generally define a person applying for Medicaid as someone who has not been enrolled in Medicaid in one of the four previous months.

Tables 5 shows whether or not a state covers two-parent families to the same extent that it covers single-parent families by eliminating the so-called "100-hour" rule. The 100-hour rule, which is a remnant of the old AFDC system, restricts Medicaid coverage to two-parent families in which the principal wage earner works fewer than 100 hours a month. As a result of a regulation issued by the Department of Health and Human Services on August 7, 1998, all states now have the option to effectively drop the 100-hour rule and to provide Medicaid to two-parent families on the same terms that it is available to single-parent families. Even prior to the regulation, a majority of states had statewide waivers that gave them the option to dispense with the 100-hour rule requirement when determining a family's eligibility for Medicaid.

Tables 6 and 7, which appear in Appendix A, display how much a working parent in a three-person family who is enrolled in Medicaid can earn and still retain eligibility for ongoing coverage, with Table 6 presenting the information in terms of a dollar limit and Table 7 presenting it in terms of how many hours a week such a parent can work. They differ from Tables 3 and 4 because they are based on the gross earnings thresholds that relate to parents who already are enrolled in Medicaid and then find a job or have increased earnings, as opposed to working parents who are applying for Medicaid.

As with Tables 3 and 4, Tables 6 and 7 reflect a state's earnings disregard policies, as well as the state's countable income threshold for parents enrolled in Medicaid. They do not take into account other disregards or deductions that parents can receive, and they assume that all income is from earnings.

More specifically, Tables 6 and 7 show the gross earnings eligibility thresholds that apply to a parent already enrolled in Medicaid who has been working for twelve months or more. Parents already enrolled in Medicaid, but who have been working for fewer than twelve months, may be eligible for regular Medicaid at different gross earnings levels than those displayed in Tables 6 and 7 because some states offer Medicaid beneficiaries a different earnings disregard for a time-limited period. For example, many states disregard $30 plus one-third of remaining earnings for the first four months that a parent works.

Also note that Tables 6 and 7 display how much a parent can earn and retain ongoing Medicaid coverage as opposed to time-limited coverage under Transitional Medical Assistance. Under federal law, families who lose their eligibility for regular Medicaid under the family coverage category because of an increase in earnings or the lapse of an earnings disregard policy are eligible for six months of Transitional Medical Assistance and for an additional six months if the family's gross income (less child care expenses) is below 185 percent of the poverty level. (Twelve states have received waivers to extend TMA for longer than 12 months.) States also must provide four months of transitional coverage to a family who loses Medicaid due to child support income.

For most states, the information in these tables on Medicaid eligibility rules are based on a survey on the implementation of the Medicaid provisions included in the 1996 federal welfare law conducted by the State Policy Documentation Project, a joint project of the Center for Law and Social Policy and the Center on Budget and Policy Priorities. Responses to the survey were verified by officials in most states in the fall of 1998. In states for which verified survey results were not available, the Center has confirmed the information included in this table directly with state officials. The only exception is that in Virginia state officials did not verify or comment on the information included in these tables.

Since states continue to examine and revise their coverage of families with children under the family coverage category, it is possible that some of the information in this table may have changed since it was confirmed by state officials in late 1998.

These state-specific notes are designed to supplement the tables in this report that provide information about each state's Medicaid eligibility rules for parents (Table 3 - Table 7) by explaining relevant details about a state's coverage of parents. For example, they indicate when a state has an additional route to Medicaid coverage for parents through a medically needy eligibility category or through a continued linkage of Medicaid eligibility to receipt of cash assistance. Throughout this Appendix, the phrase "gross earnings" is used in situations where a state's earnings disregard policies have been taken into account.

Arkansas also has a medically needy eligibility category that provides coverage to a family of three with countable income below $275 per month.

California also has a medically needy eligibility category that provides coverage to a family of three with countable income below $934 per month.

Connecticut has not yet fully implemented the delinking of TANF and Medicaid as of the fall, 1998. As a result, applicants are most likely to be evaluated for Medicaid eligibility under the state's medically needy eligibility rules unless they also are seeking TANF coverage. Once a family is on Medicaid, it remains eligible for coverage as long as it meets medically needy eligibility criteria or TANF income and resource eligibility rules. A working parent in a three-person family receiving TANF retains eligibility for coverage until the parent's gross earnings reach $1,138 per month or 100 percent of the poverty level. As a result, as noted in Tables 6 - 7, once a parent is on Medicaid, she continues to remain eligible for coverage until her gross earnings reach $1,138 per month.

Delaware extends Medicaid to all uninsured adults, including parents, with countable income (gross income less a $90 earnings and other disregards) at or below 100 percent of the poverty level under an 1115 waiver. These are the income thresholds reflected in Tables 3 - 4 and Tables 6 - 7. There are some differences in the coverage available to parents under this 1115 waiver versus the coverage available to them if they qualify for regular Medicaid under the state's delinking category. Under the 1115 waiver expansion, an adult must be fully uninsured in order to be eligible and coverage does not start until the adult has enrolled in a managed care plan. In contrast, under the family coverage category, parents can be enrolled in Medicaid if they have insurance from another source and Medicaid will cover services not covered by the private plan. Also, they can receive services on a fee-for-service basis until they are enrolled in a managed care plan. In Delaware, a working parent in a three-person family with no child care expenses who applies for Medicaid is eligible for coverage under the delinking category if her gross earnings fall below $427 per month. Once on Medicaid, she remains eligible for coverage under the delinking category until her gross earnings reach $942 per month.

Hawaii covers parents with gross income up to 100 percent of the poverty level under an 1115 Medicaid waiver, as noted in Tables 3 - 7. The poverty level in Hawaii is set at $1,309 per month, a level that is different from that of other states. Hawaii also has a medically needy eligibility category that covers a family of three with countable income up to $712 a month. It has not established a delinking Medicaid eligibility category.

Illinois has not yet implemented the requirement to delink TANF and Medicaid eligibility and does not have a family coverage category as of the fall, 1998. The state provides Medicaid to non-TANF families with children through its medically needy eligibility category, at the levels noted in Tables 3 - 4 and Tables 6 - 7. It also provides Medicaid to all TANF recipients. (State law requires that persons receiving TANF also receive Medicaid.) In order to initially qualify for TANF, a three-person family must have gross earnings below $466 per month and to remain on welfare a family must have gross earnings below $1,128 per month.

Indiana also provides Medicaid to all TANF recipients. Under its TANF program, Indiana has established a special "zero-grant" status for families on welfare who increase their earnings to the point that they no longer are eligible for cash benefits, but who nevertheless have income below 100 percent of the poverty level. Families in this zero-grant status are still considered TANF recipients and so, under Indiana rules, are eligible for Medicaid. Thus, some parents with income up to 100 percent of the poverty level are eligible for Medicaid in Indiana, but they are eligible up to this income level only if they recently have received cash welfare benefits and if they are willing to continue to be classified as TANF recipients (and have the TANF time limits continue to run) even after they have stopped receiving cash welfare benefits.

Iowa also has a medically needy eligibility category that provides coverage to a family of three with countable income below $566 per month.

Louisiana also has a medically needy eligibility category that provides coverage to a family of three with countable income below $699 a quarter; this translates into countable income below $233 per month.

Maryland has not yet established a family coverage category as of fall, 1998. Instead it provides coverage to families who are not on cash assistance through its medically needy eligibility category, at the levels noted in Tables 3 - 4 and Tables 6 - 7. In addition, it provides Medicaid to all TANF recipients. In general, a working single parent with two children is income-eligible for TANF when applying for assistance if her gross earnings fall below $484 a month. She remains income-eligible for TANF (and Medicaid) as long as her gross earnings remain below $523 per month.

Massachusetts covers all families with children with gross income below 133 percent of the poverty level under an 1115 Medicaid waiver; these are the income levels noted in Tables 3 - 4 and Tables 6 - 7. Some parents, including those who are pregnant, disabled, or working for an employer that offers family coverage that meets specified conditions (e.g., the employer-sponsored coverage must meet benefit and cost-sharing standards, as well as a requirement that the employer cover 50 percent or more of the cost of the coverage) may be eligible for publicly-funded coverage at higher income levels. Also, the state provides Medicaid to all TANF recipients.

Michigan also has a medically needy eligibility category that provides coverage to a family of three with countable income below $532 a month.

Minnesota offers subsidized health care coverage to uninsured parents and other caretaker relatives with gross income at or below 275 percent of the poverty level under "MinnesotaCare," the state's 1115 waiver program. These are the incomes levels noted in Tables 3 - 4 and Tables 6 - 7. Once enrolled in MinnesotaCare, parents and other caretaker relatives can remain enrolled even if their income exceeds 275 percent of the poverty level if they are willing to pay the full cost of coverage. The parents who are covered as a result of this waiver face some additional restrictions on their eligibility for coverage that do not apply to their counterparts who are eligible under Minnesota's family coverage category. (The delinking category generally covers a parent in a three-person family applying for coverage if the parent has gross earnings of up to $826 per month. As recipients, the family can retain regular coverage under the family coverage category if its gross earnings are at or below $621 per month). To qualify for MinnesotaCare, families cannot have had employer-subsidized health coverage within the last 18 months through their current employer, cannot have had any other type of health coverage within the last four months, and cannot currently have access to employer-subsidized insurance coverage for which the employer covers 50 percent or more of the cost. Adults enrolled in MinnesotaCare also have benefit restrictions and cost-sharing that do not apply to adults enrolled under the state's family coverage category.

Minnesota also has a medically needy category that provides coverage to a family of three with countable income below $709 per month.

Mississippi also provides Medicaid to all of its TANF recipients. Since it provides a disregard of 100 percent of earnings for six months to employed TANF recipients, this means that some parents at higher gross earnings levels than noted in Tables 6 - 7 may be able to qualify for Medicaid for a limited period, but only if they also are receiving welfare.

Missouri has received initial approval from HCFA under an 1115 waiver to provide coverage to uninsured custodial parents with countable income at or below 100 percent of the poverty level. Since this waiver is not expected to be implemented until later in February 1999, the new income levels are not reflected in Tables 3 - 4 and Tables 6 - 7. Under the 1115 waiver, the state also would cover uninsured non-custodial parents with countable income below 125 percent of the poverty level who are current in paying their child support, as well as uninsured non-custodial parents actively participating in Missouri's Parents' Fair Share program. In order to qualify for coverage under the 1115 waiver expansion, parents must have been uninsured for a period of six months (with some exceptions). Once enrolled in Medicaid as part of an expansion group, parents receive a narrower set of benefits than their counterparts who are covered under the state's delinking Medicaid eligibility category and will have cost-sharing obligations not applicable to their counterparts enrolled in the state's delinking Medicaid eligibility category. Finally, the 1115 waiver will allow Missouri to extend Transitional Medical Assistance for an additional two years to parents who otherwise would be uninsured, assuring that families who lose their ongoing Medicaid eligibility under the state's delinking category may be eligible for up to three years of transitional coverage.

Nebraska has not established a family coverage category as of the fall,1998. Instead it provides coverage to families who are not receiving cash assistance through its medically needy eligibility category at the levels noted in Tables 3 - 4 and Tables 6 - 7. Due to budgeting rules that breakdown the family unit into as many distinct units as possible and then aggregate the income thresholds for each of these distinct units to create a new family income threshold, parents may be eligible for Medicaid under Nebraska's medically needy category at higher income levels than presented in this report depending on their individual circumstances, including the number of children that they have and the age of their children. In addition, Nebraska provides Medicaid to all TANF recipients. In general, a parent in a three-person family is income-eligible for TANF if her gross earnings fall below $668 a month. A parent who is eligible for TANF can elect to receive only Medicaid, but any months in which the parent receives Medicaid count against the family's TANF time limit.

New Hampshire also provides Medicaid to its TANF recipients who may be eligible for TANF (and, hence Medicaid) at higher gross earnings levels than those noted in Tables 3 - 4 and Tables 6 - 7. In addition, the state has a medically needy category that provides coverage to a family of three with countable income below $652 per month.

New York also has a medically needy category that provides coverage to a family of three with countable income below $867 a month.

North Carolina also has a medically needy category that provides coverage to a family of three with countable income below $367 a month.

North Dakota also has a medically needy category that provides coverage to a family of three with countable income below $505 a month.

Ohio has an earnings disregard for recipients reflected in Tables 6 - 7 that is reduced after 18 months. Under the $90 earnings disregard policy that goes into effect after 18 months, the gross earnings threshold for a working parent in a three-person family is $451 per month.

Oklahoma also has a medically needy category that provides coverage to a family of three with countable income below $412 a month.

Oregon covers non-elderly adults, including parents, with gross income below 100 percent of the federal poverty level poverty under an expansion adopted as part of an 1115 Medicaid waiver. This is the income level presented in Tables 3 - 4 and Tables 6 - 7. The parents who are covered as a result of the 1115 waiver expansion pay premiums of $6 to $28 a month that are not applicable to their counterparts who are eligible under Oregon's family coverage category. (The delinking category generally covers a working parent in a three-person family if the parent has gross earnings below $808 per month).

Oregon also has a medically needy category that provides Medicaid coverage to a family of three with countable income below $615 a month. In addition, it provides Medicaid to all TANF recipients.

Pennsylvania also has a medically needy category that provides coverage to a family of three with countable income below $2,800 over a six-month period; this translates into countable income below $467 per month.

Tennessee also provides Medicaid to all parents who are receiving TANF. Since it has more generous earnings disregard policies under TANF than under its family coverage category, this means that some parents receiving TANF may be able to qualify for Medicaid at a higher gross earnings level than noted in Tables 3 - 4 for a limited period of time.

In addition, a parent who can initially qualify for Medicaid under the state's family coverage category is guaranteed a slot in TennCare, the state's special health insurance program operated under a Medicaid 1115 waiver, when the parent loses eligibility for Medicaid under the delinking category. Premiums are required once the parent's income reaches 100 percent of the poverty level.

Utah also provides Medicaid to all of its TANF recipients who may be eligible for TANF benefits (and, hence, Medicaid) at higher gross earnings levels than the levels noted in Tables 3 - 4 and Tables 6 - 7.

Texas has not established a delinking Medicaid eligibility category as of the fall, 1998; instead it provides coverage to families who are not on cash assistance through its medically needy eligibility category at the levels noted in Tables 3 - 4 and Tables 6 - 7. Texas also provides Medicaid to all TANF recipients. Beginning in April of 1999, the state plans to provide Transitional Medicaid Assistance to families with income below TANF limits in the state's medically needy eligibility category whose new or increased earnings or child support causes the family's income to exceed the TANF limits.

Vermont covers most adults, including parents, with countable income below 150 percent of the poverty level under an expansion it enacted as part of an 1115 Medicaid waiver. This is the income level noted in Tables 3 - 4 and Tables 6 - 7. The parents who are covered under this expansion have restrictions on their eligibility for coverage that do not apply to their counterparts who are eligible under Vermont's delinking Medicaid category for families with children. (This regular category generally covers a parent with two children if she has gross earnings below about $997 per month, although this eligibility threshold varies depending on the area of the state in which a family resides). For example, adults covered under the 1115 waiver expansion generally must have resided in the state and have been fully uninsured for at least 12 months before they are eligible for coverage. The benefit package that they receive also is not identical to the package available to regular Medicaid beneficiaries and they pay an enrollment fee of up to $20 and cost-sharing for specific services.

Vermont also has a medically needy category that provides coverage to a family of three with countable income below $825 a month.

Virginia also has a medically needy category that provides coverage to a family of three with countable income below $358 a month.

West Virginia has a medically needy category that provides coverage to a family of three with countable income below $290 a month.

Wisconsin received approval from the Health Care Financing Administration on January 22, 1999 to implement "BadgerCare," a program that will expand Medicaid to families with children, including the parents in these families, up to 185 percent of the poverty level under an 1115 waiver. Once enrolled, families will retain eligibility for coverage until their incomes reach 200 percent of the poverty level. The expansion will be financed with a mixture of state funds, premiums from families, federal child health funds and Medicaid funds. Families with income above 150 percent of the poverty level will pay premiums to participate in the program.

**Table 8**
Federal Medicaid Matching Rates for Fiscal Year 1999
State	Federal Medicaid Matching Rate
Alabama	69.27
Alaska	59.80
American Samoa	50.00
Arizona	65.50
Arkansas	72.96
California	51.55
Colorado	50.59
Connecticut	50.00
Delaware	50.00
District of Columbia	70.00
Florida	55.82
Georgia	60.47
Guam	50.00
Hawaii	50.00
Idaho	69.85
Illinois	50.00
Indiana	61.01
Iowa	63.32
Kansas	60.05
Kentucky	70.53
Louisiana	70.37
Maine	66.40
Maryland	50.00
Massachusetts	50.00
Michigan	52.72
Minnesota	51.50
Mississippi	76.78
Missouri	60.24
Montana	71.73
Nebraska	61.46
Nevada	50.00
New Hampshire	50.00
New Jersey	50.00
New Mexico	72.98
New York	50.00
North Carolina	63.07
North Dakota	69.94
Northern Mariana Islands	50.00
Ohio	58.26
Oklahoma	70.84
Oregon	60.55
Pennsylvania	53.77
Puerto Rico	50.00
Rhode Island	54.05
South Carolina	69.85
South Dakota	68.16
Tennessee	63.09
Texas	62.45
Utah	71.78
Vermont	61.97
Virgin Islands	50.00
Virginia	51.60
Washington	52.50
West Virginia	74.47
Wisconsin	58.85
Wyoming	64.08
Source: Department of Health and Human Services.