15 years after landmark ruling on the disabled, a look at Medicaid spending on long-term care


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Fifteen years after the Supreme Court's landmark Olmstead v. L.C. decision on care for the disabled, every state has increased the percentage of Medicaid funds given to care for individuals in their homes and communities. But progress has varied by state.

A look at the percentage of Medicaid long-term care spending going to home and community services during the 2012 fiscal year:

— Oregon: 78.3 percent

— New Mexico: 74.2 percent(asterisk)

— Minnesota: 72.6 percent

— Alaska: 68.7 percent

— Vermont: 67.5 percent

— Arizona: 66.7 percent

— Washington: 64.2 percent

— California: 60.9 percent

— Wisconsin: 59.8 percent

— District of Columbia: 58.8 percent

— Colorado: 58.1 percent

— Massachusetts: 57.8 percent

— Rhode Island: 57 percent

— North Carolina: 56.5 percent

— Montana: 55.3 percent

— Maine: 55 percent

— Maryland: 53.6 percent

— Virginia: 52.2 percent

— Kansas: 52.1 percent

— New York: 51.8 percent

— Idaho: 50.9 percent

— Texas: 50.4 percent

— New Hampshire: 50.3 percent

— Wyoming: 50.3 percent

— Utah: 49 percent

— Tennessee: 48.3 percent

— Nevada: 48.3 percent

— Delaware: 48 percent

— West Virginia: 47.7 percent

— Nebraska: 46.6 percent

— Georgia: 45.5 percent

— South Dakota: 44.8 percent

— Arkansas: 44.7 percent

— Oklahoma: 44.7 percent

— Missouri: 43.6 percent

— Iowa: 43.4 percent

— Connecticut: 43.4 percent

— Hawaii: 43.1 percent(asterisk)

— Pennsylvania: 41.3 percent

— Illinois: 41.1 percent

— South Carolina: 41 percent

— Alabama: 40.8 percent

— Ohio: 40 percent

— North Dakota: 37.9 percent

— Kentucky: 37.3 percent

— Louisiana: 37.2 percent

— Michigan: 35.5 percent

— Florida: 34.8 percent

— Indiana: 31.9 percent

— Mississippi: 27.4 percent

— New Jersey: 27.4 percent


Source: Centers for Medicare and Medicaid Services


New Mexico data is from the 2010 fiscal year; Hawaii data is from the 2011 fiscal year.

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