Table P-36 Cost-Effectiveness Ratio for Five Consecutive Fiscal Years
STATES	2015	2016	2017	2018	2019
ALABAMA	$5.17	$6.54	$4.30	$5.20	$5.15
ALASKA	4.02	4.10	4.07	3.84	3.88
ARIZONA	5.35	4.98	6.15	5.29	5.28
ARKANSAS	4.94	4.87	4.84	5.06	5.18
CALIFORNIA	2.51	2.51	2.52	2.52	2.51
COLORADO	4.83	4.59	4.30	4.22	3.87
CONNECTICUT	3.22	3.13	3.27	3.23	3.11
DELAWARE	1.89	2.28	2.54	2.75	2.55
DIST. OF COL.	2.07	2.00	2.01	2.01	1.90
FLORIDA	5.89	6.15	6.24	6.18	5.97
GEORGIA	8.37	7.61	8.04	7.14	6.88
GUAM	1.74	1.46	1.64	1.73	1.59
HAWAII	4.93	4.92	4.83	4.63	4.65
IDAHO	7.78	7.03	6.13	5.23	6.65
ILLINOIS	4.68	4.75	5.19	5.22	4.90
INDIANA	5.56	5.88	5.25	5.21	5.50
IOWA	5.71	5.73	5.46	5.86	5.97
KANSAS	5.80	5.69	5.72	5.75	5.80
KENTUCKY	6.33	6.32	6.33	6.32	6.04
LOUISIANA	5.51	5.56	5.46	5.84	5.76
MAINE	3.50	3.46	3.47	3.70	3.26
MARYLAND	4.54	4.65	4.64	4.35	3.80
MASSACHUSETTS	5.40	6.03	6.06	5.74	5.92
MICHIGAN	5.75	6.74	5.56	6.37	5.33
MINNESOTA	3.55	3.31	3.30	3.27	3.14
MISSISSIPPI	7.94	9.36	9.50	10.85	8.08
MISSOURI	8.33	8.76	8.59	8.69	7.61
MONTANA	4.48	4.24	4.39	4.64	4.48
NEBRASKA	5.97	5.97	5.23	5.91	5.71
NEVADA	4.13	3.83	3.91	3.55	2.91
NEW HAMPSHIRE	3.46	3.86	3.55	3.18	3.73
NEW JERSEY	4.45	4.20	4.12	4.65	4.04
NEW MEXICO	3.14	3.26	3.50	3.55	3.55
NEW YORK	4.75	5.15	4.99	4.81	4.98
NORTH CAROLINA	5.07	4.89	4.50	4.57	4.54
NORTH DAKOTA	6.20	6.15	6.08	6.22	6.36
OHIO	6.31	8.25	6.51	6.28	6.16
OKLAHOMA	5.07	4.89	5.97	7.16	6.69
OREGON	4.50	3.44	3.88	3.60	3.72
PENNSYLVANIA	5.10	5.43	5.02	4.78	4.49
PUERTO RICO	9.75	10.55	12.53	11.58	11.81
RHODE ISLAND	5.86	5.38	5.85	5.48	4.82
SOUTH CAROLINA	5.62	4.62	4.51	3.45	3.56
SOUTH DAKOTA	10.78	10.69	10.42	10.24	10.47
TENNESSEE	7.99	7.00	6.74	7.05	7.16
TEXAS	12.26	11.21	10.33	10.04	11.68
UTAH	6.53	6.40	6.49	6.43	6.18
VERMONT	3.06	2.89	2.84	2.72	3.19
VIRGIN ISLANDS	1.14	1.82	0.98	0.70	0.98
VIRGINIA	6.42	6.21	6.20	6.19	6.59
WASHINGTON	4.54	4.27	4.27	4.21	4.08
WEST VIRGINIA	5.29	4.86	4.91	5.33	5.19
WISCONSIN	6.76	8.43	5.56	5.77	6.20
WYOMING	7.22	7.48	8.55	6.79	7.25
TOTALS	$5.26	$5.33	$5.15	$5.14	$5.06
Source: Form OCSE-34A - Part 1, lines 4b, 4c, 8, 11, column G / OCSE-396A, line 7, columns (A+C) - line 1c, columns (A+C). Beginning fiscal year 2015, form OCSE-34 - Part 1, lines 4b, 4c, 8, 11, column G / OCSE-396, line 7, columns (A+C) - line 1c, columns (A+C).