Table P-36 Cost-Effectiveness Ratio for Five Consecutive Fiscal Years
STATES	2017	2018	2019	2020	2021
ALABAMA	$4.30	$5.20	$5.15	$5.82	$5.41
ALASKA	4.07	3.84	3.88	4.10	5.00
ARIZONA	6.15	5.29	5.28	6.01	5.89
ARKANSAS	4.84	5.06	5.18	5.65	5.39
CALIFORNIA	2.52	2.52	2.51	2.74	2.68
COLORADO	4.30	4.22	3.87	4.28	3.82
CONNECTICUT	3.27	3.23	3.11	3.34	3.23
DELAWARE	2.54	2.75	2.55	2.96	2.65
DIST. OF COL.	2.01	2.01	1.90	1.63	1.43
FLORIDA	6.24	6.18	5.97	6.53	6.42
GEORGIA	8.04	7.14	6.88	7.87	6.56
GUAM	1.64	1.73	1.59	1.81	1.70
HAWAII	4.83	4.63	4.65	5.00	4.86
IDAHO	6.13	5.23	6.65	8.94	10.38
ILLINOIS	5.19	5.22	4.90	5.62	4.94
INDIANA	5.25	5.21	5.50	5.64	4.57
IOWA	5.46	5.86	5.97	5.88	5.56
KANSAS	5.72	5.75	5.80	6.54	5.99
KENTUCKY	6.33	6.32	6.04	6.96	5.96
LOUISIANA	5.46	5.84	5.76	5.77	5.65
MAINE	3.47	3.70	3.26	3.78	3.52
MARYLAND	4.64	4.35	3.80	3.67	3.31
MASSACHUSETTS	6.06	5.74	5.92	6.01	5.46
MICHIGAN	5.56	6.37	5.33	6.09	6.20
MINNESOTA	3.30	3.27	3.14	3.26	3.09
MISSISSIPPI	9.50	10.85	8.08	12.07	8.95
MISSOURI	8.59	8.69	7.61	8.52	9.00
MONTANA	4.39	4.64	4.48	4.20	3.89
NEBRASKA	5.23	5.91	5.71	5.97	5.64
NEVADA	3.91	3.55	2.91	3.35	3.54
NEW HAMPSHIRE	3.55	3.18	3.73	3.93	3.15
NEW JERSEY	4.12	4.65	4.04	4.41	4.08
NEW MEXICO	3.50	3.55	3.55	3.44	2.90
NEW YORK	4.99	4.81	4.98	5.14	6.19
NORTH CAROLINA	4.50	4.57	4.54	4.64	4.28
NORTH DAKOTA	6.08	6.22	6.36	6.58	6.26
OHIO	6.51	6.28	6.16	6.65	6.35
OKLAHOMA	5.97	7.16	6.69	6.50	5.95
OREGON	3.88	3.60	3.72	4.14	3.96
PENNSYLVANIA	5.02	4.78	4.49	5.13	4.80
PUERTO RICO	12.53	11.58	11.81	15.78	12.38
RHODE ISLAND	5.85	5.48	4.82	5.36	5.31
SOUTH CAROLINA	4.51	3.45	3.56	5.08	6.41
SOUTH DAKOTA	10.42	10.24	10.47	11.74	10.62
TENNESSEE	6.74	7.05	7.16	7.91	7.92
TEXAS	10.33	10.04	11.68	13.57	11.80
UTAH	6.49	6.43	6.18	5.38	5.51
VERMONT	2.84	2.72	3.19	2.96	2.77
VIRGIN ISLANDS	0.98	0.70	0.98	0.74	0.97
VIRGINIA	6.20	6.19	6.59	6.93	6.74
WASHINGTON	4.27	4.21	4.08	4.23	4.32
WEST VIRGINIA	4.91	5.33	5.19	5.21	4.84
WISCONSIN	5.56	5.77	6.20	6.98	6.43
WYOMING	8.55	6.79	7.25	7.31	7.86
TOTALS	$5.15	$5.14	$5.06	$5.51	$5.27
Source: Form OCSE-34 - Part 1, lines 4b, 4c, 8, 11, column G / OCSE-396, line 7, columns (A+C) - line 1c, columns (A+C).