AAN MA Cuts District Study 2016

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    RESEARCH

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    Medicare Advantage Cuts Felt in Every Congressional DistrictIntroduction Medicare Advantage (MA) is a Medicare program in which beneficiaries who choose to do somay receive their Medicare benefits through health insurance plans approved by Medicare and

    provided by private companies. Most plans include additional benefits as well. Nearly 18 millionseniors in America depend on private MA plans for their personal health care and have chosen to

    purchase the coverage beyond standard Medicare. When the Affordable Care Act (ACA) becamelaw in 2010, it cut $716 billion from Medicare to fund the new law, including billions of dollarsof cuts to the MA program. Now, six years later, seniors across the country are seeing the resultsof the ACA’s cuts to MA. In February, the Obama Administration proposed further MA cuts forseniors in 2017 due to ACA. These cuts result in an annual benefits cut of $2,976 (or 21.8

    percent), when compared with MA projections before ACA. These benefit cuts will be felt byseniors in every Congressional District come 2017.

    MethodologyMedicare Advantage payments are determined each year based on “benchmarks” calculated atthe county level, from a combination of statutory formulas and regulatory decisions. CMS

    provides estimates of statutory factors and proposed regulatory decisions each year in a February“Advance Notice,” and publishes final county benchmarks in an April “Announcement.” Basedon 2017 benchmarks, published in the CMS "Announcement" (Call Letter) of April 4, andFebruary 2016 enrollment figures by county and plan type, estimates of the 2017 average

    payment per enrollee were calculated for each district using county-level estimates madeavailable by American Action Forum. These 2017 rates are weighted averages of CMS-

    published non-EGWP benchmarks for regular and 4+ star bonus plans, and CMS-published payments to EGWP plans based on the new payment methodology, which involves fourcombinations of benchmark-plus-rebate amounts based on the star ratings. In all cases, theEGWP payment is lower than the benchmark for non-EGWP plans at the same star rating.Weightings for the averages are based on enrollment figures for Feb. 2016. As such,

    benchmarks and payment rates for "new" 2017 plans (which have special payment rates) are notincluded.

    Data

    State CDDistrict

    Enrollment

    Quality and Risk-Adjusted

    Average AnnualRate for 2017

    Pre-ACA BaselineRisk-Adjusted

    Annual Rate for2017

    Change fromPre-ACA toPost-ACA(dollars)

    Change fromPre-ACA toPost-ACA(percent)

    AK 0 329 $7,297 $8,580 -$1,283 -15%AL 1 54316 $10,016 $12,555 -$2,539 -20%AL 2 28583 $9,666 $11,520 -$1,854 -16%AL 3 32305 $9,754 $11,723 -$1,969 -17%AL 4 32466 $10,294 $12,282 -$1,988 -16%

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    AL 5 22790 $9,943 $11,798 -$1,854 -16%AL 6 52129 $10,051 $12,588 -$2,537 -20%AL 7 38313 $10,045 $11,890 -$1,845 -16%AR 1 29884 $9,550 $11,373 -$1,824 -16%AR 2 24730 $9,643 $11,941 -$2,297 -19%AR 3 38167 $9,533 $11,464 -$1,931 -17%AR 4 33234 $9,627 $11,471 -$1,844 -16%AZ 1 36280 $9,070 $10,791 -$1,721 -16%AZ 2 65295 $9,430 $11,327 -$1,897 -17%AZ 3 42465 $9,335 $11,253 -$1,918 -17%AZ 4 56331 $9,459 $11,411 -$1,952 -17%AZ 5 54741 $9,619 $11,786 -$2,167 -18%AZ 6 55700 $9,619 $11,786 -$2,167 -18%AZ 7 27125 $9,619 $11,786 -$2,167 -18%AZ 8 68316 $9,619 $11,786 -$2,167 -18%AZ 9 38705 $9,619 $11,786 -$2,167 -18%CA 1 13885 $9,749 $12,220 -$2,471 -20%CA 2 41974 $9,806 $11,759 -$1,953 -17%CA 3 31237 $9,618 $12,092 -$2,474 -20%CA 4 49736 $9,642 $11,724 -$2,082 -18%CA 5 52212 $10,084 $13,267 -$3,183 -24%CA 6 52298 $10,406 $12,456 -$2,050 -16%CA 7 58612 $10,440 $12,499 -$2,059 -16%CA 8 61275 $11,354 $14,705 -$3,350 -23%

    CA 9 42860 $10,545 $13,238 -$2,692 -20%CA 10 43886 $10,276 $13,540 -$3,264 -24%CA 11 59461 $10,256 $14,777 -$4,522 -31%CA 12 46237 $10,420 $14,225 -$3,805 -27%CA 13 47749 $10,539 $14,536 -$3,997 -27%CA 14 52717 $9,549 $11,773 -$2,224 -19%CA 15 43297 $10,509 $14,561 -$4,052 -28%CA 16 21075 $10,313 $12,576 -$2,264 -18%CA 17 41854 $9,967 $13,147 -$3,180 -24%CA 18 46690 $9,692 $12,396 -$2,704 -22%

    CA 19 40666 $9,761 $12,677 -$2,916 -23%CA 20 7641 $9,655 $12,225 -$2,569 -21%CA 21 24967 $10,505 $12,732 -$2,227 -17%CA 22 24741 $10,223 $12,640 -$2,417 -19%CA 23 32262 $10,878 $13,605 -$2,727 -20%CA 24 18728 $9,338 $11,440 -$2,102 -18%CA 25 36448 $12,439 $16,765 -$4,326 -26%

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    CA 26 35291 $10,431 $13,520 -$3,090 -23%CA 27 61730 $12,882 $17,517 -$4,635 -26%CA 28 55401 $12,938 $17,612 -$4,674 -27%CA 29 39666 $12,938 $17,612 -$4,674 -27%CA 30 56899 $12,930 $17,598 -$4,668 -27%CA 31 51686 $11,462 $15,189 -$3,728 -25%CA 32 48844 $12,938 $17,612 -$4,674 -27%CA 33 60908 $12,938 $17,612 -$4,674 -27%CA 34 42485 $12,938 $17,612 -$4,674 -27%CA 35 40469 $11,799 $15,732 -$3,933 -25%CA 36 93319 $10,668 $14,713 -$4,046 -27%CA 37 46615 $12,938 $17,612 -$4,674 -27%CA 38 52379 $12,886 $17,530 -$4,643 -26%CA 39 55546 $11,749 $15,735 -$3,986 -25%CA 40 29962 $12,938 $17,612 -$4,674 -27%CA 41 40540 $10,668 $14,713 -$4,046 -27%CA 42 48486 $10,668 $14,713 -$4,046 -27%CA 43 44255 $12,938 $17,612 -$4,674 -27%CA 44 37305 $12,938 $17,612 -$4,674 -27%CA 45 48573 $11,213 $14,919 -$3,707 -25%CA 46 38999 $11,213 $14,919 -$3,707 -25%CA 47 50026 $12,097 $16,284 -$4,187 -26%CA 48 64000 $11,213 $14,919 -$3,707 -25%CA 49 54780 $10,818 $13,739 -$2,921 -21%

    CA 50 54451 $10,684 $13,487 -$2,803 -21%CA 51 34513 $10,506 $13,235 -$2,728 -21%CA 52 52159 $10,686 $13,368 -$2,683 -20%CA 53 48590 $10,686 $13,368 -$2,683 -20%CO 1 52574 $10,132 $12,649 -$2,518 -20%CO 2 36043 $8,708 $10,270 -$1,562 -15%CO 3 33830 $8,745 $10,790 -$2,045 -19%CO 4 31520 $9,566 $11,343 -$1,778 -16%CO 5 35608 $9,349 $11,365 -$2,017 -18%CO 6 44262 $10,227 $12,256 -$2,029 -17%

    CO 7 60178 $10,290 $12,510 -$2,220 -18%CT 1 38799 $10,704 $13,558 -$2,854 -21%CT 2 31276 $11,104 $13,796 -$2,692 -20%CT 3 36284 $12,020 $14,612 -$2,592 -18%CT 4 25720 $11,216 $13,655 -$2,439 -18%CT 5 33996 $11,349 $13,898 -$2,549 -18%DC 98 12408 $10,758 $15,676 -$4,918 -31%

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    DE 0 17148 $10,180 $12,127 -$1,947 -16%FL 1 36068 $10,298 $12,464 -$2,167 -17%FL 2 40710 $10,631 $12,919 -$2,288 -18%FL 3 34115 $10,646 $12,454 -$1,808 -15%FL 4 38457 $11,525 $14,037 -$2,512 -18%FL 5 43505 $11,362 $13,983 -$2,620 -19%FL 6 75868 $11,032 $13,185 -$2,153 -16%FL 7 54037 $11,007 $13,889 -$2,882 -21%FL 8 63091 $11,100 $13,631 -$2,531 -19%FL 9 59164 $11,239 $14,134 -$2,895 -20%FL 10 60604 $11,497 $13,964 -$2,467 -18%FL 11 104552 $11,005 $13,387 -$2,381 -18%FL 12 89268 $12,296 $14,609 -$2,312 -16%FL 13 80667 $12,124 $14,866 -$2,742 -18%FL 14 56292 $11,679 $14,054 -$2,375 -17%FL 15 60409 $11,534 $13,769 -$2,235 -16%FL 16 62933 $10,742 $13,258 -$2,517 -19%FL 17 67045 $11,664 $14,308 -$2,644 -18%FL 18 56274 $11,609 $15,012 -$3,403 -23%FL 19 57405 $10,261 $12,761 -$2,499 -20%FL 20 62050 $12,845 $16,764 -$3,919 -23%FL 21 58242 $12,897 $16,487 -$3,590 -22%FL 22 71338 $12,900 $16,561 -$3,661 -22%FL 23 65686 $13,883 $19,436 -$5,553 -29%

    FL 24 65178 $15,753 $24,015 -$8,262 -34%FL 25 60109 $13,526 $19,220 -$5,694 -30%FL 26 69405 $15,598 $23,770 -$8,172 -34%FL 27 85359 $16,320 $25,568 -$9,248 -36%GA 1 35262 $10,131 $12,324 -$2,193 -18%GA 2 40335 $9,893 $12,049 -$2,156 -18%GA 3 41760 $9,607 $12,326 -$2,719 -22%GA 4 37311 $9,728 $12,303 -$2,575 -21%GA 5 35952 $9,775 $12,759 -$2,984 -23%GA 6 35839 $9,646 $12,540 -$2,894 -23%

    GA 7 28649 $9,557 $12,292 -$2,734 -22%GA 8 34134 $10,172 $12,332 -$2,160 -18%GA 9 43732 $9,570 $11,569 -$1,998 -17%GA 10 42257 $9,749 $11,926 -$2,176 -18%GA 11 33680 $9,514 $12,348 -$2,834 -23%GA 12 37780 $9,754 $11,910 -$2,156 -18%GA 13 33495 $9,662 $12,775 -$3,113 -24%

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    GA 14 33921 $9,989 $12,167 -$2,179 -18%HI 1 63233 $7,871 $10,755 -$2,884 -27%HI 2 50642 $7,976 $9,930 -$1,954 -20%IA 1 39385 $9,364 $11,200 -$1,837 -16%IA 2 23601 $9,323 $11,145 -$1,822 -16%IA 3 24116 $9,562 $11,872 -$2,311 -19%IA 4 14562 $9,469 $11,016 -$1,547 -14%ID 1 54997 $9,145 $10,895 -$1,750 -16%ID 2 37995 $8,973 $10,593 -$1,619 -15%IL 1 27581 $11,407 $14,326 -$2,919 -20%IL 2 26037 $11,388 $14,316 -$2,928 -20%IL 3 25190 $11,409 $14,330 -$2,920 -20%IL 4 18051 $11,494 $14,464 -$2,970 -21%IL 5 23181 $11,367 $14,237 -$2,870 -20%IL 6 19416 $10,360 $12,715 -$2,355 -19%IL 7 21214 $11,494 $14,464 -$2,970 -21%IL 8 21907 $10,879 $13,470 -$2,591 -19%IL 9 30194 $11,494 $14,464 -$2,970 -21%IL 10 17987 $10,479 $13,100 -$2,622 -20%IL 11 18131 $10,381 $12,787 -$2,406 -19%IL 12 34778 $10,230 $12,468 -$2,238 -18%IL 13 34542 $10,095 $11,958 -$1,863 -16%IL 14 16111 $9,950 $12,358 -$2,408 -19%IL 15 27569 $10,166 $12,080 -$1,914 -16%

    IL 16 27802 $10,245 $12,095 -$1,850 -15%IL 17 44145 $10,093 $12,045 -$1,952 -16%IL 18 32706 $9,854 $11,808 -$1,954 -17%IN 1 20702 $11,469 $13,704 -$2,235 -16%IN 2 37290 $9,942 $11,907 -$1,965 -17%IN 3 53697 $10,317 $12,160 -$1,843 -15%IN 4 26567 $10,054 $11,954 -$1,900 -16%IN 5 30794 $10,362 $12,661 -$2,299 -18%IN 6 28602 $10,029 $11,883 -$1,854 -16%IN 7 30418 $11,156 $13,551 -$2,395 -18%

    IN 8 26066 $10,469 $12,266 -$1,797 -15%IN 9 30056 $10,288 $12,323 -$2,035 -17%KS 1 5508 $9,851 $11,465 -$1,614 -14%KS 2 14169 $9,774 $11,587 -$1,813 -16%KS 3 32638 $10,244 $12,553 -$2,310 -18%KS 4 19686 $10,056 $12,248 -$2,191 -18%KY 1 36075 $10,134 $12,046 -$1,912 -16%

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    KY 2 32791 $10,092 $12,074 -$1,982 -16%KY 3 42332 $11,266 $13,658 -$2,392 -18%KY 4 43215 $10,648 $13,166 -$2,518 -19%KY 5 41291 $10,233 $12,245 -$2,012 -16%KY 6 42677 $10,400 $12,635 -$2,235 -18%LA 1 65938 $11,114 $16,762 -$5,648 -34%LA 2 62524 $10,657 $17,716 -$7,058 -40%LA 3 17894 $10,508 $14,596 -$4,087 -28%LA 4 23718 $11,410 $15,127 -$3,716 -25%LA 5 29463 $11,792 $16,176 -$4,384 -27%LA 6 53058 $10,756 $16,120 -$5,364 -33%MA 1 34157 $10,331 $13,086 -$2,755 -21%MA 2 40164 $10,494 $13,275 -$2,781 -21%MA 3 28628 $10,916 $14,436 -$3,520 -24%MA 4 24987 $11,254 $14,344 -$3,089 -22%MA 5 30226 $11,062 $15,080 -$4,018 -27%MA 6 29662 $11,003 $14,444 -$3,441 -24%MA 7 22807 $11,763 $16,422 -$4,660 -28%MA 8 24318 $11,636 $15,161 -$3,525 -23%MA 9 25078 $11,173 $13,763 -$2,590 -19%MD 1 6839 $11,689 $12,875 -$1,187 -9%MD 2 11949 $12,613 $14,345 -$1,732 -12%MD 3 12353 $12,000 $14,073 -$2,073 -15%MD 4 13195 $11,161 $14,359 -$3,198 -22%

    MD 5 10219 $11,014 $14,136 -$3,122 -22%MD 6 10309 $10,721 $12,572 -$1,851 -15%MD 7 14854 $13,222 $15,275 -$2,054 -13%MD 8 10976 $10,279 $12,502 -$2,223 -18%ME 1 41705 $10,309 $12,296 -$1,987 -16%ME 2 33751 $9,813 $11,496 -$1,683 -15%MI 1 53052 $9,456 $11,220 -$1,764 -16%MI 2 64124 $10,264 $12,530 -$2,267 -18%MI 3 54059 $10,717 $13,077 -$2,360 -18%MI 4 46222 $9,789 $12,235 -$2,447 -20%

    MI 5 50611 $11,022 $13,870 -$2,847 -21%MI 6 51817 $10,105 $12,186 -$2,081 -17%MI 7 39964 $10,198 $12,554 -$2,356 -19%MI 8 36173 $10,508 $13,355 -$2,847 -21%MI 9 48960 $11,966 $14,962 -$2,996 -20%MI 10 43177 $11,527 $14,013 -$2,486 -18%MI 11 43061 $11,711 $15,204 -$3,492 -23%

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    MI 12 40596 $11,628 $15,138 -$3,510 -23%MI 13 43605 $12,542 $16,383 -$3,841 -23%MI 14 44673 $11,893 $15,460 -$3,567 -23%MN 1 60605 $9,087 $10,788 -$1,702 -16%MN 2 57830 $9,274 $11,654 -$2,380 -20%MN 3 61459 $10,014 $12,899 -$2,884 -22%MN 4 62387 $10,259 $12,461 -$2,202 -18%MN 5 58292 $10,094 $12,992 -$2,897 -22%MN 6 57030 $9,642 $11,588 -$1,946 -17%MN 7 76177 $9,544 $10,543 -$1,000 -9%MN 8 81141 $9,283 $11,123 -$1,840 -17%MO 1 45427 $11,479 $14,522 -$3,043 -21%MO 2 56340 $11,243 $13,548 -$2,306 -17%MO 3 47117 $10,720 $12,972 -$2,251 -17%MO 4 35725 $9,718 $11,639 -$1,920 -16%MO 5 46695 $10,790 $13,197 -$2,406 -18%MO 6 23953 $10,173 $12,236 -$2,063 -17%MO 7 57744 $9,829 $11,813 -$1,984 -17%MO 8 30719 $9,866 $11,953 -$2,088 -17%MS 1 14808 $9,433 $11,575 -$2,143 -19%MS 2 23083 $10,333 $13,091 -$2,758 -21%MS 3 21554 $9,964 $12,335 -$2,371 -19%MS 4 28377 $10,087 $13,321 -$3,234 -24%MT 0 40335 $9,559 $10,253 -$694 -7%

    NC 1 28959 $9,734 $11,724 -$1,990 -17%NC 2 41900 $10,141 $12,204 -$2,064 -17%NC 3 19349 $9,245 $11,161 -$1,915 -17%NC 4 36705 $9,725 $12,103 -$2,378 -20%NC 5 68450 $10,068 $12,130 -$2,062 -17%NC 6 72267 $10,316 $12,417 -$2,101 -17%NC 7 30925 $9,913 $12,374 -$2,460 -20%NC 8 42868 $10,318 $12,643 -$2,325 -18%NC 9 35951 $9,711 $12,049 -$2,338 -19%NC 10 46346 $9,750 $11,999 -$2,249 -19%

    NC 11 49875 $9,624 $11,598 -$1,973 -17%NC 12 46429 $10,120 $12,384 -$2,263 -18%NC 13 32093 $9,508 $11,681 -$2,173 -19%ND 0 22274 $9,324 $10,821 -$1,497 -14%NE 1 11346 $9,342 $11,433 -$2,091 -18%NE 2 21010 $9,751 $12,086 -$2,335 -19%NE 3 7891 $9,791 $10,858 -$1,067 -10%

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    NH 1 10969 $9,679 $11,746 -$2,068 -18%NH 2 10367 $9,288 $11,368 -$2,081 -18%NJ 1 23388 $12,315 $14,437 -$2,122 -15%NJ 2 17900 $12,865 $14,351 -$1,486 -10%NJ 3 27291 $12,883 $14,855 -$1,972 -13%NJ 4 22800 $12,456 $15,142 -$2,686 -18%NJ 5 18260 $11,472 $14,307 -$2,834 -20%NJ 6 17685 $11,972 $14,679 -$2,707 -18%NJ 7 16727 $11,305 $13,328 -$2,023 -15%NJ 8 20541 $12,176 $16,182 -$4,005 -25%NJ 9 19856 $11,599 $14,553 -$2,954 -20%NJ 10 23677 $12,275 $16,285 -$4,010 -25%NJ 11 21692 $11,342 $13,994 -$2,652 -19%NJ 12 18807 $12,156 $14,543 -$2,387 -16%NM 1 60196 $8,336 $11,300 -$2,964 -26%NM 2 31406 $8,890 $11,009 -$2,119 -19%NM 3 30214 $8,100 $10,468 -$2,368 -23%NV 1 41551 $11,326 $13,002 -$1,677 -13%NV 2 28801 $9,070 $10,805 -$1,735 -16%NV 3 49623 $11,326 $13,002 -$1,677 -13%NV 4 39311 $11,080 $12,772 -$1,692 -13%NY 1 23310 $10,366 $15,038 -$4,671 -31%NY 2 22079 $10,425 $15,506 -$5,081 -33%NY 3 34829 $10,549 $16,375 -$5,826 -36%

    NY 4 26383 $10,559 $16,667 -$6,108 -37%NY 5 44491 $10,832 $18,106 -$7,274 -40%NY 6 53440 $10,873 $18,333 -$7,461 -41%NY 7 33889 $11,519 $20,613 -$9,094 -44%NY 8 41514 $11,955 $21,566 -$9,611 -45%NY 9 41060 $12,041 $21,843 -$9,802 -45%NY 10 43577 $11,031 $19,993 -$8,961 -45%NY 11 51036 $10,562 $19,688 -$9,126 -46%NY 12 44816 $10,523 $18,878 -$8,355 -44%NY 13 41589 $10,734 $19,201 -$8,467 -44%

    NY 14 50153 $11,299 $19,213 -$7,914 -41%NY 15 42522 $11,908 $20,495 -$8,587 -42%NY 16 44406 $11,143 $16,851 -$5,708 -34%NY 17 28034 $11,079 $15,385 -$4,306 -28%NY 18 21264 $11,007 $14,183 -$3,176 -22%NY 19 36826 $9,947 $12,193 -$2,246 -18%NY 20 58880 $9,634 $13,343 -$3,710 -28%

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    NY 21 44954 $9,709 $11,913 -$2,205 -19%NY 22 53691 $10,320 $13,039 -$2,718 -21%NY 23 57859 $9,422 $11,846 -$2,425 -20%NY 24 56493 $10,746 $12,812 -$2,066 -16%NY 25 90074 $9,243 $13,313 -$4,070 -31%NY 26 82703 $10,400 $13,077 -$2,676 -20%NY 27 84078 $10,020 $12,940 -$2,921 -23%OH 1 46477 $10,851 $13,175 -$2,324 -18%OH 2 50005 $10,699 $12,899 -$2,199 -17%OH 3 43260 $10,774 $13,406 -$2,633 -20%OH 4 37556 $10,158 $12,405 -$2,247 -18%OH 5 41634 $10,326 $12,417 -$2,091 -17%OH 6 49339 $10,932 $13,194 -$2,263 -17%OH 7 55392 $10,694 $12,761 -$2,067 -16%OH 8 52951 $10,821 $13,099 -$2,279 -17%OH 9 47173 $11,302 $13,866 -$2,565 -18%OH 10 60832 $10,977 $13,433 -$2,456 -18%OH 11 52496 $11,657 $14,325 -$2,668 -19%OH 12 43961 $10,450 $12,686 -$2,235 -18%OH 13 69763 $11,439 $14,031 -$2,591 -18%OH 14 58072 $11,183 $13,820 -$2,636 -19%OH 15 47135 $10,618 $12,772 -$2,154 -17%OH 16 62596 $11,172 $13,602 -$2,430 -18%OK 1 37681 $9,751 $11,910 -$2,158 -18%

    OK 2 18977 $10,267 $12,720 -$2,453 -19%OK 3 17926 $9,846 $12,049 -$2,203 -18%OK 4 17515 $10,190 $12,609 -$2,419 -19%OK 5 28209 $10,514 $13,527 -$3,013 -22%OR 1 66561 $9,827 $11,699 -$1,872 -16%OR 2 46110 $9,405 $10,238 -$833 -8%OR 3 71901 $9,831 $11,994 -$2,163 -18%OR 4 75171 $9,404 $10,817 -$1,413 -13%OR 5 82989 $9,470 $11,186 -$1,715 -15%PA 1 41405 $11,315 $16,451 -$5,136 -31%

    PA 2 49236 $11,105 $16,370 -$5,266 -32%PA 3 78177 $11,259 $13,432 -$2,172 -16%PA 4 50542 $10,549 $12,596 -$2,047 -16%PA 5 54544 $10,581 $12,689 -$2,109 -17%PA 6 36379 $10,752 $13,008 -$2,256 -17%PA 7 36331 $11,222 $14,284 -$3,062 -21%PA 8 44197 $10,711 $13,822 -$3,111 -23%

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    PA 9 77400 $10,437 $12,841 -$2,404 -19%PA 10 43296 $10,162 $12,108 -$1,947 -16%PA 11 51262 $11,164 $13,374 -$2,209 -17%PA 12 100898 $11,172 $13,648 -$2,476 -18%PA 13 48583 $10,824 $14,603 -$3,780 -26%PA 14 88587 $11,568 $14,163 -$2,595 -18%PA 15 47439 $11,242 $13,746 -$2,504 -18%PA 16 46876 $10,842 $13,174 -$2,332 -18%PA 17 38353 $11,380 $13,592 -$2,213 -16%PA 18 99600 $11,387 $14,177 -$2,790 -20%RI 1 35383 $10,982 $13,404 -$2,422 -18%RI 2 37936 $11,071 $13,325 -$2,254 -17%SC 1 25621 $9,396 $11,386 -$1,990 -17%SC 2 25807 $9,185 $11,580 -$2,395 -21%SC 3 43690 $9,726 $11,819 -$2,093 -18%SC 4 44389 $9,758 $12,276 -$2,518 -21%SC 5 32211 $9,459 $11,693 -$2,234 -19%SC 6 28775 $9,493 $11,594 -$2,101 -18%SC 7 28293 $9,214 $11,014 -$1,799 -16%SD 0 32710 $9,240 $10,581 -$1,341 -13%TN 1 85502 $10,372 $12,308 -$1,935 -16%TN 2 64025 $10,253 $12,333 -$2,080 -17%TN 3 60236 $10,213 $12,412 -$2,199 -18%TN 4 45107 $10,335 $12,681 -$2,346 -19%

    TN 5 45475 $10,885 $13,006 -$2,121 -16%TN 6 50888 $10,661 $12,996 -$2,335 -18%TN 7 34260 $10,089 $12,118 -$2,029 -17%TN 8 31649 $10,257 $12,376 -$2,120 -17%TN 9 29874 $9,848 $12,676 -$2,828 -22%TX 1 31893 $10,767 $13,792 -$3,025 -22%TX 2 34877 $12,364 $17,774 -$5,410 -30%TX 3 23212 $10,282 $14,831 -$4,549 -31%TX 4 28712 $11,086 $14,517 -$3,431 -24%TX 5 35043 $11,205 $15,254 -$4,049 -27%

    TX 6 34100 $11,261 $14,716 -$3,455 -23%TX 7 33483 $12,364 $17,774 -$5,410 -30%TX 8 39944 $11,496 $15,416 -$3,920 -25%TX 9 36834 $12,021 $17,143 -$5,122 -30%TX 10 27703 $10,705 $13,627 -$2,922 -21%TX 11 26131 $9,827 $12,576 -$2,749 -22%TX 12 40053 $11,296 $15,270 -$3,974 -26%

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    RESEARCH

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    www.americanactionnetwork.org

    TX 13 21435 $10,471 $12,821 -$2,351 -18%TX 14 37124 $11,822 $16,606 -$4,784 -29%TX 15 37065 $11,651 $15,495 -$3,844 -25%TX 16 57716 $10,781 $13,136 -$2,355 -18%TX 17 28049 $9,765 $11,783 -$2,018 -17%TX 18 33867 $12,364 $17,774 -$5,410 -30%TX 19 27888 $10,409 $13,591 -$3,181 -23%TX 20 46437 $10,716 $14,933 -$4,217 -28%TX 21 38938 $9,791 $12,436 -$2,646 -21%TX 22 31048 $11,058 $15,134 -$4,075 -27%TX 23 36922 $10,441 $13,666 -$3,225 -24%TX 24 33489 $11,612 $16,079 -$4,468 -28%TX 25 34289 $10,245 $13,223 -$2,979 -23%TX 26 26917 $11,089 $14,822 -$3,733 -25%TX 27 45579 $10,748 $14,657 -$3,910 -27%TX 28 30555 $11,163 $14,639 -$3,477 -24%TX 29 32897 $12,364 $17,774 -$5,410 -30%TX 30 28209 $11,925 $16,995 -$5,070 -30%TX 31 30435 $9,684 $13,070 -$3,386 -26%TX 32 32237 $11,829 $16,870 -$5,041 -30%TX 33 32925 $11,700 $16,292 -$4,592 -28%TX 34 41104 $11,852 $15,418 -$3,566 -23%TX 35 38804 $10,309 $13,646 -$3,337 -24%TX 36 41858 $11,744 $16,783 -$5,039 -30%

    UT 1 29874 $9,049 $10,965 -$1,916 -17%UT 2 30635 $9,206 $10,929 -$1,722 -16%UT 3 29692 $9,460 $11,521 -$2,061 -18%UT 4 32329 $9,687 $11,787 -$2,100 -18%VA 1 16731 $9,599 $11,556 -$1,957 -17%VA 2 20120 $10,658 $12,532 -$1,874 -15%VA 3 30586 $11,012 $13,129 -$2,117 -16%VA 4 25519 $10,124 $12,270 -$2,145 -17%VA 5 26911 $9,322 $11,196 -$1,874 -17%VA 6 26181 $9,618 $11,498 -$1,880 -16%

    VA 7 26108 $9,914 $11,937 -$2,023 -17%VA 8 11718 $9,065 $11,344 -$2,279 -20%VA 9 47148 $9,929 $11,886 -$1,956 -16%VA 10 11732 $9,108 $11,341 -$2,232 -20%VA 11 12313 $8,820 $10,996 -$2,177 -20%VT 0 10122 $8,873 $10,612 -$1,739 -16%WA 1 39287 $9,613 $11,499 -$1,886 -16%

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    WA 2 47460 $9,403 $11,197 -$1,793 -16%WA 3 59777 $10,032 $11,665 -$1,633 -14%WA 4 14652 $9,101 $10,590 -$1,488 -14%WA 5 35114 $9,961 $11,824 -$1,863 -16%WA 6 23464 $9,236 $11,088 -$1,852 -17%WA 7 38033 $9,773 $11,901 -$2,129 -18%WA 8 30498 $9,451 $11,354 -$1,903 -17%WA 9 37410 $9,760 $11,915 -$2,155 -18%WA 10 38152 $9,673 $11,777 -$2,103 -18%WI 1 43362 $10,289 $12,382 -$2,092 -17%WI 2 31834 $8,899 $11,180 -$2,281 -20%WI 3 48328 $9,408 $11,112 -$1,704 -15%WI 4 42417 $11,521 $13,826 -$2,305 -17%WI 5 54393 $10,430 $12,368 -$1,938 -16%WI 6 63218 $9,478 $11,555 -$2,078 -18%WI 7 61504 $9,629 $11,449 -$1,820 -16%WI 8 69957 $9,765 $12,033 -$2,268 -19%WV 1 37232 $9,980 $11,935 -$1,955 -16%WV 2 37202 $10,120 $12,131 -$2,012 -17%WV 3 41502 $10,353 $12,544 -$2,190 -17%WY 0 3288 $8,916 $10,210 -$1,294 -13%