Bottom Ten
42. Tennessee
43. Iowa
44. North Carolina
45. Utah
46. Indiana
47. Virginia
48. Illinois
49. Arkansas
50. Texas
51. Mississippi

Facts about the Best Performing States
- Top Performers are both big and small states in population – "big" population states include California (#1 biggest), New York (#3) and Pennsylvania (#6), and "small" population states include New Hampshire (#42) and Vermont (#49).
- Top Performers are both rich and poorer states in terms of median family income – "rich" states include New Hampshire (#1 richest), Connecticut (#2) and Massachusetts (#7), and "poorer" states include Arizona (#34) and Michigan (#30).
- Top Performers are high tax and low tax burden states – "high tax burden" states include California (#6) and Pennsylvania (#7), and "low tax burden" states include New Hampshire (#50), Michigan (#45) and Washington (#30).
- Top Performers are big and low spending per person, served through the Home and Community Based Services – "big spender" states are Connecticut (#5) and New York (#7), and "low spender" states are California (#50), Arizona (#47) and Washington (#36).










