A policy blueprint for a more competitive Massachusetts. Full release February 24—sign up now for weekly preview chapter excerpts!
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Medicaid now commands a major share of state budgets nationwide. In 2024, the program accounted for 30% of all state government spending (excluding capital costs). Ohio and Louisiana devoted the largest shares, with Medicaid consuming 39% of total state spending, while Utah (13.4%) and Wyoming (13.7%) spent the least.
Explore the full state-by-state data on Pioneer’s US DataLabs: https://loom.ly/-hTmU60
PioneerEducation supports excellent school options for all children, world-class liberal arts-based academic standards, and accountability for results in public education.
PioneerHealthcare champions market-based reforms to rein in the cost and improve the quality of care for patients.
PioneerOpportunity seeks a business climate in which entrepreneurs and employees benefit from a thriving economy.
American Citizenship: To increase public engagement in the nation’s civic life, Pioneer champions K-12 history and civics education, and provides transparent government data for citizens to hold their state governments accountable.
