RESEARCH

Medicare Advantage Cuts Felt in Every Congressional District

Introduction
Medicare Advantage (MA) is a Medicare program in which beneficiaries who choose to do so
may 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 million
seniors 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) became
law in 2010, it cut $716 billion from Medicare to fund the new law, including billions of dollars
of cuts to the MA program. Now, six years later, seniors across the country are seeing the results
of the ACAs cuts to MA. In February, the Obama Administration proposed further MA cuts for
seniors 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 by
seniors in every Congressional District come 2017.
Methodology
Medicare Advantage payments are determined each year based on benchmarks calculated at
the 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. Based
on 2017 benchmarks, published in the CMS "Announcement" (Call Letter) of April 4, and
February 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 made
available by American Action Forum. These 2017 rates are weighted averages of CMSpublished 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 four
combinations of benchmark-plus-rebate amounts based on the star ratings. In all cases, the
EGWP 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 not
included.
Data

State

AK
AL
AL
AL
AL

CD

0
1
2
3
4

District
Enrollment

329
54316
28583
32305
32466

Quality and RiskAdjusted

Average Annual
Rate for 2017
$7,297
$10,016
$9,666
$9,754
$10,294

Pre-ACA Baseline
Risk-Adjusted
Annual Rate for
2017
$8,580
$12,555
$11,520
$11,723
$12,282

Change from
Pre-ACA to
Post-ACA
(dollars)
-$1,283
-$2,539
-$1,854
-$1,969
-$1,988

1747 Pennsylvania Avenue, NW 5th Floor | Washington, DC 20006

PHONE 202.559.6420 FAX 202.347.5009
www.americanactionnetwork.org

Change from
Pre-ACA to
Post-ACA
(percent)
-15%
-20%
-16%
-17%
-16%

AL
AL
AL
AR
AR
AR
AR
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA

5
6
7
1
2
3
4
1
2
3
4
5
6
7
8
9
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25

22790
52129
38313
29884
24730
38167
33234
36280
65295
42465
56331
54741
55700
27125
68316
38705
13885
41974
31237
49736
52212
52298
58612
61275
42860
43886
59461
46237
47749
52717
43297
21075
41854
46690
40666
7641
24967
24741
32262
18728
36448

$9,943
$10,051
$10,045
$9,550
$9,643
$9,533
$9,627
$9,070
$9,430
$9,335
$9,459
$9,619
$9,619
$9,619
$9,619
$9,619
$9,749
$9,806
$9,618
$9,642
$10,084
$10,406
$10,440
$11,354
$10,545
$10,276
$10,256
$10,420
$10,539
$9,549
$10,509
$10,313
$9,967
$9,692
$9,761
$9,655
$10,505
$10,223
$10,878
$9,338
$12,439

$11,798
$12,588
$11,890
$11,373
$11,941
$11,464
$11,471
$10,791
$11,327
$11,253
$11,411
$11,786
$11,786
$11,786
$11,786
$11,786
$12,220
$11,759
$12,092
$11,724
$13,267
$12,456
$12,499
$14,705
$13,238
$13,540
$14,777
$14,225
$14,536
$11,773
$14,561
$12,576
$13,147
$12,396
$12,677
$12,225
$12,732
$12,640
$13,605
$11,440
$16,765

-$1,854
-$2,537
-$1,845
-$1,824
-$2,297
-$1,931
-$1,844
-$1,721
-$1,897
-$1,918
-$1,952
-$2,167
-$2,167
-$2,167
-$2,167
-$2,167
-$2,471
-$1,953
-$2,474
-$2,082
-$3,183
-$2,050
-$2,059
-$3,350
-$2,692
-$3,264
-$4,522
-$3,805
-$3,997
-$2,224
-$4,052
-$2,264
-$3,180
-$2,704
-$2,916
-$2,569
-$2,227
-$2,417
-$2,727
-$2,102
-$4,326

-16%
-20%
-16%
-16%
-19%
-17%
-16%
-16%
-17%
-17%
-17%
-18%
-18%
-18%
-18%
-18%
-20%
-17%
-20%
-18%
-24%
-16%
-16%
-23%
-20%
-24%
-31%
-27%
-27%
-19%
-28%
-18%
-24%
-22%
-23%
-21%
-17%
-19%
-20%
-18%
-26%

RESEARCH

CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CO
CO
CO
CO
CO
CO
CO
CT
CT
CT
CT
CT
DC

26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
1
2
3
4
5
6
7
1
2
3
4
5
98

35291
61730
55401
39666
56899
51686
48844
60908
42485
40469
93319
46615
52379
55546
29962
40540
48486
44255
37305
48573
38999
50026
64000
54780
54451
34513
52159
48590
52574
36043
33830
31520
35608
44262
60178
38799
31276
36284
25720
33996
12408

$10,431
$12,882
$12,938
$12,938
$12,930
$11,462
$12,938
$12,938
$12,938
$11,799
$10,668
$12,938
$12,886
$11,749
$12,938
$10,668
$10,668
$12,938
$12,938
$11,213
$11,213
$12,097
$11,213
$10,818
$10,684
$10,506
$10,686
$10,686
$10,132
$8,708
$8,745
$9,566
$9,349
$10,227
$10,290
$10,704
$11,104
$12,020
$11,216
$11,349
$10,758

$13,520
$17,517
$17,612
$17,612
$17,598
$15,189
$17,612
$17,612
$17,612
$15,732
$14,713
$17,612
$17,530
$15,735
$17,612
$14,713
$14,713
$17,612
$17,612
$14,919
$14,919
$16,284
$14,919
$13,739
$13,487
$13,235
$13,368
$13,368
$12,649
$10,270
$10,790
$11,343
$11,365
$12,256
$12,510
$13,558
$13,796
$14,612
$13,655
$13,898
$15,676

-$3,090
-$4,635
-$4,674
-$4,674
-$4,668
-$3,728
-$4,674
-$4,674
-$4,674
-$3,933
-$4,046
-$4,674
-$4,643
-$3,986
-$4,674
-$4,046
-$4,046
-$4,674
-$4,674
-$3,707
-$3,707
-$4,187
-$3,707
-$2,921
-$2,803
-$2,728
-$2,683
-$2,683
-$2,518
-$1,562
-$2,045
-$1,778
-$2,017
-$2,029
-$2,220
-$2,854
-$2,692
-$2,592
-$2,439
-$2,549
-$4,918

1747 Pennsylvania Avenue, NW 5th Floor | Washington, DC 20006

PHONE 202.559.6420 FAX 202.347.5009
www.americanactionnetwork.org

-23%
-26%
-27%
-27%
-27%
-25%
-27%
-27%
-27%
-25%
-27%
-27%
-26%
-25%
-27%
-27%
-27%
-27%
-27%
-25%
-25%
-26%
-25%
-21%
-21%
-21%
-20%
-20%
-20%
-15%
-19%
-16%
-18%
-17%
-18%
-21%
-20%
-18%
-18%
-18%
-31%

DE
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA

0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
1
2
3
4
5
6
7
8
9
10
11
12
13

17148
36068
40710
34115
38457
43505
75868
54037
63091
59164
60604
104552
89268
80667
56292
60409
62933
67045
56274
57405
62050
58242
71338
65686
65178
60109
69405
85359
35262
40335
41760
37311
35952
35839
28649
34134
43732
42257
33680
37780
33495

$10,180
$10,298
$10,631
$10,646
$11,525
$11,362
$11,032
$11,007
$11,100
$11,239
$11,497
$11,005
$12,296
$12,124
$11,679
$11,534
$10,742
$11,664
$11,609
$10,261
$12,845
$12,897
$12,900
$13,883
$15,753
$13,526
$15,598
$16,320
$10,131
$9,893
$9,607
$9,728
$9,775
$9,646
$9,557
$10,172
$9,570
$9,749
$9,514
$9,754
$9,662

$12,127
$12,464
$12,919
$12,454
$14,037
$13,983
$13,185
$13,889
$13,631
$14,134
$13,964
$13,387
$14,609
$14,866
$14,054
$13,769
$13,258
$14,308
$15,012
$12,761
$16,764
$16,487
$16,561
$19,436
$24,015
$19,220
$23,770
$25,568
$12,324
$12,049
$12,326
$12,303
$12,759
$12,540
$12,292
$12,332
$11,569
$11,926
$12,348
$11,910
$12,775

-$1,947
-$2,167
-$2,288
-$1,808
-$2,512
-$2,620
-$2,153
-$2,882
-$2,531
-$2,895
-$2,467
-$2,381
-$2,312
-$2,742
-$2,375
-$2,235
-$2,517
-$2,644
-$3,403
-$2,499
-$3,919
-$3,590
-$3,661
-$5,553
-$8,262
-$5,694
-$8,172
-$9,248
-$2,193
-$2,156
-$2,719
-$2,575
-$2,984
-$2,894
-$2,734
-$2,160
-$1,998
-$2,176
-$2,834
-$2,156
-$3,113

-16%
-17%
-18%
-15%
-18%
-19%
-16%
-21%
-19%
-20%
-18%
-18%
-16%
-18%
-17%
-16%
-19%
-18%
-23%
-20%
-23%
-22%
-22%
-29%
-34%
-30%
-34%
-36%
-18%
-18%
-22%
-21%
-23%
-23%
-22%
-18%
-17%
-18%
-23%
-18%
-24%

RESEARCH

GA
HI
HI
IA
IA
IA
IA
ID
ID
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IN
IN
IN
IN
IN
IN
IN
IN
IN
KS
KS
KS
KS
KY

14
1
2
1
2
3
4
1
2
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
1
2
3
4
5
6
7
8
9
1
2
3
4
1

33921
63233
50642
39385
23601
24116
14562
54997
37995
27581
26037
25190
18051
23181
19416
21214
21907
30194
17987
18131
34778
34542
16111
27569
27802
44145
32706
20702
37290
53697
26567
30794
28602
30418
26066
30056
5508
14169
32638
19686
36075

$9,989
$7,871
$7,976
$9,364
$9,323
$9,562
$9,469
$9,145
$8,973
$11,407
$11,388
$11,409
$11,494
$11,367
$10,360
$11,494
$10,879
$11,494
$10,479
$10,381
$10,230
$10,095
$9,950
$10,166
$10,245
$10,093
$9,854
$11,469
$9,942
$10,317
$10,054
$10,362
$10,029
$11,156
$10,469
$10,288
$9,851
$9,774
$10,244
$10,056
$10,134

$12,167
$10,755
$9,930
$11,200
$11,145
$11,872
$11,016
$10,895
$10,593
$14,326
$14,316
$14,330
$14,464
$14,237
$12,715
$14,464
$13,470
$14,464
$13,100
$12,787
$12,468
$11,958
$12,358
$12,080
$12,095
$12,045
$11,808
$13,704
$11,907
$12,160
$11,954
$12,661
$11,883
$13,551
$12,266
$12,323
$11,465
$11,587
$12,553
$12,248
$12,046

-$2,179
-$2,884
-$1,954
-$1,837
-$1,822
-$2,311
-$1,547
-$1,750
-$1,619
-$2,919
-$2,928
-$2,920
-$2,970
-$2,870
-$2,355
-$2,970
-$2,591
-$2,970
-$2,622
-$2,406
-$2,238
-$1,863
-$2,408
-$1,914
-$1,850
-$1,952
-$1,954
-$2,235
-$1,965
-$1,843
-$1,900
-$2,299
-$1,854
-$2,395
-$1,797
-$2,035
-$1,614
-$1,813
-$2,310
-$2,191
-$1,912

1747 Pennsylvania Avenue, NW 5th Floor | Washington, DC 20006

PHONE 202.559.6420 FAX 202.347.5009
www.americanactionnetwork.org

-18%
-27%
-20%
-16%
-16%
-19%
-14%
-16%
-15%
-20%
-20%
-20%
-21%
-20%
-19%
-21%
-19%
-21%
-20%
-19%
-18%
-16%
-19%
-16%
-15%
-16%
-17%
-16%
-17%
-15%
-16%
-18%
-16%
-18%
-15%
-17%
-14%
-16%
-18%
-18%
-16%

KY
KY
KY
KY
KY
LA
LA
LA
LA
LA
LA
MA
MA
MA
MA
MA
MA
MA
MA
MA
MD
MD
MD
MD
MD
MD
MD
MD
ME
ME
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI

2
3
4
5
6
1
2
3
4
5
6
1
2
3
4
5
6
7
8
9
1
2
3
4
5
6
7
8
1
2
1
2
3
4
5
6
7
8
9
10
11

32791
42332
43215
41291
42677
65938
62524
17894
23718
29463
53058
34157
40164
28628
24987
30226
29662
22807
24318
25078
6839
11949
12353
13195
10219
10309
14854
10976
41705
33751
53052
64124
54059
46222
50611
51817
39964
36173
48960
43177
43061

$10,092
$11,266
$10,648
$10,233
$10,400
$11,114
$10,657
$10,508
$11,410
$11,792
$10,756
$10,331
$10,494
$10,916
$11,254
$11,062
$11,003
$11,763
$11,636
$11,173
$11,689
$12,613
$12,000
$11,161
$11,014
$10,721
$13,222
$10,279
$10,309
$9,813
$9,456
$10,264
$10,717
$9,789
$11,022
$10,105
$10,198
$10,508
$11,966
$11,527
$11,711

$12,074
$13,658
$13,166
$12,245
$12,635
$16,762
$17,716
$14,596
$15,127
$16,176
$16,120
$13,086
$13,275
$14,436
$14,344
$15,080
$14,444
$16,422
$15,161
$13,763
$12,875
$14,345
$14,073
$14,359
$14,136
$12,572
$15,275
$12,502
$12,296
$11,496
$11,220
$12,530
$13,077
$12,235
$13,870
$12,186
$12,554
$13,355
$14,962
$14,013
$15,204

-$1,982
-$2,392
-$2,518
-$2,012
-$2,235
-$5,648
-$7,058
-$4,087
-$3,716
-$4,384
-$5,364
-$2,755
-$2,781
-$3,520
-$3,089
-$4,018
-$3,441
-$4,660
-$3,525
-$2,590
-$1,187
-$1,732
-$2,073
-$3,198
-$3,122
-$1,851
-$2,054
-$2,223
-$1,987
-$1,683
-$1,764
-$2,267
-$2,360
-$2,447
-$2,847
-$2,081
-$2,356
-$2,847
-$2,996
-$2,486
-$3,492

-16%
-18%
-19%
-16%
-18%
-34%
-40%
-28%
-25%
-27%
-33%
-21%
-21%
-24%
-22%
-27%
-24%
-28%
-23%
-19%
-9%
-12%
-15%
-22%
-22%
-15%
-13%
-18%
-16%
-15%
-16%
-18%
-18%
-20%
-21%
-17%
-19%
-21%
-20%
-18%
-23%

RESEARCH

MI
MI
MI
MN
MN
MN
MN
MN
MN
MN
MN
MO
MO
MO
MO
MO
MO
MO
MO
MS
MS
MS
MS
MT
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
ND
NE
NE
NE

12
13
14
1
2
3
4
5
6
7
8
1
2
3
4
5
6
7
8
1
2
3
4
0
1
2
3
4
5
6
7
8
9
10
11
12
13
0
1
2
3

40596
43605
44673
60605
57830
61459
62387
58292
57030
76177
81141
45427
56340
47117
35725
46695
23953
57744
30719
14808
23083
21554
28377
40335
28959
41900
19349
36705
68450
72267
30925
42868
35951
46346
49875
46429
32093
22274
11346
21010
7891

$11,628
$12,542
$11,893
$9,087
$9,274
$10,014
$10,259
$10,094
$9,642
$9,544
$9,283
$11,479
$11,243
$10,720
$9,718
$10,790
$10,173
$9,829
$9,866
$9,433
$10,333
$9,964
$10,087
$9,559
$9,734
$10,141
$9,245
$9,725
$10,068
$10,316
$9,913
$10,318
$9,711
$9,750
$9,624
$10,120
$9,508
$9,324
$9,342
$9,751
$9,791

$15,138
$16,383
$15,460
$10,788
$11,654
$12,899
$12,461
$12,992
$11,588
$10,543
$11,123
$14,522
$13,548
$12,972
$11,639
$13,197
$12,236
$11,813
$11,953
$11,575
$13,091
$12,335
$13,321
$10,253
$11,724
$12,204
$11,161
$12,103
$12,130
$12,417
$12,374
$12,643
$12,049
$11,999
$11,598
$12,384
$11,681
$10,821
$11,433
$12,086
$10,858

-$3,510
-$3,841
-$3,567
-$1,702
-$2,380
-$2,884
-$2,202
-$2,897
-$1,946
-$1,000
-$1,840
-$3,043
-$2,306
-$2,251
-$1,920
-$2,406
-$2,063
-$1,984
-$2,088
-$2,143
-$2,758
-$2,371
-$3,234
-$694
-$1,990
-$2,064
-$1,915
-$2,378
-$2,062
-$2,101
-$2,460
-$2,325
-$2,338
-$2,249
-$1,973
-$2,263
-$2,173
-$1,497
-$2,091
-$2,335
-$1,067

1747 Pennsylvania Avenue, NW 5th Floor | Washington, DC 20006

PHONE 202.559.6420 FAX 202.347.5009
www.americanactionnetwork.org

-23%
-23%
-23%
-16%
-20%
-22%
-18%
-22%
-17%
-9%
-17%
-21%
-17%
-17%
-16%
-18%
-17%
-17%
-17%
-19%
-21%
-19%
-24%
-7%
-17%
-17%
-17%
-20%
-17%
-17%
-20%
-18%
-19%
-19%
-17%
-18%
-19%
-14%
-18%
-19%
-10%

NH
NH
NJ
NJ
NJ
NJ
NJ
NJ
NJ
NJ
NJ
NJ
NJ
NJ
NM
NM
NM
NV
NV
NV
NV
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY

1
2
1
2
3
4
5
6
7
8
9
10
11
12
1
2
3
1
2
3
4
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20

10969
10367
23388
17900
27291
22800
18260
17685
16727
20541
19856
23677
21692
18807
60196
31406
30214
41551
28801
49623
39311
23310
22079
34829
26383
44491
53440
33889
41514
41060
43577
51036
44816
41589
50153
42522
44406
28034
21264
36826
58880

$9,679
$9,288
$12,315
$12,865
$12,883
$12,456
$11,472
$11,972
$11,305
$12,176
$11,599
$12,275
$11,342
$12,156
$8,336
$8,890
$8,100
$11,326
$9,070
$11,326
$11,080
$10,366
$10,425
$10,549
$10,559
$10,832
$10,873
$11,519
$11,955
$12,041
$11,031
$10,562
$10,523
$10,734
$11,299
$11,908
$11,143
$11,079
$11,007
$9,947
$9,634

$11,746
$11,368
$14,437
$14,351
$14,855
$15,142
$14,307
$14,679
$13,328
$16,182
$14,553
$16,285
$13,994
$14,543
$11,300
$11,009
$10,468
$13,002
$10,805
$13,002
$12,772
$15,038
$15,506
$16,375
$16,667
$18,106
$18,333
$20,613
$21,566
$21,843
$19,993
$19,688
$18,878
$19,201
$19,213
$20,495
$16,851
$15,385
$14,183
$12,193
$13,343

-$2,068
-$2,081
-$2,122
-$1,486
-$1,972
-$2,686
-$2,834
-$2,707
-$2,023
-$4,005
-$2,954
-$4,010
-$2,652
-$2,387
-$2,964
-$2,119
-$2,368
-$1,677
-$1,735
-$1,677
-$1,692
-$4,671
-$5,081
-$5,826
-$6,108
-$7,274
-$7,461
-$9,094
-$9,611
-$9,802
-$8,961
-$9,126
-$8,355
-$8,467
-$7,914
-$8,587
-$5,708
-$4,306
-$3,176
-$2,246
-$3,710

-18%
-18%
-15%
-10%
-13%
-18%
-20%
-18%
-15%
-25%
-20%
-25%
-19%
-16%
-26%
-19%
-23%
-13%
-16%
-13%
-13%
-31%
-33%
-36%
-37%
-40%
-41%
-44%
-45%
-45%
-45%
-46%
-44%
-44%
-41%
-42%
-34%
-28%
-22%
-18%
-28%

RESEARCH

NY
NY
NY
NY
NY
NY
NY
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OK
OK
OK
OK
OK
OR
OR
OR
OR
OR
PA
PA
PA
PA
PA
PA
PA
PA

21
22
23
24
25
26
27
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
1
2
3
4
5
1
2
3
4
5
1
2
3
4
5
6
7
8

44954
53691
57859
56493
90074
82703
84078
46477
50005
43260
37556
41634
49339
55392
52951
47173
60832
52496
43961
69763
58072
47135
62596
37681
18977
17926
17515
28209
66561
46110
71901
75171
82989
41405
49236
78177
50542
54544
36379
36331
44197

$9,709
$10,320
$9,422
$10,746
$9,243
$10,400
$10,020
$10,851
$10,699
$10,774
$10,158
$10,326
$10,932
$10,694
$10,821
$11,302
$10,977
$11,657
$10,450
$11,439
$11,183
$10,618
$11,172
$9,751
$10,267
$9,846
$10,190
$10,514
$9,827
$9,405
$9,831
$9,404
$9,470
$11,315
$11,105
$11,259
$10,549
$10,581
$10,752
$11,222
$10,711

$11,913
$13,039
$11,846
$12,812
$13,313
$13,077
$12,940
$13,175
$12,899
$13,406
$12,405
$12,417
$13,194
$12,761
$13,099
$13,866
$13,433
$14,325
$12,686
$14,031
$13,820
$12,772
$13,602
$11,910
$12,720
$12,049
$12,609
$13,527
$11,699
$10,238
$11,994
$10,817
$11,186
$16,451
$16,370
$13,432
$12,596
$12,689
$13,008
$14,284
$13,822

-$2,205
-$2,718
-$2,425
-$2,066
-$4,070
-$2,676
-$2,921
-$2,324
-$2,199
-$2,633
-$2,247
-$2,091
-$2,263
-$2,067
-$2,279
-$2,565
-$2,456
-$2,668
-$2,235
-$2,591
-$2,636
-$2,154
-$2,430
-$2,158
-$2,453
-$2,203
-$2,419
-$3,013
-$1,872
-$833
-$2,163
-$1,413
-$1,715
-$5,136
-$5,266
-$2,172
-$2,047
-$2,109
-$2,256
-$3,062
-$3,111

1747 Pennsylvania Avenue, NW 5th Floor | Washington, DC 20006

PHONE 202.559.6420 FAX 202.347.5009
www.americanactionnetwork.org

-19%
-21%
-20%
-16%
-31%
-20%
-23%
-18%
-17%
-20%
-18%
-17%
-17%
-16%
-17%
-18%
-18%
-19%
-18%
-18%
-19%
-17%
-18%
-18%
-19%
-18%
-19%
-22%
-16%
-8%
-18%
-13%
-15%
-31%
-32%
-16%
-16%
-17%
-17%
-21%
-23%

PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
RI
RI
SC
SC
SC
SC
SC
SC
SC
SD
TN
TN
TN
TN
TN
TN
TN
TN
TN
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX

10

9
10
11
12
13
14
15
16
17
18
1
2
1
2
3
4
5
6
7
0
1
2
3
4
5
6
7
8
9
1
2
3
4
5
6
7
8
9
10
11
12

77400
43296
51262
100898
48583
88587
47439
46876
38353
99600
35383
37936
25621
25807
43690
44389
32211
28775
28293
32710
85502
64025
60236
45107
45475
50888
34260
31649
29874
31893
34877
23212
28712
35043
34100
33483
39944
36834
27703
26131
40053

$10,437
$10,162
$11,164
$11,172
$10,824
$11,568
$11,242
$10,842
$11,380
$11,387
$10,982
$11,071
$9,396
$9,185
$9,726
$9,758
$9,459
$9,493
$9,214
$9,240
$10,372
$10,253
$10,213
$10,335
$10,885
$10,661
$10,089
$10,257
$9,848
$10,767
$12,364
$10,282
$11,086
$11,205
$11,261
$12,364
$11,496
$12,021
$10,705
$9,827
$11,296

$12,841
$12,108
$13,374
$13,648
$14,603
$14,163
$13,746
$13,174
$13,592
$14,177
$13,404
$13,325
$11,386
$11,580
$11,819
$12,276
$11,693
$11,594
$11,014
$10,581
$12,308
$12,333
$12,412
$12,681
$13,006
$12,996
$12,118
$12,376
$12,676
$13,792
$17,774
$14,831
$14,517
$15,254
$14,716
$17,774
$15,416
$17,143
$13,627
$12,576
$15,270

-$2,404
-$1,947
-$2,209
-$2,476
-$3,780
-$2,595
-$2,504
-$2,332
-$2,213
-$2,790
-$2,422
-$2,254
-$1,990
-$2,395
-$2,093
-$2,518
-$2,234
-$2,101
-$1,799
-$1,341
-$1,935
-$2,080
-$2,199
-$2,346
-$2,121
-$2,335
-$2,029
-$2,120
-$2,828
-$3,025
-$5,410
-$4,549
-$3,431
-$4,049
-$3,455
-$5,410
-$3,920
-$5,122
-$2,922
-$2,749
-$3,974

-19%
-16%
-17%
-18%
-26%
-18%
-18%
-18%
-16%
-20%
-18%
-17%
-17%
-21%
-18%
-21%
-19%
-18%
-16%
-13%
-16%
-17%
-18%
-19%
-16%
-18%
-17%
-17%
-22%
-22%
-30%
-31%
-24%
-27%
-23%
-30%
-25%
-30%
-21%
-22%
-26%

RESEARCH

TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
UT
UT
UT
UT
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VT
WA

13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
1
2
3
4
1
2
3
4
5
6
7
8
9
10
11
0
1

21435
37124
37065
57716
28049
33867
27888
46437
38938
31048
36922
33489
34289
26917
45579
30555
32897
28209
30435
32237
32925
41104
38804
41858
29874
30635
29692
32329
16731
20120
30586
25519
26911
26181
26108
11718
47148
11732
12313
10122
39287

$10,471
$11,822
$11,651
$10,781
$9,765
$12,364
$10,409
$10,716
$9,791
$11,058
$10,441
$11,612
$10,245
$11,089
$10,748
$11,163
$12,364
$11,925
$9,684
$11,829
$11,700
$11,852
$10,309
$11,744
$9,049
$9,206
$9,460
$9,687
$9,599
$10,658
$11,012
$10,124
$9,322
$9,618
$9,914
$9,065
$9,929
$9,108
$8,820
$8,873
$9,613

$12,821
$16,606
$15,495
$13,136
$11,783
$17,774
$13,591
$14,933
$12,436
$15,134
$13,666
$16,079
$13,223
$14,822
$14,657
$14,639
$17,774
$16,995
$13,070
$16,870
$16,292
$15,418
$13,646
$16,783
$10,965
$10,929
$11,521
$11,787
$11,556
$12,532
$13,129
$12,270
$11,196
$11,498
$11,937
$11,344
$11,886
$11,341
$10,996
$10,612
$11,499

-$2,351
-$4,784
-$3,844
-$2,355
-$2,018
-$5,410
-$3,181
-$4,217
-$2,646
-$4,075
-$3,225
-$4,468
-$2,979
-$3,733
-$3,910
-$3,477
-$5,410
-$5,070
-$3,386
-$5,041
-$4,592
-$3,566
-$3,337
-$5,039
-$1,916
-$1,722
-$2,061
-$2,100
-$1,957
-$1,874
-$2,117
-$2,145
-$1,874
-$1,880
-$2,023
-$2,279
-$1,956
-$2,232
-$2,177
-$1,739
-$1,886

1747 Pennsylvania Avenue, NW 5th Floor | Washington, DC 20006

PHONE 202.559.6420 FAX 202.347.5009
www.americanactionnetwork.org

-18%
-29%
-25%
-18%
-17%
-30%
-23%
-28%
-21%
-27%
-24%
-28%
-23%
-25%
-27%
-24%
-30%
-30%
-26%
-30%
-28%
-23%
-24%
-30%
-17%
-16%
-18%
-18%
-17%
-15%
-16%
-17%
-17%
-16%
-17%
-20%
-16%
-20%
-20%
-16%
-16%

WA
WA
WA
WA
WA
WA
WA
WA
WA
WI
WI
WI
WI
WI
WI
WI
WI
WV
WV
WV
WY

12

2
3
4
5
6
7
8
9
10
1
2
3
4
5
6
7
8
1
2
3
0

47460
59777
14652
35114
23464
38033
30498
37410
38152
43362
31834
48328
42417
54393
63218
61504
69957
37232
37202
41502
3288

$9,403
$10,032
$9,101
$9,961
$9,236
$9,773
$9,451
$9,760
$9,673
$10,289
$8,899
$9,408
$11,521
$10,430
$9,478
$9,629
$9,765
$9,980
$10,120
$10,353
$8,916

$11,197
$11,665
$10,590
$11,824
$11,088
$11,901
$11,354
$11,915
$11,777
$12,382
$11,180
$11,112
$13,826
$12,368
$11,555
$11,449
$12,033
$11,935
$12,131
$12,544
$10,210

-$1,793
-$1,633
-$1,488
-$1,863
-$1,852
-$2,129
-$1,903
-$2,155
-$2,103
-$2,092
-$2,281
-$1,704
-$2,305
-$1,938
-$2,078
-$1,820
-$2,268
-$1,955
-$2,012
-$2,190
-$1,294

-16%
-14%
-14%
-16%
-17%
-18%
-17%
-18%
-18%
-17%
-20%
-15%
-17%
-16%
-18%
-16%
-19%
-16%
-17%
-17%
-13%