Medicaid
Provider spending, utilization patterns, and anomaly detection for Iowa.
SNAP / HR1 Compliance
Updated Feb 22, 202615.35%
Payment Error Rate
14.45%
Overpayment
0.9%
Underpayment
293.0K
Participants
State vs National PER
State
15.35%
National
10.93%
Projected Annual State Cost Share (effective FY2028)
$81.0M
15% of SNAP benefits
PER 10%+ — 15% state cost share
Based on FY2024 SNAP Payment Error Rates. Cost sharing enacted under the One Big Beautiful Bill Act (P.L. 119-94, signed July 4, 2025), effective October 2027.
Housing Affordability
Updated Mar 30, 2026$949
Median Gross Rent
27.4%
Rent Burden
71.8%
Homeownership(+4.0% vs nat'l)
$213K
Median Home Value
Contract rent: $783
Housing units: 1,448,736
Broadband Access
Updated Mar 30, 202689.9%
Broadband Adoption
-2.1% vs national
6.3%
No Internet
95.5%
Computer Ownership
Subscription Types
Cable/Fiber/DSL 72.4%Cellular 7.3%Satellite 1%Other 3.5%
Drinking Water Quality
Updated Mar 30, 20261,077
Community Systems
1,817
Total Systems
124
Violating Systems
2.3%
Violation Rate
Violation Rate vs National Avg (3.6%)
0% Natl avg9%
$14.1B
Total Funding
$4,487
Per Capita
49,678
Awards
Quarterly Grant Spending (FY2021-FY2025)
Top Agencies
Department of Health and Human Services$7.9B
Department of Transportation$1.2B
Department of Commerce$423.1M
Department of Agriculture$420.8M
Department of Education$416.4M
Department of Housing and Urban Development$308.3M
Top Programs (CFDA)
Grants to States for Medicaid
6,862,287,624
Highway Planning and Construction
840,856,887
Broadband Equity, Access, and Deployment Program
410,331,313
Children's Health Insurance Program
197,665,861
National School Lunch Program
186,979,580
Community Development Block Grants/State's program and Non-Entitlement Grants in Hawaii
183,064,422
Budget & Fiscal Health
FY2022Updated Mar 30, 2026$46.2B
Revenue
$44.3B
Expenditure
$12.1B
Debt
$3,780
Debt/Capita
Credit Ratings (GO Bonds)
S&P
AAAMoody's
AaaFitch
AAARevenue/capita: $14,407
Tax burden/capita: $3,130
Workforce & Employment
Updated Mar 30, 20263.5%
Unemployment
vs 4.4% national
1.7M
Employed
1.8M
Labor Force
67.7%
LFPR
vs 62.4% national
Unemployment Rate (24 months, seasonally adjusted)
Fastest Growing Sectors
+5.5%Management
+3.7%Arts & Entertainment
+2.9%Utilities
Shrinking Sectors
-3.2%Information
-3.1%Admin & Waste Services
-2.1%Finance & Insurance
Public Health Outcomes
Updated Mar 30, 2026Life Expectancy
77.8 yrs#18 of 51
Overdose Death Rate
14.4/100k#3 of 51
Uninsured Rate
5.4%#6 of 51
Obesity Rate
37.8%#39 of 51
Mental Distress Days
4.7/mo#9 of 51
Infant Mortality
5/1k#12 of 51
Premature Death Rate
7,201.1/100k#15 of 51
Better than national avgWorse than national avg
Education
Updated Mar 30, 2026NAEP Scores (2024 Nation's Report Card)
237
4th Math
vs 237.3 nat'l
274.8
8th Math
vs 272.2 nat'l
214.6
4th Reading
vs 214.3 nat'l
260.7
8th Reading
vs 256.7 nat'l
Infrastructure
Grade: BUpdated Mar 30, 2026Bridges (FHWA NBI 2025)
23,716
Total Bridges
39.3%
Good
42%
Fair
18.6%
Poor
Drinking Water (EPA SDWIS)
5,347
Water Systems
124
With Violations
2.3%
Violation Rate
Campaign Finance
$589.8M
Contributions
$754.7M
Expenditures
300
Committees
2000-2024
Coverage
Contributions by Party
Other: $589.8M
Top Recipients
IOWA DEMOCRATIC PARTY$81,884,997.5
REPUBLICAN PARTY OF IOWA$50,612,206.37
KIM REYNOLDS FOR IOWA$25,471,928.59
HUBBELL FOR GOVERNOR$20,146,121.13
CREDIT UNION PAC$18,538,963.04
Regulatory Reform Ideas
100 candidates8 admin-only14 bipartisan72 moderate3 contested3 heavy-lift
Top Easy Wins
- 1.Unified CAFO/Farm Compliance Dashboard — 85,000 Farms Navigate 5+ Agencies With No Single Portal(IDALS, DNR, USDA)
- 2.Foreign Nurse Credential Streamlining — 12-18 Month CGFNS Process, Duplicative English Testing(DIAL, Board of Nursing)
- 3.E15 Ethanol Mandate Penalty Proportionality — $1,000/Day Identical for Single-Pump Station and Chain(IDALS)
- 4.Alcohol License Local Approval Streamlining — Dual State/Local Process Extends Licensing 30-90 Days(IDR, Municipalities)
- 5.IUC Rate Case Processing — No Statutory Maximum, 10-14 Month Timelines, 3.5M+ Customers(IUC)
IT Status Report & Strategic Plan
Comprehensive IT capability assessment with 100-day and 200-day strategic initiatives.
FEMA Disasters
11 Active18
Declarations (10yr)
11
Active
$998.0M
PA Funding
16,427
IA Approved
Declarations by Year
Incident Types
Severe Storm 8Flood 5Biological 3Winter Storm 1Tornado 1
Recent Declarations
2025-05-21SEVERE WINTER STORMDR$737K
2024-06-24SEVERE STORMS, FLOODING, STRAIGHT-LINE WINDS, AND TORNADOESDR$102.3M
2024-05-24SEVERE STORMS, TORNADOES, AND FLOODINGDR$23.1M
2024-05-14SEVERE STORMS AND TORNADOESDR$6.5M
2023-08-25FLOODINGDR$8.2M