Medicaid
Provider spending, utilization patterns, and anomaly detection for Tennessee.
SNAP / HR1 Compliance
Updated Feb 22, 20265.84%
Payment Error Rate
5.17%
Overpayment
0.67%
Underpayment
960.0K
Participants
State vs National PER
State
5.84%
National
10.93%
Projected Annual State Cost Share (effective FY2028)
$0
0% of SNAP benefits
PER below 6% — no state cost share required
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$1,214
Median Gross Rent
29.7%
Rent Burden
67.3%
Homeownership(-0.5% vs nat'l)
$307K
Median Home Value
Contract rent: $1,001
Housing units: 3,195,170
Broadband Access
Updated Mar 30, 202691%
Broadband Adoption
-1.0% vs national
6.5%
No Internet
95.1%
Computer Ownership
Subscription Types
Cable/Fiber/DSL 75.3%Cellular 6.1%Satellite 1%Other 2.4%
Drinking Water Quality
Updated Mar 30, 2026453
Community Systems
1,904
Total Systems
N/A
Violating Systems
N/A
Violation Rate
Violation Rate vs National Avg (3.6%)
0% Natl avg9%
$55.4B
Total Funding
$8,254
Per Capita
50,913
Awards
Quarterly Grant Spending (FY2021-FY2025)
Top Agencies
Department of Health and Human Services$14.0B
Department of Transportation$2.0B
Department of Agriculture$1.3B
Department of Education$1.0B
Environmental Protection Agency$397.7M
Department of Homeland Security$381.4M
Top Programs (CFDA)
Grants to States for Medicaid
11,490,892,413
Highway Planning and Construction
1,530,828,017
National School Lunch Program
815,598,917
Children's Health Insurance Program
436,813,440
Title I Grants to Local Educational Agencies
350,369,797
Disaster Grants - Public Assistance (Presidentially Declared Disasters)
310,024,343
Budget & Fiscal Health
FY2022Updated Mar 30, 2026$76.7B
Revenue
$67.1B
Expenditure
$18.1B
Debt
$2,545
Debt/Capita
Credit Ratings (GO Bonds)
S&P
AAAMoody's
AaaFitch
AAARevenue/capita: $10,760
Tax burden/capita: $1,444
Workforce & Employment
Updated Mar 30, 20263.6%
Unemployment
vs 4.4% national
0
Employed
0
Labor Force
%
LFPR
vs 62.4% national
Unemployment Rate (24 months, seasonally adjusted)
Fastest Growing Sectors
+5.6%Construction
+5.2%Arts & Entertainment
+5.1%Transportation & Warehousing
Shrinking Sectors
-5.1%Admin & Waste Services
-4.7%Mining & Extraction
-2.8%Information
Public Health Outcomes
Updated Mar 30, 2026Life Expectancy
73.5 yrs#46 of 51
Overdose Death Rate
51/100k#49 of 51
Uninsured Rate
11.1%#41 of 51
Obesity Rate
39.1%#47 of 51
Mental Distress Days
6.3/mo#48 of 51
Infant Mortality
6.8/1k#40 of 51
Premature Death Rate
11,635.8/100k#45 of 51
Better than national avgWorse than national avg
Education
Updated Mar 30, 2026NAEP Scores (2024 Nation's Report Card)
239.6
4th Math
vs 237.3 nat'l
276
8th Math
vs 272.2 nat'l
215.1
4th Reading
vs 214.3 nat'l
259
8th Reading
vs 256.7 nat'l
Infrastructure
Grade: AUpdated Mar 30, 2026Bridges (FHWA NBI 2025)
20,374
Total Bridges
42.3%
Good
53.3%
Fair
4.4%
Poor
Campaign Finance
$266.0M
Contributions
$91.3M
Expenditures
0
Committees
1990-2026
Coverage
Contributions by Party
Other: $266.0M
Top Donors
RANDY BOYD$19,676,661.96
DIANE BLACK$12,372,068.83
TENNESSEE REALTORS PAC$2,257,400.08
TENNESSEE LEGISLATIVE CAMPAIGN COMMITTEE$2,217,962.26
TENNESSEE BANKERS ASSN PAC$1,994,500
Regulatory Reform Ideas
100 candidates9 admin-only8 bipartisan76 moderate4 contested3 heavy-lift
Top Easy Wins
- 1.§ 4-5-218 Periodic Review Enforcement (Automatic Repeal for Unreviewed Rules)(All agencies / Legislature)
- 2.Unified TDEC Permitting Portal (Cross-Division Integration)(TDEC (all divisions) / IT)
- 3.Building Permit Processing Time Standards (State Minimum)(Legislature / Municipalities)
- 4.NPDES Permit Streamlining (180-Day Statutory Deadline)(TDEC-WR / Legislature)
- 5.Broadband Deployment Permitting Streamlining(TRA / TDOT / Municipalities / TVA)
IT Status Report & Strategic Plan
Comprehensive IT capability assessment with 100-day and 200-day strategic initiatives.
FEMA Disasters
24 Active34
Declarations (10yr)
24
Active
$1.3B
PA Funding
29,792
IA Approved
Declarations by Year
Incident Types
Severe Storm 14Fire 5Tornado 4Winter Storm 3Tropical Storm 2Flood 2
Recent Declarations
2026-02-06SEVERE WINTER STORMDR$3.8M
2026-01-24SEVERE WINTER STORMEM
2025-06-19SEVERE STORMS, STRAIGHT-LINE WINDS, TORNADOES, AND FLOODINGDR$18.8M
2025-04-02SEVERE STORMS, STRAIGHT-LINE WINDS, TORNADOES, AND FLOODINGEM
2024-10-02TROPICAL STORM HELENEDR$355.3M