The ratio is 1-Local and State Govt employees plus 2- Medicaid recipients divided by private sector employees.
| RANK | STATE | PRIVATE SECTOR EMPLOYMENT (000S) | STATE & LOCAL GOVERNMENT EMPLOYMENT (000S) | MEDICAID ENROLLMENT (000S) | COMBINED RATIO1(%) |
|---|---|---|---|---|---|
| 1 | New Mexico | 623 | 160 | 407 | 97.5 |
| 2 | Mississippi | 858 | 223 | 531 | 94.3 |
| 3 | New York | 7,118 | 1,386 | 4,140 | 82.5 |
| 4 | Louisiana | 1,550 | 327 | 860 | 81.9 |
| 5 | California | 11,790 | 2,148 | 6,524 | 78.1 |
| 6 | West Virginia | 596 | 120 | 307 | 76.7 |
| 7 | Tennessee | 2,231 | 373 | 1,237 | 76.3 |
| 8 | Arkansas | 965 | 187 | 488 | 74.8 |
| 9 | Alabama | 1,521 | 322 | 698 | 72.3 |
| 10 | Kentucky | 1,462 | 272 | 699 | 71.0 |
| 11 | Arizona | 1,989 | 352 | 969 | 70.8 |
| 12 | Vermont | 244 | 39 | 123 | 70.4 |
| 13 | Oklahoma | 1,227 | 271 | 522 | 70.1 |
| 14 | Maine | 516 | 76 | 254 | 67.6 |
| 15 | Michigan | 3,241 | 528 | 1,526 | 67.5 |
| 16 | South Carolina | 1,520 | 296 | 643 | 66.7 |
| 17 | Hawaii | 469 | 86 | 192 | 64.0 |
| 18 | Georgia | 3,192 | 576 | 1,267 | 62.3 |
| 19 | North Carolina | 3,238 | 618 | 1,238 | 62.1 |
| 20 | Washington | 2,340 | 445 | 886 | 61.6 |
| 21 | Alaska | 263 | 63 | 83 | 61.4 |
| 22 | Illinois | 4,860 | 729 | 2,043 | 60.8 |
| 23 | Idaho | 511 | 98 | 175 | 58.3 |
| 24 | Ohio | 4,367 | 670 | 1,653 | 57.0 |
| 26 | Wyoming | 228 | 58 | 56 | 56.3 |
| 25 | Texas | 8,566 | 1,553 | 2,883 | 56.3 |
| 27 | Florida | 6,199 | 993 | 2,152 | 54.7 |
| 28 | Pennsylvania | 4,895 | 591 | 1,926 | 54.4 |
| 29 | Delaware | 357 | 51 | 129 | 54.0 |
| 30 | Rhode Island | 405 | 47 | 159 | 53.7 |
| 31 | Indiana | 2,391 | 376 | 806 | 53.4 |
| 32 | Massachusetts | 2,796 | 342 | 1,046 | 52.7 |
| 33 | Missouri | 2,282 | 358 | 751 | 52.5 |
| 34 | Wisconsin | 2,378 | 364 | 755 | 50.9 |
| 35 | South Dakota | 337 | 63 | 91 | 50.1 |
| 36 | Connecticut | 1,389 | 211 | 431 | 50.1 |
| 37 | Oregon | 1,339 | 249 | 356 | 49.9 |
| 38 | Iowa | 1,235 | 214 | 335 | 48.8 |
| 39 | Kansas | 1,082 | 214 | 254 | 48.1 |
| 40 | District Of Columbia | 461 | 53 | 153 | 47.7 |
| 41 | Minnesota | 2,270 | 357 | 602 | 46.2 |
| 42 | Nebraska | 785 | 146 | 177 | 45.8 |
| 43 | Maryland | 2,072 | 339 | 520 | 45.6 |
| 44 | Montana | 363 | 70 | 78 | 45.5 |
| 45 | New Jersey | 3,329 | 545 | 781 | 44.0 |
| 46 | Virginia | 2,973 | 504 | 666 | 43.6 |
| 47 | Colorado | 1,884 | 320 | 407 | 42.9 |
| 48 | North Dakota | 296 | 59 | 52 | 42.3 |
| 49 | Utah | 992 | 167 | 203 | 41.5 |
| 50 | New Hampshire | 548 | 77 | 114 | 38.3 |
| 51 | Nevada | 1,025 | 131 | 189 |