Fiscal Effort
Fiscal effort is the amount of money spent by the state and federal government on ID/DD supports and services per $1,000 of statewide personal income. In other words, how much a state spends on ID/DD services considering state wealth.
Fiscal effort lets us compare how much money different states spend on services and supports for people with ID/DD, even though states have different policies and state wealth.
To explore total, community, and institutional fiscal effort in the U.S. by state and year, please see the interactive charts below.
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Note. Last updated February 2023.