I'd say state, but with the research i did here's what I found, i hope it gives you some help.
State and local governments are spending more -- about one-third of their budgets -- than at anytime since the federal government started keeping such records in 1987, according to a new report by the Pew Charitable Trusts.
While total U.S. healthcare costs grew by 4 percent in 2012, local and state healthcare costs grew at twice that rate, according to a Pew analysis of data from the Centers for Medicare & Medicaid Services
