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. 2004 Winter;26(2):105–118.

Table 3. Estimated Smoking Attributable Neonatal Medicaid Expenditures All Medicaid, and Trimester of Prenatal Care, by State: Calendar Year 1996.

State Estimated Total Smoking Attributable Neonatal Costs Estimated Smoking Attributable Neonatal Costs Per Smoker


All First/Second Trimester Prenatal Care Third Trimester Care/None All First/Second Trimester Prenatal Care Third Trimester Care/None
Total $227,661,823 $194,695,597 $32,966,227
Alabama 3,643,633 3,250,913 392,721 $753 $716 $1,322
Alaska 522,357 465,697 56,661 548 525 832
Arizona 2,351,205 1,895,721 455,483 644 586 1,047
Arkansas 3,255,399 2,701,393 554,006 756 698 1,246
California 21,832,758 16,763,568 5,069190 680 597 1,252
Colorado 2,022,506 1,745,813 276,693 628 597 956
Connecticut 1,634,815 1,487,655 147,160 811 782 1,313
Delaware 785,224 679,419 105,805 864 804 1,557
District of Columbia 452,299 293,043 159,256 1,333 1,118 2,129
Florida 11,008,323 9,765,491 1,242,832 783 739 1,431
Georgia 6,087,771 5,369,617 718,154 802 753 1,551
Hawaii 371,660 312,415 59,245 532 497 835
Idaho 762,936 667,323 95,613 591 564 886
Illinois 10,483,247 8,572,278 1,910,969 843 760 1,634
Indiana 8,602,347 7,626,497 975,851 742 694 1,596
Iowa 2,423,712 2,226,404 197,308 699 674 1,182
Kansas 1,892,662 1,736,997 155,666 707 681 1,253
Kentucky 5,926,420 5,447,029 479,391 722 697 1,230
Louisiana 3,744,853 3,285,042 459,811 823 774 1,524
Maine 981,710 939,042 42,668 710 697 1,184
Maryland 4,079,095 3,447,325 631,770 884 810 1,801
Massachusetts 3,890,388 3,531,540 358,848 765 737 1,209
Michigan 10,127,394 8,878,580 1,248,813 778 730 1,426
Minnesota 2,985,488 2,704,709 280,779 716 686 1,149
Mississippi 2,715,440 2,384,252 331,188 817 762 1,585
Missouri 6,064,018 5,318,434 745,584 742 696 1,377
Montana 612,150 557,642 54,508 578 560 865
Nebraska 1,375,419 1,226,060 149,359 699 669 1,141
Nevada 1,307,914 1,024,962 282,951 673 601 1,167
New Hampshire 889,616 828,183 61,433 713 692 1,206
New Jersey 6,192,636 4,529,083 1,663,553 946 808 1,785
New Mexico 965,736 777,958 187,778 632 581 974
New York 15,496,293 12,905,231 2,591,062 857 791 1,489
North Carolina 8,396,204 7,414,328 981,875 810 761 1,549
North Dakota 520,891 485,445 35,446 648 633 932
Ohio 13,018,792 11,293,426 1,725,366 761 714 1,404
Oklahoma 3,906,974 3,377,571 529,403 714 674 1,153
Oregon 2,417,700 2,133,093 284,607 615 591 911
Pennsylvania 11,584,801 9,811,534 1,773,267 832 766 1,588
Rhode Island 805,981 729,281 76,700 772 736 1,421
South Carolina 3,789,951 3,294,891 495,060 809 758 1,452
South Dakota 626,638 495,002 131,636 581 550 740
Tennessee 6,546,140 5,664,053 882,087 780 724 1,523
Texas 12,007,549 10,167,084 1,840,465 761 701 1,339
Utah 1,259,547 1,113,832 145,715 589 566 922
Vermont 438,365 405,671 32,694 717 695 1,167
Virginia 5,516,067 4,816,842 699,225 833 776 1,623
Washington 3,767,526 3,399,403 368,123 613 589 979
West Virginia 2,395,233 2,163,531 231,702 713 684 1,164
Wisconsin 4,777,631 4,228,581 549,051 750 711 1,297
Wyoming 398,409 356,713 41,696 593 568 949

NOTES: Neonatal expenditures include both Federal and State funding. Amounts are in 1996 dollars.

SOURCES: National Center for Health Statistics: Data from the Natality data set; Centers for Disease Control and Prevention: Data from the Maternal and Child Health Smoking-Attributable Mortality, Morbidity, and Economic Costs Web site, http://apps.nccd.cdc.gov/sammec/; and the California Department of Public Health: Data from the Maternal and Infant Health Assessment Files, 1996.