Governing bodies have collectively added 57,000 people per month, on average, this year, outpacing previous public-sector recoveries.
Overall, state revenue is down 1.9%, but 22 states have higher revenue than a year earlier. Tech and Wall Street have helped.
The list includes funding, a plan for communicating with the public, medical personnel training and storage capabilities.
Republicans and Democrats disagree about how much aid to give to state and local governments.
A place like Columbus, Ohio, relies on income tax for 75% of its revenue.
Both the states and federal government are lowering the barriers to physicians and nurses practicing in other states.
Illinois isn't the only state with budget woes.