Previous studies on per capita personal health care spending have demonstrated wide variation in health care spending across the United States (Martin et al., 2007). With Affordable Care Act coverage expansions through Medicaid and state-level Health Insurance Exchanges on the horizon, it is more important than ever for policy makers to have detailed information on baseline state-level personal health care spending trends. Personal health care spending includes the total amount spent to treat individuals with specific medical conditions, but excludes expenditures resulting from government administration, net costs of health insurance, government public health activity, non-commercial research, and investment in structures and equipment (Centers for Medicare & Medicaid Services, 2011. In this study we begin by presenting a detailed discussion of personal health care spending by state of residence in 2009.