West Virginia and Kansas had the lowest cost of living across all U.S. states, with composite costs being half of those found in Hawaii. This was according to a composite index that compares prices for various goods and services on a state-by-state basis. In West Virginia, the cost of living index amounted to **** — well below the national benchmark of 100. Virginia— which had an index value of ***** — was only slightly above that benchmark. Expensive places to live included Hawaii, Massachusetts, and California. Housing costs in the U.S. Housing is usually the highest expense in a household’s budget. In 2023, the average house sold for approximately ******* U.S. dollars, but house prices in the Northeast and West regions were significantly higher. Conversely, the South had some of the least expensive housing. In West Virginia, Mississippi, and Louisiana, the median price of the typical single-family home was less than ******* U.S. dollars. That makes living expenses in these states significantly lower than in states such as Hawaii and California, where housing is much pricier. What other expenses affect the cost of living? Utility costs such as electricity, natural gas, water, and internet also influence the cost of living. In Alaska, Hawaii, and Connecticut, the average monthly utility cost exceeded *** U.S. dollars. That was because of the significantly higher prices for electricity and natural gas in these states.

In 2024, the annual cost for a private room in an assisted living facility in the U.S. amounted to ****** U.S. dollars. However, costs varied greatly from one state to another. The most expensive states for a private room in assisted living was found in Hawaii, followed by Alaska and DC.

In 2024, the annual cost for a private room in an assisted living facility in the U.S. amounted to 70,800 U.S. dollars - the national median price. However, cost varied greatly from one state to another. The least expensive states for a private room in assisted living were South Dakota, and Mississippi. While the most expensive states for assisted living were Hawaii and Alaska.

Quality of life is a measure of comfort, health, and happiness by a person or a group of people. Quality of life is determined by both material factors, such as income and housing, and broader considerations like health, education, and freedom. Each year, US & World News releases its “Best States to Live in” report, which ranks states on the quality of life each state provides its residents. In order to determine rankings, U.S. News & World Report considers a wide range of factors, including healthcare, education, economy, infrastructure, opportunity, fiscal stability, crime and corrections, and the natural environment. More information on these categories and what is measured in each can be found below:

Healthcare includes access, quality, and affordability of healthcare, as well as health measurements, such as obesity rates and rates of smoking. Education measures how well public schools perform in terms of testing and graduation rates, as well as tuition costs associated with higher education and college debt load. Economy looks at GDP growth, migration to the state, and new business. Infrastructure includes transportation availability, road quality, communications, and internet access. Opportunity includes poverty rates, cost of living, housing costs and gender and racial equality. Fiscal Stability considers the health of the government's finances, including how well the state balances its budget. Crime and Corrections ranks a state’s public safety and measures prison systems and their populations. Natural Environment looks at the quality of air and water and exposure to pollution.

In the United States, Hawaii was the state with the most expensive housing, with the typical value of single-family homes in the 35th to 65th percentile range exceeding ******* U.S. dollars. Unsurprisingly, Hawaii also ranked top as the state with the highest cost of living. Meanwhile, a property was the least expensive in West Virginia, where it cost under ******* U.S. dollars to buy the typical single-family home. Single-family home prices increased across most states in the United States between December 2023 and December 2024, except in Louisiana, Florida, and the District of Colombia. According to the Federal Housing Association, house appreciation in 13 states exceeded **** percent in 2023.

Of the most populous cities in the U.S., San Jose, California had the highest annual income requirement at ******* U.S. dollars annually for homeowners to have an affordable and comfortable life in 2024. This can be compared to Houston, Texas, where homeowners needed an annual income of ****** U.S. dollars in 2024.

The US Family Budget Dataset provides insights into the cost of living in different US counties based on the Family Budget Calculator by the Economic Policy Institute (EPI).

This dataset offers community-specific estimates for ten family types, including one or two adults with zero to four children, in all 1877 counties and metro areas across the United States.

Interesting Task Ideas:

1. See how family budgets compare to the federal poverty line and the Supplemental Poverty Measure in different counties.
2. Look into the money challenges faced by different types of families using the budgets provided.
3. Find out which counties have the most affordable places to live, food, transportation, healthcare, childcare, and other things people need.
4. Explore how the average income of families relates to the overall cost of living in different counties.
5. Investigate how family size affects the estimated budget and find counties where bigger families have higher costs.
6. Create visuals showing how the cost of living varies across different states and big cities.
7. Check whether specific counties are affordable for families of different sizes and types.
8. Use the dataset to compare living standards and economic security in different US counties.

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YouTube and TikTok are the most popular social networks among Generation X for finding helpful content on the cost of living crisis in the United States in 2023. While 56 percent of YouTube users state they find helpful content there, it's 47 percent among TikTok users respectively.

In 2024, the average daily cost for adult day health care services in the U.S. stood at 100 U.S. dollars. However, such costs varied greatly from one state to another. In that year, the most expensive state for adult day health care services was by far Oregon, amounting to 284 U.S. dollars a day, while in Delaware daily rates were just 35 U.S. dollars. In the most expensive states, the daily cost of adult day care actually exceeded that of assisted living facilities and sometimes even home health care. The large variation may be in part due to the source using community subsidy rates where available, thus lower rates were reported, while states with higher rates may capture the full private pay rates.

This table contains data on the percent of households paying more than 30% (or 50%) of monthly household income towards housing costs for California, its regions, counties, cities/towns, and census tracts. Data is from the U.S. Department of Housing and Urban Development (HUD), Consolidated Planning Comprehensive Housing Affordability Strategy (CHAS) and the U.S. Census Bureau, American Community Survey (ACS). The table is part of a series of indicators in the [Healthy Communities Data and Indicators Project of the Office of Health Equity] Affordable, quality housing is central to health, conferring protection from the environment and supporting family life. Housing costs—typically the largest, single expense in a family's budget—also impact decisions that affect health. As housing consumes larger proportions of household income, families have less income for nutrition, health care, transportation, education, etc. Severe cost burdens may induce poverty—which is associated with developmental and behavioral problems in children and accelerated cognitive and physical decline in adults. Low-income families and minority communities are disproportionately affected by the lack of affordable, quality housing. More information about the data table and a data dictionary can be found in the Attachments.

VITAL SIGNS INDICATOR
Poverty (EQ5)

FULL MEASURE NAME
The share of the population living in households that earn less than 200 percent of the federal poverty limit

LAST UPDATED
January 2023

DESCRIPTION
Poverty refers to the share of the population living in households that earn less than 200 percent of the federal poverty limit, which varies based on the number of individuals in a given household. It reflects the number of individuals who are economically struggling due to low household income levels.

DATA SOURCE
U.S Census Bureau: Decennial Census - http://www.nhgis.org
1980-2000

U.S. Census Bureau: American Community Survey - https://data.census.gov/
2007-2021
Form C17002

CONTACT INFORMATION
vitalsigns.info@mtc.ca.gov

METHODOLOGY NOTES (across all datasets for this indicator)
The U.S. Census Bureau defines a national poverty level (or household income) that varies by household size, number of children in a household, and age of householder. The national poverty level does not vary geographically even though cost of living is different across the United States. For the Bay Area, where cost of living is high and incomes are correspondingly high, an appropriate poverty level is 200% of poverty or twice the national poverty level, consistent with what was used for past equity work at MTC and ABAG. For comparison, however, both the national and 200% poverty levels are presented.

For Vital Signs, the poverty rate is defined as the number of people (including children) living below twice the poverty level divided by the number of people for whom poverty status is determined. The household income definitions for poverty change each year to reflect inflation. The official poverty definition uses money income before taxes and does not include capital gains or non-cash benefits (such as public housing, Medicaid and food stamps).

For the national poverty level definitions by year, see: US Census Bureau Poverty Thresholds - https://www.census.gov/data/tables/time-series/demo/income-poverty/historical-poverty-thresholds.html.

For an explanation on how the Census Bureau measures poverty, see: How the Census Bureau Measures Poverty - https://www.census.gov/topics/income-poverty/poverty/guidance/poverty-measures.html.

American Community Survey (ACS) 1-year data is used for larger geographies – Bay counties and most metropolitan area counties – while smaller geographies rely upon 5-year rolling average data due to their smaller sample sizes. Note that 2020 data uses the 5-year estimates because the ACS did not collect 1-year data for 2020.

To be consistent across metropolitan areas, the poverty definition for non-Bay Area metros is twice the national poverty level. Data were not adjusted for varying income and cost of living levels across the metropolitan areas.

Consumer Price Index CPI in the United States increased to 321.47 points in May from 320.80 points in April of 2025. This dataset provides the latest reported value for - United States Consumer Price Index (CPI) - plus previous releases, historical high and low, short-term forecast and long-term prediction, economic calendar, survey consensus and news.

In 2024, the annual median cost for long-term care in the United States ranged from ****** to ******* U.S. dollars, depending on the type of service. This significant financial burden highlights the importance of planning for future healthcare needs, as many older adults may face substantial out-of-pocket costs for extended care services. Nursing homes and assisted living facilities Nursing homes represent the most expensive long-term care option, with private rooms costing an estimated ****** U.S. dollars per month in 2024. Semi-private rooms are slightly more affordable at ***** U.S. dollars monthly. Assisted living facilities offer a less costly alternative, with annual expenses for a private room averaging ****** U.S. dollars. However, these costs can vary dramatically by location, with states like Hawaii, Alaska, and Washington D.C. commanding the highest prices for assisted living accommodations. Home care services and future projections For those preferring to receive care at home, the hourly rates for long-term home care services in 2024 were ** U.S. dollars for homemaker services and ** U.S. dollars for home health aide services. These costs are expected to rise significantly in the coming decades, with projections suggesting home health aide services could approach *** U.S. dollars per hour by 2060. The increasing expense of long-term care is evident across all service types, with assisted living facilities experiencing a ** percent cost increase from 2023 to 2024, while nursing home rates for semi-private and private rooms rose by * and * percent, respectively.

88,8 (Index, higher means higher cost of living) in 2024Q3.

108.1 (Index, higher means higher cost of living) in 2022Q3.

This statistic illustrates the most popular social networks among Millennials for finding the most relevant content on the cost of living crisis in the United States in 2023. According to a survey by We Are Social and Statista Q, 61 percent of Millennials who use TikTok find the most relevant content over there, followed by another 59 percent of the consumers who use YouTube.

In 2024, the finance, real estate, insurance, rental, and leasing industry added the most value to the GDP of the United States. In that year, this industry added 6.2 trillion U.S. dollars to the national GDP. Gross Domestic Product Gross domestic product is a measure of how much a country produces in a certain amount of time. Countries with a high GDP tend to have large economies, for example, the United States. However, GDP does not take into consideration the cost of living and inflation rates, so it is not a good measure of the standard of living. GDP per capita at purchasing power parity is thought to be more reflective of living conditions within a particular country. U.S. GDP California added the largest amount of value to the real GDP of the U.S. in 2022. California was followed by Texas and New York. In California, the professional and business services industry was the most valuable to GDP in 2022. In New York, the finance, insurance, real estate, rental, and leasing industry added the most value to the state GDP. While the business sector added the highest value to the U.S. real GDP in 2021, it was the information industry that had the biggest percentage change in value added to the GDP between 2010 and 2021.

In December 2024, 11 percent of survey respondents said that the most important problem facing the United States was the high cost of living and inflation. Another 20percent said that the government and poor leadership was the most serious concern for the nation.

VITAL SIGNS INDICATOR
Poverty (EQ5)

FULL MEASURE NAME
The share of the population living in households that earn less than 200 percent of the federal poverty limit

LAST UPDATED
January 2023

DESCRIPTION
Poverty refers to the share of the population living in households that earn less than 200 percent of the federal poverty limit, which varies based on the number of individuals in a given household. It reflects the number of individuals who are economically struggling due to low household income levels.

DATA SOURCE
U.S Census Bureau: Decennial Census - http://www.nhgis.org
1980-2000

U.S. Census Bureau: American Community Survey - https://data.census.gov/
2007-2021
Form C17002

CONTACT INFORMATION
vitalsigns.info@mtc.ca.gov

METHODOLOGY NOTES (across all datasets for this indicator)
The U.S. Census Bureau defines a national poverty level (or household income) that varies by household size, number of children in a household, and age of householder. The national poverty level does not vary geographically even though cost of living is different across the United States. For the Bay Area, where cost of living is high and incomes are correspondingly high, an appropriate poverty level is 200% of poverty or twice the national poverty level, consistent with what was used for past equity work at MTC and ABAG. For comparison, however, both the national and 200% poverty levels are presented.

For Vital Signs, the poverty rate is defined as the number of people (including children) living below twice the poverty level divided by the number of people for whom poverty status is determined. The household income definitions for poverty change each year to reflect inflation. The official poverty definition uses money income before taxes and does not include capital gains or non-cash benefits (such as public housing, Medicaid and food stamps).

For the national poverty level definitions by year, see: US Census Bureau Poverty Thresholds - https://www.census.gov/data/tables/time-series/demo/income-poverty/historical-poverty-thresholds.html.

For an explanation on how the Census Bureau measures poverty, see: How the Census Bureau Measures Poverty - https://www.census.gov/topics/income-poverty/poverty/guidance/poverty-measures.html.

American Community Survey (ACS) 1-year data is used for larger geographies – Bay counties and most metropolitan area counties – while smaller geographies rely upon 5-year rolling average data due to their smaller sample sizes. Note that 2020 data uses the 5-year estimates because the ACS did not collect 1-year data for 2020.

To be consistent across metropolitan areas, the poverty definition for non-Bay Area metros is twice the national poverty level. Data were not adjusted for varying income and cost of living levels across the metropolitan areas.

Alaska, Hawaii, and Connecticut were the states with the highest average monthly utility costs in the United States in 2023. Residents paid about ****** U.S. dollars for their electricity bills in Hawaii, while the average monthly bill for natural gas came to *** U.S. dollars. This was significantly higher than in any other state. Bigger homes have higher utility costs Despite regional variations, single-family homes in the United States have grown bigger in size since 1975. This trend also means that, unless homeowners invest in energy savings measures, they will have to pay more for their utility costs. Which are the most affordable states to live in? According to the cost of living index, the three most affordable states to live in are Mississippi, Kansas, and Oklahoma. At the other end of the scale are Hawaii, District of Columbia, and New York. The index is based on housing, utilities, grocery items, transportation, health care, and miscellaneous goods and services. To buy a median priced home in Kansas City, a prospective home buyer will have to earn an annual salary of about ****** U.S. dollars.