| Ranking of Improvement | State | Ranking Change Over 5 Years |
|---|---|---|
| 6 | California | ↑ 25 |
| 7 | South Carolina | ↑ 25 |
| 8 | Utah | ↑ 24 |
| 9 | Pennsylvania | ↑ 20 |
| 10 | Arizona | ↑ 18 |
| 11 | Wyoming | ↑ 16 |
| 12 | Nevada | ↑ 13 |
| 13 | Idaho | ↑ 9 |
| 14 | New Hampshire | ↑ 9 |
| 15 | Maryland | ↑ 8 |
| 16 | New Mexico | ↑ 7 |
| 17 | Massachusetts | ↑ 6 |
| 18 | Oregon | ↑ 6 |
| 19 | Florida | ↑ 3 |
| 20 | Illinois | ↑ 3 |
| 21 | New York | ↑ 3 |
| 22 | North Dakota | ↑ 3 |
| 23 | Ohio | ↑ 3 |
| 24 | Washington | ↑ 3 |
| 25 | Maine | ↑ 2 |
| 26 | Georgia | ↑ 1 |
| 27 | Indiana | ↓ 2 |
| 28 | South Dakota | ↓ 3 |
| 29 | Michigan | ↓ 4 |
| 30 | North Carolina | ↓ 4 |
| 31 | Connecticut | ↓ 5 |
| 32 | Alabama | ↓ 6 |
| 33 | Montana | ↓ 6 |
| 34 | New Jersey | ↓ 7 |
| 35 | Louisiana | ↓ 9 |
| 36 | Wisconsin | ↓ 9 |
| 37 | Missouri | ↓ 10 |
| 38 | Tennessee | ↓ 11 |
| 39 | West Virginia | ↓ 12 |
| 40 | Rhode Island | ↓ 13 |
| 41 | Hawaii | ↓ 14 |
| 42 | Vermont | ↓ 20 |
| 43 | Texas | ↓ 22 |
| 44 | Iowa | ↓ 24 |
| 45 | Nebraska | ↓ 24 |
| 46 | Oklahoma | ↓ 26 |
| 47 | Kansas | ↓ 29 |
| 48 | Mississippi | ↓ 29 |
| 49 | Arkansas | ↓ 30 |
| 50 | Kentucky | ↓ 44 |