In 2022, North Dakota received $7.7 billion in government transfer payments, equivalent to $9,913 per capita. These payments—which include Social Security, Medicare, Medicaid, and income maintenance—accounted for 14.1% of all personal income in the state, according to information from the Economic Innovation Group.
This marks a slight increase in the state’s reliance on government transfers compared to 2012, when such payments made up 11.5% of total income. Since then, the share has risen by 2.6%.
Government transfer payments are non-repayable funds provided by federal, state, or local governments to support individuals in need. These payments aim to stabilize economic conditions and provide financial support during hardships. Key programs include Social Security transfers (retirement benefits), Medicare transfers (healthcare for seniors), Medicaid transfers (healthcare for low-income individuals), and income maintenance transfers (financial assistance for basic needs).
In 2022, government transfers in North Dakota were primarily directed toward programs typically associated with older adults—such as Social Security transfers, which totaled $2.6 billion (33.9% of all transfer income), and Medicare, which accounted for $1.8 billion (23.6%)—played a significant role in the state’s overall income.
On a per capita basis, Social Security payments rose from $2,792 in 2012 and $906 in 1970 to $3,356 in 2022, reflecting a 20.2% increase over the past decade and a 270.4% shift since 1970.
Similarly, Medicare transfers climbed from $1,768 in 2012 and $245 in 1970 to $2,340, marking 32.4% and 855.1% increases, respectively.
These increases in per capita payments align with shifts in the state’s age distribution. In 2022, residents aged 65 and older made up 16.6% of the total population, compared to 14.4% in 2012 and 10.7% in 1970. While the senior share of the population has increased, the rise in per capita Social Security and Medicare transfers suggests that these assistance programs for older adults now require a larger share of government funding—either due to growing needs, expanded eligibility, higher benefit levels, or increased enrollment.
According to the Economic Innovation Group, total income in North Dakota excluding public assistance amounted to $60,447 per capita in 2022, compared to $70,360 when government transfers were included.
Breaking down the other contributions in the state, Medicaid transfers made up $1.6 billion, a 20.5% share of total income, while income maintenance programs, including assistance such as SNAP or TANF, added another $599.7 million, or 7.8% of the total.
Compared to the previous year, North Dakota’s reliance on government transfers decreased by 3%.
Government transfers have long been a modest financial safety net, historically comprising only a small fraction of Americans’ income. However, since the 1970s—sometimes dubbed the “Great Transfer-mation”—dependency has surged from 8.2% (or $2,022 per capita in inflation-adjusted 2022 dollars) in 1970 to 17.6% (or $11,542 per capita) in 2022 nationwide.
According to the Economic Innovation Group’s analysis, these trends are not merely short-term responses to economic pressures but rather reflect a profound, long-term transformation in how government support is integrated into American life. The study illustrates that structural shifts—from rising healthcare expenses and demographic changes to stagnant wages—have significantly increased dependency on government transfers.
| State | Rank | Dependency on Transfers (%) | % Population 65+ | Social Security Transfers (%) | Medicare Transfers (%) | Medicaid Transfers (%) | Income Maintenance Transfers (%) | Per Capita Transfers ($) |
|---|---|---|---|---|---|---|---|---|
| West Virginia | 1 | 28.9% | 21.1% | 33.7% | 23.9% | 19.8% | 10.9% | $14,450 |
| New Mexico | 2 | 26.5% | 19.3% | 27.7% | 18.2% | 29% | 15.7% | $13,842 |
| Mississippi | 3 | 25.8% | 17.2% | 33.6% | 26.1% | 16.8% | 12.1% | $11,984 |
| Kentucky | 4 | 24.8% | 17.4% | 30.9% | 23.2% | 26.3% | 10.1% | $12,890 |
| Louisiana | 5 | 23.9% | 16.8% | 27.2% | 23.7% | 26.7% | 12.8% | $13,019 |
| Arkansas | 6 | 23.7% | 17.7% | 32.7% | 23.5% | 23.5% | 9.6% | $12,493 |
| Alabama | 7 | 23.4% | 17.9% | 35% | 25.7% | 12.5% | 12.4% | $11,924 |
| Maine | 8 | 22.7% | 22.4% | 33.6% | 23.7% | 20.5% | 11.9% | $13,779 |
| South Carolina | 9 | 22.4% | 18.9% | 36.6% | 25.8% | 12.3% | 11% | $12,028 |
| Delaware | 10 | 21.9% | 20.6% | 33.8% | 23.3% | 23.3% | 9.2% | $13,866 |
| Michigan | 11 | 20.7% | 18.6% | 37.4% | 25.7% | 18.1% | 10.7% | $11,834 |
| Oklahoma | 12 | 20.7% | 16.3% | 32% | 24.3% | 17.2% | 12.4% | $11,654 |
| Arizona | 13 | 20.7% | 18.9% | 31.6% | 22.1% | 24.4% | 8.9% | $12,093 |
| Alaska | 14 | 20.6% | 13.9% | 19.4% | 13.4% | 24% | 11.1% | $14,153 |
| Ohio | 15 | 20.2% | 18.3% | 32.5% | 25.9% | 22.4% | 10.8% | $11,680 |
| Pennsylvania | 16 | 20.1% | 19.5% | 33.4% | 24.5% | 25.4% | 9.3% | $12,986 |
| Oregon | 17 | 20.1% | 19.1% | 32.7% | 21.4% | 26.1% | 9.8% | $12,514 |
| Vermont | 18 | 20% | 21.4% | 36.8% | 20.8% | 24.1% | 8.7% | $12,623 |
| Missouri | 19 | 19.8% | 17.9% | 34.7% | 26% | 20% | 8.6% | $11,453 |
| Indiana | 20 | 19.8% | 16.8% | 34.3% | 24.3% | 22.1% | 10.9% | $11,545 |
| North Carolina | 21 | 19.8% | 17.2% | 33.9% | 24.3% | 15.7% | 11.7% | $11,491 |
| Rhode Island | 22 | 19.6% | 18.8% | 32.7% | 23% | 24.4% | 10.2% | $12,447 |
| Tennessee | 23 | 19.2% | 17.1% | 35.3% | 25.7% | 15.6% | 11.5% | $11,209 |
| Florida | 24 | 18.9% | 21.4% | 34.1% | 28.9% | 12.4% | 9.4% | $12,269 |
| Montana | 25 | 18.3% | 20% | 36.2% | 22.6% | 19.3% | 7% | $11,163 |
| Hawaii | 26 | 18.2% | 18.1% | 33.8% | 21.5% | 19.7% | 13.6% | $11,236 |
| Wisconsin | 27 | 18.1% | 18.6% | 38.2% | 24.8% | 18% | 9.5% | $11,137 |
| Idaho | 28 | 18% | 16.9% | 35.9% | 22.7% | 17.5% | 11.5% | $10,187 |
| Iowa | 29 | 17.9% | 18.1% | 37% | 24.7% | 20.3% | 8.4% | $10,773 |
| New York | 30 | 17.9% | 18% | 26.8% | 22.2% | 32.1% | 12.8% | $13,463 |
| Georgia | 31 | 17.6% | 15% | 32.6% | 24.7% | 13.3% | 14.5% | $9,964 |
| Kansas | 32 | 16.7% | 17% | 37.7% | 25.9% | 15.9% | 9.1% | $10,119 |
| Nevada | 33 | 16.5% | 17% | 32.8% | 26% | 15.5% | 12.3% | $10,264 |
| Minnesota | 34 | 16.5% | 17.3% | 33.1% | 21.9% | 26.4% | 9.7% | $11,379 |
| Illinois | 35 | 16% | 17% | 32.1% | 24.4% | 20.1% | 14.9% | $10,848 |
| Nebraska | 36 | 16% | 16.8% | 34.1% | 25% | 17.6% | 8.3% | $10,262 |
| South Dakota | 37 | 15.7% | 18% | 35.8% | 24.5% | 13.4% | 12.4% | $10,713 |
| Virginia | 38 | 15.7% | 17% | 33.3% | 21.6% | 20.8% | 10% | $10,811 |
| Texas | 39 | 15.5% | 13.4% | 28.5% | 24.3% | 19.9% | 13.3% | $9,720 |
| California | 40 | 15.5% | 15.7% | 24.6% | 22.5% | 26.7% | 14.6% | $11,927 |
| Maryland | 41 | 15.3% | 16.7% | 31.7% | 24.5% | 23.5% | 10.7% | $10,724 |
| New Hampshire | 42 | 15.1% | 20% | 42.2% | 25.3% | 16.4% | 5.6% | $11,127 |
| Massachusetts | 43 | 14.9% | 18% | 28.7% | 24% | 25.1% | 15.4% | $12,629 |
| Wyoming | 44 | 14.8% | 18.6% | 37.6% | 23.5% | 11.5% | 6.5% | $10,831 |
| New Jersey | 45 | 14.4% | 17.3% | 33.6% | 25.1% | 21.3% | 10.3% | $11,114 |
| Connecticut | 46 | 14.3% | 18.6% | 34% | 25.4% | 24% | 9% | $11,828 |
| Washington | 47 | 14.2% | 16.7% | 33.8% | 20.8% | 21.4% | 9.8% | $10,697 |
| North Dakota | 48 | 14.1% | 16.6% | 33.9% | 23.6% | 20.5% | 7.8% | $9,913 |
| District of Columbia | 49 | 13.8% | 13% | 17.1% | 16.5% | 44% | 15.8% | $13,278 |
| Colorado | 50 | 13.2% | 15.6% | 30.8% | 21.4% | 21.3% | 13.3% | $10,012 |
| Utah | 51 | 12.7% | 11.9% | 33.7% | 21.9% | 17.4% | 11.6% | $7,551 |
