Colorectal Cancer Policy Map

This interactive map provides an overview of colorectal cancer incidence and mortality rates in each state and information on state policy initiatives to improve access to colorectal cancer screenings.

Whether you’re a health care professional, policymaker, or an individual passionate about colorectal cancer awareness, this map serves as a valuable resource to understand the landscape of colorectal cancer across the nation.

State Expected Cases

Expected Cases Rate per 100,000 people

The expected numbers are not guarantees but rather statistical predictions for the upcoming year. Keep in mind that these projections are subject to change based on various factors, and they serve as informative guidelines rather than definitive outcomes.
Expected Deaths

Expected Deaths Rate per 100,000 people

The expected numbers are not guarantees but rather statistical predictions for the upcoming year. Keep in mind that these projections are subject to change based on various factors, and they serve as informative guidelines rather than definitive outcomes.
AL 2,570 900
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Alabama is the 9th deadliest state for colorectal cancer in the U.S. overall and 4th deadliest for people under 50. 73.70% of Alabamians** are up-to-date with colorectal screening.
AK 350 110
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CRC Status

Alaska is the 6th deadliest state for colorectal cancer in the U.S. overall* and 31st deadliest for people under 50. 67.70% of Alaskans** are up-to-date with colorectal screening. It is a Medicaid expansion state and a CDC CRCCP grantee.
AZ 3,280 1,220
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CRC Status

Arizona is the 38th deadliest state for colorectal cancer in the U.S. overall* and 40th deadliest for people under 50. 67.20% of Arizonans** are up-to-date with colorectal screening. It is a Medicaid expansion state.
AR 1,570 550
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Arkansas is the 7th deadliest state for colorectal cancer in the U.S. overall* and 7th deadliest for people under 50. 68.70% of Arkansans** are up-to-date with colorectal screening. It is a Medicaid expansion state, a CDC CRCCP grantee and a FIGHT CRC catalyst grantee. In April 2021, Governor Asa Hutchinson signed into law a bill lowering the colorectal cancer screening age to 45 for those at average risk and removed out of pocket costs for patients needing a colonoscopy after an abnormal non-invasive screening test.
CA 16,170 5,500
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California is the 41st deadliest state for colorectal cancer in the U.S. overall* and 39th deadliest for people under 50. 67.30% of Californians** are up-to-date with colorectal screening. It is a Medicaid expansion state, a CDC CRCCP grantee and a FIGHT CRC catalyst grantee. In October 2021, Governor Gavin Newsom signed a bill into law to remove out of pocket costs for Californians needing a colonoscopy after an abnormal non-invasive screening test. Californians gained coverage for the full spectrum of colorectal cancer screening, including the necessary colonoscopy following an abnormal non-invasive screening test. In addition, Fight CRC Catalyst grantees in California successfully worked to get colorectal cancer screening added as a quality measure for the Centers for Medicaid and Medicare Services (CMS) Adult Core Set. This means that more states will now measure colorectal cancer screening rates in their Medicaid program. This is important because as the saying goes, “what gets measured, gets improved.”
CO 2,130 820
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Colorado is the 48th deadliest state for colorectal cancer in the U.S. overall* and 49th deadliest for people under 50.72.60% of Coloradans** are up-to-date with colorectal screening. It is a Medicaid expansion state, a CDC CRCCP grantee and a FIGHT CRC catalyst grantee.
CT 1,580 470
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Connecticut is the 51st deadliest state for colorectal cancer in the U.S. overall* and 48th deadliest for people under 50. 79.60% of Connecticuter** are up-to-date with colorectal screening. It is a Medicaid expansion state and a CDC CRCCP grantee.
DE 500 170
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Delaware is the 31st deadliest state for colorectal cancer in the U.S. overall* and 35th deadliest for people under 50. 75.10% of Delawareans** are up-to-date with colorectal screening. It is a Medicaid expansion state.
DC 260 90
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D.C. is the 19th deadliest state for colorectal cancer in the U.S. overall* and 12th deadliest for people under 50. 78.10% of Washingtonian** are up-to-date with colorectal screening. It is a Medicaid expansion state and a CDC CRCCP grantee.
FL 11,920 3,980
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Florida is the 35th deadliest state for colorectal cancer in the U.S. overall* and 24th deadliest for people under 50. 72.10% of Floridians** are up-to-date with colorectal screening. It is a CDC CRCCP grantee.
GA 4,940 1,660
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Georgia is the 17th deadliest state for colorectal cancer in the U.S. overall* and 13th deadliest for people under 50. 72.30% of Georgian** are up-to-date with colorectal screening. It is a CDC CRCCP grantee and a FIGHT CRC catalyst grantee.
HI 770 240
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Hawaii is the 45th deadliest state for colorectal cancer in the U.S. overall* and 29th deadliest for people under 50.72.80% of Hawaiian** are up-to-date with colorectal screening. It is a Medicaid expansion state and a FIGHT CRC Catalyst grantee.
ID 810 300
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Idaho is the 32nd deadliest state for colorectal cancer in the U.S. overall* and 25th deadliest for people under 50. 68.60% of Idahoan** are up-to-date with colorectal screening. It is a Medicaid expansion state.
IL 6,140 2,090
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CRC Status

Illinois is the 18th deadliest state for colorectal cancer in the U.S. overall* and 34th deadliest for people under 50. 70.10% of Illinoisan** are up-to-date with colorectal screening. It is a Medicaid expansion state and a CDC CRCCP grantee.
IN 3,390 1,190
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CRC Status

Indiana is the 10th deadliest state for colorectal cancer in the U.S. overall* and 21st deadliest for people under 50. 75.20% of Hoosiers** are up-to-date with colorectal screening. It is a Medicaid expansion state and a FIGHT CRC catalyst grantee. In March 2022, Governor Eric Holcomb signed into law legislation that eliminated cost sharing for all colorectal cancer screening including colonoscopy following an abnormal non-invasive screening test. This built on a law that was passed in 2020 that required insurance companies to cover colonoscopies at age 45 instead of the previously recommended 50.
IA 1,620 520
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Iowa is the 23rd deadliest state for colorectal cancer in the U.S. overall* and 36th deadliest for people under 50. 73.80% of Iowans** are up-to-date with colorectal screening. It is a Medicaid expansion state and a CDC CRCCP grantee.
KS 1,420 490
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Kansas is the 15th deadliest state for colorectal cancer in the U.S. overall* and 16th deadliest for people under 50. 71.50% of Kansan** are up-to-date with colorectal screening. It is a CDC CRCCP grantee.
KY 2,630 940
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Kentucky is the 4th deadliest state for colorectal cancer in the U.S. overall* and 6th deadliest for people under 50. 71% of Kentuckian** are up-to-date with colorectal screening. It is a Medicaid expansion state, a CDC CRCCP grantee and a FIGHT CRC catalyst grantee. In 2021, Kentucky became the first state to adopt a pharmacy protocol that allows pharmacists to produce colorectal cancer education, and when appropriate, initiative non-invasive colorectal cancer screening. This means some patients could be taking care of their colorectal cancer screening at their local CVS, Walgreens, or independent pharmacy—the same place they go for a flu shot or regular prescriptions. Catalyst grantees in Kentucky also successfully worked to codify access to colorectal cancer screening and genetic testing in Kentucky’s Medicaid program.
LA 2,520 860
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CRC Status

Louisiana is the 5th deadliest state for colorectal cancer in the U.S. overall* and 11th deadliest for people under 50. 75.30% of Louisianians** are up-to-date with colorectal screening. It is a Medicaid expansion state, a CDC CRCCP grantee and a FIGHT CRC catalyst grantee.
ME 700 270
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CRC Status

Maine is the 29th deadliest state for colorectal cancer in the U.S. overall* and 23rd deadliest for people under 50. 77.50% of Mainers** are up-to-date with colorectal screening. It is a Medicaid expansion state and a CDC CRCCP grantee.
MD 2,620 1000
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CRC Status

Maryland is the 26th deadliest state for colorectal cancer in the U.S. overall* and 27th deadliest for people under 50.77.20% of Marylander** are up-to-date with colorectal screening. It is a Medicaid expansion state and a CDC CRCCP grantee.
MA 2,790 860
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CRC Status

Massachusetts is the 49th deadliest state for colorectal cancer in the U.S. overall* and 41st deadliest for people under 50. 77.70% of Bay Stater** are up-to-date with colorectal screening. It is a Medicaid expansion state and a CDC CRCCP grantee.
MI 4,640 1,880
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CRC Status

Michigan is the 25th deadliest state for colorectal cancer in the U.S. overall* and 17th deadliest for people under 50. 76.70% of Michiganders** are up-to-date with colorectal screening. It is a Medicaid expansion state and a CDC CRCCP grantee.
MN 2,550 830
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CRC Status

Minnesota is the 46th deadliest state for colorectal cancer in the U.S. overall* and 38th deadliest for people under 50. 76.20% of Minnesotans** are up-to-date with colorectal screening. It is a Medicaid expansion state and a CDC CRCCP grantee.
MS 1,700 650
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CRC Status

Mississippi is the 1st deadliest state for colorectal cancer in the U.S. overall* and 2nd deadliest for people under 50. 69% of Mississippians** are up-to-date with colorectal screening.
MO 3,020 1050
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CRC Status

Missouri is the 20th deadliest state for colorectal cancer in the U.S. overall* and 26th deadliest for people under 50. 71.60% of Missourian** are up-to-date with colorectal screening. It is a Medicaid expansion state, a CDC CRCCP grantee and a FIGHT CRC catalyst grantee.
MT 550 180
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CRC Status

Montana is the 42nd deadliest state for colorectal cancer in the U.S. overall* and 46th deadliest for people under 50. 70.60% of Montanans** up-to-date with colorectal screening. It is a Medicaid expansion state.
NE 940 380
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CRC Status

Nebraska is the 13th deadliest state for colorectal cancer in the U.S. overall* and 44th deadliest for people under 50. 70% of Nebraskans** up-to-date with colorectal screening. It is a Medicaid expansion state, a CDC CRCCP grantee and a FIGHT CRC catalyst grantee.
NV 1,520 560
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CRC Status

Nevada is the 11th deadliest state for colorectal cancer in the U.S. overall* and 33rd deadliest for people under 50. 66.50% of Nevadans** up-to-date with colorectal screening. It is a Medicaid expansion state and a FIGHT CRC catalyst grantee.
NH 650 190
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CRC Status

New Hampshire is the 40th deadliest state for colorectal cancer in the U.S. overall* and 14th deadliest for people under 50. 76.70% of New Hampshirite** are up-to-date with colorectal screening. It is a Medicaid expansion state and a CDC CRCCP grantee.
NJ 4,240 1,330
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CRC Status

New Jersey is the 30th deadliest state for colorectal cancer in the U.S. overall* and 43rd deadliest for people under 50. 71.30% of New Jerseyans** are up-to-date with colorectal screening. It is a Medicaid expansion state and a FIGHT CRC catalyst grantee. In February 2023, Governor Phil Murphy signed into law a bill that required health insurers to cover colorectal cancer screenings recommended by the United States Preventive Services Task Force (USPSTF) and eliminate cost-sharing for required follow-up colonoscopies after an abnormal non-invasive screening test with the goal of improving screening rates across New Jersey.
NM 960 340
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CRC Status

New Mexico is the 34th deadliest state for colorectal cancer in the U.S. overall* and 9th deadliest for people under 50. 63.50% of New Mexicans** are up-to-date with colorectal screening. It is a Medicaid expansion state.
NY 8,780 2,700
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CRC Status

New York is the 44th deadliest state for colorectal cancer in the U.S. overall* and 37th deadliest for people under 50. 74.50% of New Yorkers** are up-to-date with colorectal screening. It is a Medicaid expansion state, a CDC CRCCP grantee and a FIGHT CRC catalyst grantee. In December 2022, Governor Kathy Hochul signed into law a bill to help ensure colorectal cancer screening coverage for New Yorkers at average-risk starting at age 45, and ensure that state regulated insurance plans cover, with no cost-sharing, follow-up colonoscopies after an abnormal non-invasive stool test.
NC 4,760 1,670
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CRC Status

North Carolina is the 33rd deadliest state for colorectal cancer in the U.S. overall* and 20th deadliest for people under 50. 76.10% of North Carolinians** are up-to-date with colorectal screening. It is a Medicaid expansion state and a CDC CRCCP Grantee.
ND 370 110
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CRC Status

North Dakota is the 28th deadliest state for colorectal cancer in the U.S. overall* and 18th deadliest for people under 50. 72.40% of North Dakotans** are up-to-date with colorectal screening. It is a Medicaid expansion state and a CDC CRCCP grantee.
OH 5,890 2,070
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CRC Status

Ohio is the 12th deadliest state for colorectal cancer in the U.S. overall* and 15th deadliest for people under 50. 72.80% of Ohioans** are up-to-date with colorectal screening. It is a Medicaid expansion state.
OK 1,930 790
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CRC Status

Oklahoma is the 3rd deadliest state for colorectal cancer in the U.S. overall* and 1st deadliest for people under 50. 67.30% of Oklahomans** are up-to-date with colorectal screening. It is a Medicaid expansion state.
OR 1,860 640
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Oregon is the 37th deadliest state for colorectal cancer in the U.S. overall* and 47th deadliest for people under 50. 71.80% of Oregonians** are up-to-date with colorectal screening. It is a Medicaid expansion state and a CDC CRCCP grantee.
PA 6,550 2,230
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CRC Status

Pennsylvania is the 22nd deadliest state for colorectal cancer in the U.S. overall* and 28th deadliest for people under 50. 72.30% of Pennslyvanian** are up-to-date with colorectal screening. It is a Medicaid expansion state.
PR no data available no data available
RI 470 150
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CRC Status

Rhode Island is the 47th deadliest state for colorectal cancer in the U.S. overall* and 51st deadliest for people under 50. 79.50% of Rhode Islanders** are up-to-date with colorectal screening. It is a Medicaid expansion state, a CDC CRCCP grantee and a FIGHT CRC catalyst grantee. In April 2021, Governor Dan McKee signed into law the “Maryellen Goodwin Colorectal Cancer Screening Act.” This legislation will help increase access to colorectal cancer screening by removing out-of-pocket costs for patients needing a colonoscopy following an abnormal noninvasive screening test. Maryellen Goodwin is a long-time member of the Rhode Island State Legislature and champion for access to healthcare. She passed away from colorectal cancer in April 2023.
SC 2,580 920
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South Carolina is the 24th deadliest state for colorectal cancer in the U.S. overall* and 8th deadliest for people under 50. 75.90% OF South Carolinians** are up-to-date- with colorectal screening. It is a CDC CRCCP grantee.
SD 450 160
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CRC Status

South Dakota is the 14th deadliest state for colorectal cancer in the U.S. overall* and 22nd deadliest for people under 50. 71.30% of South Dakotans** are up-to-date with colorectal screening. It is a Medicaid expansion state and a CDC CRCCP Grantee.
TN 3,460 1,220
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CRC Status

Tennessee is the 8th deadliest state for colorectal cancer in the U.S. overall* and 10th deadliest for people under 50. 70.60% of Tennesseans** up-to-date with colorectal screening.
TX 12,260 4,410
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Texas is the 21st deadliest state for colorectal cancer in the U.S. overall* and 19th deadliest for people under 50. 68.30% of Texans** up-to-date with colorectal screening. It is a CDC CRCCP grantee and a FIGHT CRC Catalyst Grantee. In September 2021, Governor Greg Abbott signed into law legislation to help ensure access to colorectal cancer screening coverage for Texans at average risk starting at age 45, and ensure that state-regulated insurance plans cover, with no cost-sharing, follow-up colonoscopies after an abnormal non-invasive stool test.
UT 950 320
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CRC Status

Utah is the 50th deadliest state for colorectal cancer in the U.S. overall* and 30th deadliest for people under 50.73.90% of Utahns** up-to-date with colorectal screening. It is a Medicaid expansion state and a CDC CRCCP grantee.
VT 300 120
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Vermont is the 16th deadliest state for colorectal cancer in the U.S. overall* and 3rd deadliest for people under 50. 75.60% of Vermonters** up-to-date with colorectal screening. It is a Medicaid expansion state and a CDC CRCCP grantee.
VA 3,640 1,390
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CRC Status

Virginia is the 27th deadliest state for colorectal cancer in the U.S. overall* and 32nd deadliest for people under 50.76% of Virginians** up-to-date with colorectal screening. It is a Medicaid expansion state and a FIGHT CRC catalyst grantee.
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Washington is the 43rd deadliest state for colorectal cancer in the U.S. overall* and 45th deadliest for people under 50. 74.40% of Washingtonian** up-to-date with colorectal screening. It is a Medicaid expansion state and a CDC CRCCP grantee.
WV 1,070 430
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CRC Status

West Virginia is the 2nd deadliest state for colorectal cancer in the U.S. overall* and 5th deadliest for people under 50. 72% of West Virginians** up-to-date with colorectal screening. It is a Medicaid expansion state and a CDC CRCCP grantee.
WI 2,610 870
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CRC Status

Wisconsin is the 39th deadliest state for colorectal cancer in the U.S. overall* and 42nd deadliest for people under 50. Wisconsin is the 39th deadliest state for colorectal cancer in the U.S. overall* and 42nd deadliest for people under 50.
WY 270 110
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CRC Status

Wyoming is the 36th deadliest state for colorectal cancer in the U.S. overall* and 50th deadliest for people under 50. 63.70% of Wyomingite** are up-to-date- with colorectal screening.

American Cancer Society. Cancer Facts & Figures 2024. Atlanta: American Cancer Society; 2024.

Supported by an unrestricted grant from Merck.