state birth r3 death r4 Alabama 14.1 9.9 Alaska 15.9 4 Arizona 18.9 8.2 Arkansas 14.7 10.1 California 16.3 7.1 Colorado 13.4 6.6 Connecticut 13.1 8.9 Delaware 13.9 8.8 Florida 13.1 10.6 Georgia 15.8 7.9 Hawaii 14.4 6.5 Idaho 14.9 7.4 Illinois 15.2 8.6 Indiana 11.8 8 Iowa 12.9 9.2 Kansas 14.6 9.3 Kentucky 13.5 9.8 Louisiana 14.8 8.7 Maine 10.9 8.9 Maryland 13 7.9 Massachusetts 13.5 8.5 Michigan 13.7 8.5 Minnesota 13.8 7.9 Mississippi 15.6 10 Missouri 13.8 10.1 Montana 11.9 8.8 Nebraska 14 9.2 Nevada 16.1 7.7 New Hampshire 12.3 8.1 New Jersey 14.1 9 New Mexico 15.4 7.4 New York 15.6 8.9 North Carolina 14.2 8.9 North Dakota 13 9.4 Ohio 13.6 9.4 Oklahoma 14.5 10.2 Oregon 13.4 8.8 Pennsylvania 11.8 10.6 Rhode Island 12.5 9.9 South Carolina 13.6 8.8 South Dakota 13.7 9.5 Tennessee 13.9 9.7 Texas 16.3 6.9 Utah 21.2 5.6 Vermont 11.4 9 Virginia 13.2 7.9 Washington 14.2 7.7 West Virginia 11.3 11.5 Wisconsin 12.8 8.7 Wyoming 13.3 7.8