4. Minnesota
Strengths: Low rate of cardiovascular deaths, low percentage of uninsured population, few poor physical health days
Challenges: Low per capita public health funding, high prevalence of excessive drinking, low immunization among adolescent males for HPV
Minnesota inched up two places in the rankings this year. The state showed improvement in physical inactivity, which decreased 14 percent from 2014 to 2015, and smoking rates decreased 13 percent in the past two years.