Iowa. For profits can't compete for state grants.
D004465:Economic Competition / Q000331:legislation & jurisprudence*; D004467:Economics / Q000331:legislation & jurisprudence*; D006268:Health Facilities / Q000191:economics*; D006269:Health Facilities, Proprietary / Q000191:economics*; D006699:Home Care Services / Q000191:economics*; D007484:Iowa