Health care spending has risen again in the United States, but unemployment has fallen by 7.3% from January through March.
The national rate of unemployment hit 5.4% on Monday, the lowest since December 2017.
The jobless rate fell by 0.7 percentage points to 7.5%.
The Labor Department said unemployment fell from a seasonally adjusted 9.2% to 9.1% in March.
In March, the Labor Department reported that unemployment had fallen to a seasonal low of 7.2%.
The economy has been on a recovery since the end of the financial crisis in late 2008.
It is expected to rebound in 2018 and 2019.
According to the National Employment Law Project, the number of people unemployed fell from 6.3 million to 5.9 million in March, an increase of 0.4 percentage points from the previous month.
The labor force participation rate, a measure of people working or looking for work, also fell to 62.7%, the lowest level since February.