How would repealing the Affordable Care Act affect health care and jobs in your state?
Across the country, 29.8 million people would lose their health insurance if the Affordable Care Act were repealed—more than doubling the number of people without health insurance. And 1.2 million jobs would be lost—not just in health care but across the board.
Losing health insurance
How many people would lose their health insurance if the ACA were repealed?
| State | Percent increase in uninsured population | Number of people who would lose health insurance |
|---|---|---|
| Alaska | 53% | 62000 |
| Arizona | 95% | 709000 |
| Arkansas | 171% | 361000 |
| California | 146% | 4887000 |
| Colorado | 134% | 588000 |
| Connecticut | 124% | 248000 |
| Delaware | 86% | 52000 |
| Washington D.C. | 103% | 32000 |
| Hawaii | 99% | 86000 |
| Illinois | 128% | 1150000 |
| Indiana | 103% | 566000 |
| Iowa | 150% | 230000 |
| Kentucky | 200% | 486000 |
| Louisiana | 154% | 558000 |
| Maryland | 123% | 476000 |
| Massachusetts | 273% | 369000 |
| Michigan | 175% | 887000 |
| Minnesota | 123% | 380000 |
| Montana | 168% | 142000 |
| Nevada | 95% | 371000 |
| New Hampshire | 190% | 118000 |
| New Jersey | 124% | 799000 |
| New Mexico | 136% | 266000 |
| New York | 75% | 1139000 |
| North Dakota | 154% | 69000 |
| Ohio | 155% | 964000 |
| Oregon | 186% | 475000 |
| Pennsylvania | 134% | 956000 |
| Rhode Island | 170% | 96000 |
| Vermont | 129% | 35000 |
| Washington | 153% | 775000 |
| West Virginia | 208% | 184000 |
| Alabama | 74% | 357000 |
| Florida | 90% | 2230000 |
| Georgia | 71% | 1006000 |
| Idaho | 101% | 184000 |
| Kansas | 76% | 219000 |
| Maine | 122% | 95000 |
| Mississippi | 65% | 229000 |
| Missouri | 93% | 504000 |
| Nebraska | 111% | 165000 |
| North Carolina | 90% | 1025000 |
| Oklahoma | 59% | 313000 |
| South Carolina | 58% | 353000 |
| South Dakota | 92% | 74000 |
| Tennessee | 79% | 526000 |
| Texas | 58% | 2550000 |
| Utah | 83% | 273000 |
| Virginia | 79% | 685000 |
| Wisconsin | 144% | 431000 |
| Wyoming | 76% | 47000 |
Map is colored to illustrate relative impact by showing the percent increase in the number of uninsured.
Losing jobs
Losing health insurance would also be devastating for family finances and hurt the economy. By helping pick up the tab for individual insurance and expanding coverage on Medicaid, the ACA has helped millions of Americans afford their care. If this support were withdrawn, people would have less money to spend on other basic necessities like food and rent. Fewer dollars spent at grocery stores and other businesses means 1.2 million jobs would be lost.
How many jobs would be lost if the ACA were repealed?
| State | Drop in overall state employment | Number of jobs lost | Jobs lost per 1,000 jobs in the state | Billions of federal health care dollars lost |
|---|---|---|---|---|
| Alabama | 0.58% | 11,459 | 5.8 | 1.349 |
| Alaska | 0.81% | 2,702 | 8.1 | 0.278 |
| Arizona | 1.55% | 41,982 | 15.5 | 3.447 |
| Arkansas | 0.79% | 9,737 | 7.9 | 0.823 |
| California | 0.85% | 141,676 | 8.5 | 13.588 |
| Colorado | 1.34% | 35,217 | 13.4 | 2.731 |
| Connecticut | 0.76% | 12,836 | 7.6 | 1.257 |
| Delaware | 0.76% | 3,497 | 7.6 | 0.303 |
| Washington D.C. | 0.19% | 1,466 | 1.9 | 0.146 |
| Florida | 0.76% | 64,629 | 7.6 | 7.63 |
| Georgia | 0.57% | 25,090 | 5.7 | 2.764 |
| Hawaii | 0.66% | 4,299 | 6.6 | 0.354 |
| Idaho | 0.76% | 5,310 | 7.6 | 0.54 |
| Illinois | 0.78% | 47,060 | 7.8 | 4.197 |
| Indiana | 0.59% | 18,111 | 5.9 | 1.609 |
| Iowa | 0.43% | 6,753 | 4.3 | 0.626 |
| Kansas | 0.30% | 4,148 | 3 | 0.532 |
| Kentucky | 2.92% | 55,949 | 29.2 | 4.093 |
| Louisiana | 1.42% | 28,063 | 14.2 | 2.226 |
| Maine | 0.56% | 3,435 | 5.6 | 0.429 |
| Maryland | 1.01% | 27,398 | 10.1 | 2.293 |
| Massachusetts | 0.55% | 19,640 | 5.5 | 1.904 |
| Michigan | 0.89% | 38,720 | 8.9 | 3.264 |
| Minnesota | 0.55% | 15,806 | 5.5 | 1.358 |
| Mississippi | 0.67% | 7,684 | 6.7 | 0.788 |
| Missouri | 0.50% | 14,077 | 5 | 1.616 |
| Montana | 2.27% | 10,599 | 22.7 | 0.807 |
| Nebraska | 0.27% | 2,788 | 2.7 | 0.409 |
| Nevada | 1.25% | 16,332 | 12.5 | 1.34 |
| New Hampshire | 0.71% | 4,801 | 7.1 | 0.415 |
| New Jersey | 1.51% | 61,544 | 15.1 | 4.97 |
| New Mexico | 3.86% | 31,853 | 38.6 | 2.294 |
| New York | 0.56% | 52,203 | 5.6 | 4.857 |
| North Carolina | 1.12% | 48,925 | 11.2 | 5.056 |
| North Dakota | 0.56% | 2,460 | 5.6 | 0.223 |
| Ohio | 0.91% | 50,343 | 9.1 | 4.033 |
| Oklahoma | 0.38% | 6,354 | 3.8 | 0.823 |
| Oregon | 2.28% | 42,348 | 22.8 | 3.173 |
| Pennsylvania | 0.53% | 31,387 | 5.3 | 3.078 |
| Rhode Island | 1.63% | 8,036 | 16.3 | 0.616 |
| South Carolina | 0.37% | 7,693 | 3.7 | 1.039 |
| South Dakota | 0.19% | 825 | 1.9 | 0.126 |
| Tennessee | 0.80% | 23,877 | 8 | 2.226 |
| Texas | 0.33% | 40,550 | 3.3 | 5.366 |
| Utah | 0.22% | 3,104 | 2.2 | 0.404 |
| Vermont | 0.95% | 2,991 | 9.5 | 0.263 |
| Virginia | 0.26% | 10,243 | 2.6 | 1.578 |
| Washington | 1.36% | 44,654 | 13.6 | 3.525 |
| West Virginia | 2.00% | 15,412 | 20 | 1.175 |
| Wisconsin | 0.28% | 8,290 | 2.8 | 1.133 |
| Wyoming | 0.42% | 1,168 | 4.2 | 0.162 |
Map is colored to illustrate relative impact by showing job loss as a share of total state employment.
Source: Spending cut and coverage loss numbers are from Linda Blumberg, Matthew Buettgens, and John Holahan, Implications of Partial Repeal of the ACA through Reconciliation, Urban Institute, 2016. The job loss analysis is from Josh Bivens, Repealing the Affordable Health Care Act would cost jobs in every state, Economic Policy Institute, 2017.