Fact Sheet | Jobs and Unemployment

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Across the country, 29.8 million people would lose their health insurance if the Affordable Care Act were repealed—more than doubling the number of people without health insurance.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How many people would lose their health insurance if the ACA were repealed?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 If this support were withdrawn, people would have less money to spend on other basic necessities like food and rent.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How many jobs would be lost if the ACA were repealed?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.

Economic Policy Institute

See related work on Jobs | Health | Affordable Care Act | Jobs and Unemployment