State spending losses and tax cut gains from ACA repeal
| Ranked from greatest to least relative burden | (Effect in millions) | (Effect as a share of national) | State’s share of national under-65 population | Relative burden | |||||||
|---|---|---|---|---|---|---|---|---|---|---|---|
| 1 Loss |
2 Gain |
3 Net |
4 Loss |
5 Gain |
6 Net |
||||||
| Kentucky | 4,093 | 677 | -3,416 | 3.7% | 1.0% | 8.8% | 1.39% | -7.37% | |||
| North Carolina* | 5,056 | 1,796 | -3,260 | 4.6% | 2.6% | 8.4% | 3.11% | -5.25% | |||
| Oregon | 3,173 | 739 | -2,434 | 2.9% | 1.1% | 6.2% | 1.22% | -5.02% | |||
| New Mexico | 2,294 | 292 | -2,002 | 2.1% | 0.4% | 5.1% | 0.66% | -4.48% | |||
| Arizona | 3,447 | 1,163 | -2,284 | 3.2% | 1.7% | 5.9% | 2.07% | -3.79% | |||
| Washington | 3,525 | 1,656 | -1,869 | 3.2% | 2.4% | 4.8% | 2.22% | -2.57% | |||
| Florida* | 7,630 | 4,367 | -3,263 | 7.0% | 6.2% | 8.4% | 5.87% | -2.50% | |||
| New Jersey | 4,970 | 2,958 | -2,012 | 4.5% | 4.2% | 5.2% | 2.82% | -2.34% | |||
| Louisiana | 2,226 | 848 | -1,378 | 2.0% | 1.2% | 3.5% | 1.48% | -2.05% | |||
| Colorado | 2,731 | 1,282 | -1,449 | 2.5% | 1.8% | 3.7% | 1.71% | -2.01% | |||
| West Virginia | 1,175 | 252 | -923 | 1.1% | 0.4% | 2.4% | 0.57% | -1.80% | |||
| Ohio | 4,033 | 2,105 | -1,928 | 3.7% | 3.0% | 4.9% | 3.62% | -1.32% | |||
| Montana | 807 | 177 | -630 | 0.7% | 0.3% | 1.6% | 0.31% | -1.30% | |||
| Nevada | 1,340 | 523 | -817 | 1.2% | 0.7% | 2.1% | 0.89% | -1.21% | |||
| Michigan | 3,264 | 1,781 | -1,483 | 3.0% | 2.5% | 3.8% | 3.10% | -0.70% | |||
| Tennessee* | 2,226 | 1,162 | -1,064 | 2.0% | 1.7% | 2.7% | 2.05% | -0.68% | |||
| Rhode Island | 616 | 221 | -395 | 0.6% | 0.3% | 1.0% | 0.33% | -0.68% | |||
| Idaho* | 540 | 242 | -298 | 0.5% | 0.3% | 0.8% | 0.51% | -0.25% | |||
| Vermont | 263 | 118 | -145 | 0.2% | 0.2% | 0.4% | 0.19% | -0.18% | |||
| Maine* | 429 | 220 | -209 | 0.4% | 0.3% | 0.5% | 0.40% | -0.13% | |||
| Alaska | 278 | 139 | -139 | 0.3% | 0.2% | 0.4% | 0.25% | -0.11% | |||
| Maryland | 2,293 | 1,540 | -753 | 2.1% | 2.2% | 1.9% | 1.90% | -0.04% | |||
| Arkansas | 823 | 449 | -374 | 0.8% | 0.6% | 1.0% | 0.93% | -0.04% | |||
| Delaware | 303 | 180 | -123 | 0.3% | 0.3% | 0.3% | 0.29% | -0.03% | |||
| Mississippi* | 788 | 408 | -380 | 0.7% | 0.6% | 1.0% | 0.95% | -0.02% | |||
| Alabama* | 1,349 | 768 | -581 | 1.2% | 1.1% | 1.5% | 1.52% | 0.02% | |||
| Wyoming* | 162 | 127 | -35 | 0.1% | 0.2% | 0.1% | 0.19% | 0.10% | |||
| Hawaii | 354 | 236 | -118 | 0.3% | 0.3% | 0.3% | 0.44% | 0.14% | |||
| New Hampshire | 415 | 307 | -108 | 0.4% | 0.4% | 0.3% | 0.41% | 0.14% | |||
| North Dakota | 223 | 199 | -24 | 0.2% | 0.3% | 0.1% | 0.23% | 0.17% | |||
| South Dakota* | 126 | 172 | 46 | 0.1% | 0.2% | -0.1% | 0.27% | 0.38% | |||
| Nebraska* | 409 | 359 | -50 | 0.4% | 0.5% | 0.1% | 0.59% | 0.47% | |||
| Missouri* | 1,616 | 1,077 | -539 | 1.5% | 1.5% | 1.4% | 1.90% | 0.51% | |||
| District of Columbia | 146 | 271 | 125 | 0.1% | 0.4% | -0.3% | 0.21% | 0.53% | |||
| Indiana | 1,609 | 1,076 | -533 | 1.5% | 1.5% | 1.4% | 2.09% | 0.72% | |||
| Iowa | 626 | 553 | -73 | 0.6% | 0.8% | 0.2% | 0.96% | 0.78% | |||
| South Carolina* | 1,039 | 787 | -252 | 1.0% | 1.1% | 0.6% | 1.49% | 0.84% | |||
| Oklahoma* | 823 | 678 | -145 | 0.8% | 1.0% | 0.4% | 1.22% | 0.85% | |||
| Kansas* | 532 | 568 | 36 | 0.5% | 0.8% | -0.1% | 0.92% | 1.01% | |||
| Georgia* | 2,764 | 1,895 | -869 | 2.5% | 2.7% | 2.2% | 3.25% | 1.02% | |||
| Utah* | 404 | 472 | 68 | 0.4% | 0.7% | -0.2% | 0.97% | 1.14% | |||
| Illinois | 4,197 | 3,115 | -1,082 | 3.8% | 4.4% | 2.8% | 4.11% | 1.34% | |||
| Connecticut | 1,257 | 1,361 | 104 | 1.2% | 1.9% | -0.3% | 1.13% | 1.39% | |||
| Minnesota | 1,358 | 1,271 | -87 | 1.2% | 1.8% | 0.2% | 1.72% | 1.50% | |||
| Wisconsin* | 1,133 | 1,065 | -68 | 1.0% | 1.5% | 0.2% | 1.81% | 1.63% | |||
| California | 13,588 | 9,908 | -3,680 | 12.4% | 14.1% | 9.4% | 12.38% | 2.95% | |||
| Massachusetts | 1,904 | 2,244 | 340 | 1.7% | 3.2% | -0.9% | 2.11% | 2.98% | |||
| Pennsylvania | 3,078 | 2,722 | -356 | 2.8% | 3.9% | 0.9% | 3.95% | 3.03% | |||
| Virginia* | 1,578 | 2,038 | 460 | 1.4% | 2.9% | -1.2% | 2.64% | 3.82% | |||
| New York | 4,857 | 5,719 | 862 | 4.4% | 8.1% | -2.2% | 6.22% | 8.43% | |||
| Texas* | 5,366 | 5,962 | 596 | 4.9% | 8.5% | -1.5% | 8.68% | 10.21% | |||
| Totals | 109,236 | 70,245 | -38,991 | 100% | 100% | 100% | 100% | 0 | |||
* Non-Medicaid expansion states
Note: Data columns 4 – 6 reflect each state's dollar loss, gain, and net from columns 1 – 3 divided by the national dollar totals in the last data row.
Source: Based on data from Blumberg, Buettgens, and Holahan. (2016), Tax Policy Center (2016), Frank (2017), and the U.S. Census Bureau (2016) (data on population under the age of 65).