Brief ACA and State Governments: Consider Savings as Well as Costs
State Governments Would Spend at Least $90 Billion Less With the ACA than Without It from 2014 to 2019
Matthew Buettgens, Stan Dorn, Caitlin Carroll
Download
(445.79 KB)

This report finds that state governments are likely to spend $92-129 billion less from 2014 to 2019 with implementation of the Affordable Care Act, thanks to provisions reducing the uninsured population and increasing federal support for health care previously financed by states. The authors find that, overall, the federal government would spend $704 to $743 billion more under reform from 2014 to 2019. Even after 2019, when the federal government' share of Medicaid costs declines to its permanent level, states will still come out ahead, realizing net savings in 2020 alone of $12 to $19 billion.
Research and Evidence Health Policy Family and Financial Well-Being
Expertise Wealth and Financial Well-Being Health Care Coverage, Costs, and Access Modeling Federal and State Health System Reform Aging, Medicare, and Long-Term Care
Tags Health insurance Federal health care reform Medicaid and the Children’s Health Insurance Program  Private insurance Financial stability State governance