Research Report The Launch of the Affordable Care Act in Selected States: The Financial Impact on States from the Affordable Care Act
John Holahan
Display Date
Download Report
(547.08 KB)

This brief examines the financial impacts of the Affordable Care Act on (ACA) selected states. The brief concludes that states expanding Medicaid will receive significantly larger inflows of federal dollars than those that do not. Medicaid expansion will bring in large amounts of federal dollars that will offset cuts in the ACA to Medicare provider payment rates and Medicaid and Medicare disproportionate share hospital payments. States that do not expand Medicaid will experience the ACA cuts but will have much smaller inflows of federal revenues. All states will experience some new spending but much can be offset by savings in other parts of state budgets.
Research Areas Economic mobility and inequality Health and health care Taxes and budgets
Tags Fiscal policy Health insurance State and local tax issues
Policy Centers Health Policy Center