Updated Analysis, July 18, 2017
On June 28, 2017, we released a state-by-state analysis of the coverage and federal health care spending effects of the Better Care Reconciliation Act. On July 13, 2017, the Senate introduced a revised version of the bill. Below we provide a map and tables showing the state-by-state effects of this new version on insurance coverage and federal and state health care spending. This analysis does not include Title III, the so-called Cruz provisions.
The Better Care Reconciliation Act (BCRA) was introduced in the Senate on June 22, 2017, and is now under debate. The bill would eliminate much of the Affordable Care Act. In this report, we present state-by-state estimates of the impact of the BCRA on health care coverage and costs. Nationwide, we find that there would be 24.7 million more uninsured people under the BCRA by 2022. Federal funding for Medicaid, premium tax credits, and cost sharing reductions would be $140.4 billion lower under the BCRA in 2022, while state Medicaid spending would increase by $565 million.