This issue brief from the Center for Budget and Policy Priorities describes the impact of repealing the Affordable Care Act (ACA) expansion of Medicaid, which would result in millions of Americans losing their health insurance coverage, and severe pressures on state government budgets with rising health care costs.

An estimated 11 million Americans in 32 states and the District of Columbia are now receiving health insurance coverage through the expanded Medicaid program; another 4 million uninsured Americans could be covered in the remaining 18 states.

Through the ACA’s 100% funding for Medicaid expansion in Fiscal Years 2014-2016, states have received tens of billions of dollars in federal funding to provide health insurance to their residents. If the Medicaid expansion is repealed, states would have to use state funds to continue such coverage.

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