The Kaiser Family Foundation has issued this analysis of the state-by-sate impact of the bill proposed by Senators Lindsey Graham and Bill Cassidy to repeal and replace the Affordable Care Act (ACA), concluding that 35 states and the District of Columbia would receive less federal funding for their Medicaid programs. Overall, there would be a reduction of $107 billion in federal funding to the states.
Because of their larger state populations and their expansions of Medicaid and health insurance marketplace coverage under the ACA, the states of California, New York, and Pennsylvania would lose the most federal funding under the Graham-Cassidy proposal. In contrast, because they declined to expand Medicaid and only have limited increases in health insurance coverage through the ACA, the states of Texas, Georgia, Tennessee, and Mississippi would gain the most federal funding under the proposal.
Ignatius Bau 