State-by-State Coverage and Government Spending Implications of the Better Care Reconciliation Act.

Abstract

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.

Click here to view map of projected changes in uninsured rate under BCRA

Click here to view map of projected changes in federal health care spending under BCRA

Click here to download tables with state-by-state data by adults, children, race, and ethnicity

The Urban Institute

by Linda J. Blumberg, Matthew Buettgens, John Holahan, Bowen Garrett, & Robin Wang

June 28, 2017



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