Top 10 states most affected by ACA repeal

Making good on one of his campaign promises in his first executive order, President Trump directed his administration to take steps that will facilitate the repeal and replacement of the Affordable Care Act (ACA).

Gonzalez

Although the future of the ACA and what comes next is murky, what is clear is that certain states would suffer more than others from a repeal. In order to assess repeal’s impact on Americans based on where they live, personal-finance website WalletHub analyzed states across seven key metrics that range from “growth of uninsured rate by 2019 post-ACA repeal” to “potential economic impact due to repeal of premium tax credits and Medicaid expansion (2019 to 2023).”

“The most affected states by the ACA repeal have some of the highest insured rates in the country and have expanded Medicaid,” says WalletHub analyst Jill Gonzalez.

Here are the top 10 states that are most affected by repeal of the ACA, according to the report.

#10 Connecticut

"Connecticut has the eighth highest potential jobs lost post-repeal at 978 per 100,000 residents by 2019,” according to Gonzalez. “It also has the fifth highest growth in potential uncompensated care costs by 2021 at 189%.”

#9 Ohio

According to WalletHub, Ohio has the ninth highest potential growth in uninsured rate by 2021 at 129%, and the third highest potential jobs lost post-repeal at 1,084 per 100,000 residents.

#8 Michigan

Michigan has the sixth highest potential growth in uninsured rate by 2019 at 174% and the ninth highest potential jobs lost at 950 per 100,000 residents by 2019, according to WalletHub.

#7 New Hampshire

This state has the fourth highest potential growth in uninsured rate by 2019 at 190%.

“It also has the highest potential growth in uncompensated care costs in the country by 2021 at 235%,” says Gonzalez.

#6 North Dakota

It has the second highest potential jobs lost post-repeal at 1,299 per 100,000 residents by 2019.

“In terms of the potential economic impact between 2019 and 2023, North Dakota ranked as the second most affected state,” says Gonzalez. 

#5 Oregon

Oregon has the fifth highest potential growth in uninsured rate by 2019 at 186%, according to WalletHub. It also has the fourth highest potential jobs lost at 1,076 per 100,000 residents." 

#4 Rhode Island

This New England state has the sixth highest potential jobs lost post-repeal at 1,050 per 100,000 residents and the second highest potential growth in uncompensated care costs by 2021 at 220%, according to WalletHub. 

#3 Kentucky

“Kentucky has the third highest potential growth in uninsured rate by 2019 at 199%,” says Gonzalez.

#2 West Virginia

“West Virginia has the second highest potential growth in uninsured rate by 2019 at 209%,” says Gonzalez. “It also has the sixth highest potential growth in uncompensated care costs by 2021 at 178%.”

#1 Massachusetts

Massachusetts would be the most affected state by an ACA repeal because it has the highest potential growth in uninsured rate by 2019 at 273%, according to WalletHub.

“Massachusetts is also the state with the highest share of young adults with health insurance coverage at 94%,” Gonzalez says. 

“These states largely have not expanded Medicaid and have lower insured rates, thus they will be less affected post-repeal,” says Gonzalez.  

#10 Alaska

#9 Georgia

#8 Kansas

#7 Utah

#6 South Carolina

#5. Arizona

#4 Alabama

#3 Oklahoma,

#2 Mississippi

#1 Texas