The Graham-Cassidy healthcare proposal would roll back Medicaid expansion and federal premium subsidies, though the bill's impact on funding amounts varies greatly by state, according to CMS estimates.
Listed below is how much each state's annual federal funding levels would change by 2026 under Graham-Cassidy compared to their current levels. Current federal funding includes subsidies that address state insurance markets as well as Medicaid expansion funds. Under Graham-Cassidy, states can use these block grants to shape their healthcare systems any way they want, whether that means creating high-risk pools, offering premium subsidies or supplementing lost Medicaid funding.
1. Mississippi, 347 percent
2. Kansas, 234 percent
3. Texas, 210 percent
4. Tennessee, 194 percent
5. Oklahoma, 194 percent
6. Alabama, 192 percent
7. South Dakota, 162 percent
8. South Carolina, 126 percent
9. Georgia, 120 percent
10. Missouri, 103 percent
11. Utah, 103 percent
12. Nebraska, 90 percent
13. Idaho, 87 percent
14. Wisconsin, 81 percent
15. Virginia, 65 percent
16. Maine, 44 percent
17. North Carolina, 43 percent
18. Florida, 25 percent
19. Wyoming, 4 percent
20. Iowa, 0 percent
21. Indiana, -2 percent
22. Illinois, -5 percent
23. Arizona, -9 percent
24. Ohio, -18 percent
25. Nevada, -18 percent
26. Rhode Island, -18 percent
27. Michigan, -19 percent
28. Arkansas, -22 percent
29. Washington, -22 percent
30. West Virginia, -23 percent
31. Colorado, -24 percent
32. Massachusetts, -29 percent
33. Pennsylvania, -30 percent
34. Minnesota, -32 percent
35. New Mexico, -32 percent
36. Kentucky, -33 percent
37. Alaska, -38 percent
38. New Jersey, -40 percent
39. Louisiana, -41 percent
40. Montana, -42 percent
41. New York, -44 percent
42. California, -45 percent
43. Hawaii, -45 percent
44. North Dakota, -45 percent
45. New Hampshire, -46 percent
46. Delaware, -48 percent
47. Vermont, -48 percent
48. Oregon, -49 percent
49. Connecticut, -51 percent
50. Maryland, -51 percent
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