Which 5 States Bear Largest Burden Under Reform Law?

The Patient Protection and Affordable Care Act has cost states and private companies $27.6 billion to date, and five states will endure at least $1 billion in regulatory costs stemming from the law, according to a new analysis from the American Action Forum.

The five states experiencing the largest costs and losing the most work are detailed below.

Note: "Full-time employees lost" reflects the number of full-time employees dedicated to PPACA regulatory compliance, or hours of paperwork. The PPACA took a "robust work year" of 2,000 hours to approximate how many employees will be devoted to complying with federal paperwork. If a state has 10,000 hours of new paperwork requirements, the analysis presumes five full-time workers will be dedicated to regulatory compliance.

California
Compliance costs: $3.4 billion
Full-time employees lost: 2,917

Texas
Compliance costs: $1.8 billion
Full-time employees lost: 1,292

New York
Compliance costs: $1.7 billion
Full-time employees lost: 1,383

Florida
Compliance costs: $1.6 billion
Full-time employees lost: 978

Illinois
Compliance costs: $1 billion
Full-time employees lost: 816

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