Below is a list of the states that would have to pay the most annually to support their expanded Medicaid programs without matching federal grants. The first year of this shift would be 2021.
- California, $5.71 billion
- New York, $3.91 billion
- Massachusetts, $1.15 billion
- Washington, $878 million
- Illinois, $864 million
- Illinois, $809 million
- Ohio, $735 million
- Michigan, $582 million
- Pennsylvania, $535 million
- Maryland, $498 million