What every state stands to gain or lose under Graham-Cassidy, according to CMS

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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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