How cost-sharing reduction cuts will affect insurer finances in all 50 states: Avalere

Health plans are projected to lose more than $1 billion through the end of this year if Congress does not reverse President Donald Trump's decision to end federal funding for cost-sharing reductions, according to the National Association of Insurance Commissioners.

The CSRs help offset the cost of providing health insurance to low-income Americans purchasing plans on the ACA exchanges. Washington, D.C.-based consulting firm Avalere analyzed how the cuts would affect health plans' finances on a state-by-state basis. For its report, Avalere calculated weighted average CSR payments in each state using 2016 Office of the Assistant Secretary for Planning and Evaluation data.

Here are the projected losses for health plans in all 50 states and the District of Columbia, from highest to lowest.

Florida — $200 million

California — $107 million 

Texas — $98 million

North Carolina — $66 million

Georgia — $56 million

Virginia — $34 million

Pennsylvania — $28 million

Massachusetts — $24 million

South Carolina — $23 million

Missouri — $23 million

Tennessee — $22 million

Illinois — $22 million

Michigan — $21 million

Alabama — $20 million

New Jersey — $20 million

Wisconsin — $20 million

Louisiana — $15 million

Oklahoma — $14 million

Ohio — $14 million

Utah — $14 million

Maryland — $12 million

Washington — $12 million

Indiana — $11 million

Arizona — $10 million

Mississippi — $9 million

Idaho — $9 million

Kansas — $ 7 million

Nebraska — $7 million

Nevada — $7 million

Connecticut — $7 million

Oregon — $7 million

Maine — $6 million

Kentucky — $6 million

Colorado — $5 million

Arkansas — $5 million

New York — $5 million

Iowa — $4 million

Wyoming — $3 million

Montana — $3 million

West Virginia — $3 million

Rhode Island — $3 million

New Mexico — $3 million

Minnesota — $2 million

Vermont — $2 million

Delaware — $2 million

New Hampshire — $2 million

Alaska — $2 million

Hawaii — $1 million

North Dakota — $1 million

South Dakota — $1 million

District of Columbia — $0 

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