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