Biggest funding cuts and gains per person Oregon Vermont Massachusetts New York Delaware Mississippi Alabama Kansas South Dakota Texas

A new Republican plan to repeal the Affordable Care Act would give each state a federal block grant for health care using a complex formula that cuts funding for some states — including many that were won by Hillary Clinton in 2016 — according to a New York Times analysis of estimates from the Center on Budget and Policy Priorities, a left-leaning think tank.

The grants would replace federal money currently being spent on Medicaid expansion and on subsidies to help people afford insurance. The bill, introduced by Senators Lindsey Graham of South Carolina and Bill Cassidy of Louisiana last week, would cause 36 states to face funding cuts in 2026.

Blue States Lose Biggest

The biggest losers of federal funding are states that voted for Hillary Clinton in the 2016 presidential election.

The Times calculated the funding impact per person by totaling the number of people receiving Medicaid benefits, those who purchased insurance in the Affordable Care Act marketplaces and those who are uninsured.

Funding loss per person Gain per person –$2,000 –$1,000 0 0 +$1,000 Ore. Miss. Vt. Ala. Mass. Kan. N.Y. S.D. Del. Tex. Conn. Okla. Minn. Ga. Ky. Tenn. Calif. S.C. R.I. Neb. Hawaii Utah Idaho La. N.J. Mo. Wash. Wis. D.C. Va. N.M. Mont. N.H. N.D. Md. Mich. Ark. Alaska W.Va. Ohio Iowa Ariz. Nev. Wyo. Colo. Ill. Fla. N.C. Me. Pa. Ind. Funding loss per person Gain per person –$2,000 –$1,000 0 0 +$1,000 Ore. Miss. Vt. Ala. Mass. Kan. N.Y. S.D. Del. Tex. Conn. Okla. Minn. Ga. Ky. Tenn. Calif. S.C. R.I. Neb. Hawaii Utah Idaho La. N.J. Mo. Wash. Wis. D.C. Va. N.M. Mont. N.H. N.D. Md. Mich. Ark. Alaska W.Va. Ohio Iowa Ariz. Nev. Wyo. Colo. Ill. Fla. N.C. Me. Pa. Ind. Funding loss per person Gain per person –$2,000 –$1,000 0 0 +$1,000 Ore. Miss. Vt. Ala. Mass. Kan. N.Y. S.D. Del. Tex. Conn. Okla. Minn. Ga. Ky. Tenn. Calif. S.C. R.I. Neb. Hawaii Utah Idaho La. N.J. Mo. Wash. Wis. D.C. Va. N.M. Mont. N.H. N.D. Md. Mich. Ark. Alaska W.Va. Ohio Iowa Ariz. Nev. Wyo. Colo. Ill. Fla. N.C. Me. Pa. Ind.

Nineteen states and the District of Columbia voted for Mrs. Clinton and face funding cuts. Many of them face cuts of more than $1,000 per person in 2026.

G.O.P. Leaders Need Votes From States That Would Lose Funding

Thirteen Republican senators from 12 states voted against one of the recent Senate repeal bills in July. Eight of those senators are from states that would lose funding, making it politically tricky to get this bill passed.

Funding loss per person Gain per person –$2,000 –$1,000 0 0 +$1,000 Ore. Miss. Vt. Ala. Mass. Kan. N.Y. S.D. Del. Tex. Conn. Okla. Minn. Ga. Ky. Tenn. Calif. S.C. R.I. Neb. Hawaii Utah Idaho La. N.J. Mo. Wash. Wis. D.C. Va. N.M. Mont. N.H. N.D. Md. Mich. Ark. Alaska W.Va. Ohio Iowa Ariz. Nev. Wyo. Colo. Ill. Fla. N.C. Me. Pa. Ind. Funding loss per person Gain per person –$2,000 –$1,000 0 0 +$1,000 Ore. Miss. Vt. Ala. Mass. Kan. N.Y. S.D. Del. Tex. Conn. Okla. Minn. Ga. Ky. Tenn. Calif. S.C. R.I. Neb. Hawaii Utah Idaho La. N.J. Mo. Wash. Wis. D.C. Va. N.M. Mont. N.H. N.D. Md. Mich. Ark. Alaska W.Va. Ohio Iowa Ariz. Nev. Wyo. Colo. Ill. Fla. N.C. Me. Pa. Ind. Funding loss per person Gain per person –$2,000 –$1,000 0 0 +$1,000 Ore. Miss. Vt. Ala. Mass. Kan. N.Y. S.D. Del. Tex. Conn. Okla. Minn. Ga. Ky. Tenn. Calif. S.C. R.I. Neb. Hawaii Utah Idaho La. N.J. Mo. Wash. Wis. D.C. Va. N.M. Mont. N.H. N.D. Md. Mich. Ark. Alaska W.Va. Ohio Iowa Ariz. Nev. Wyo. Colo. Ill. Fla. N.C. Me. Pa. Ind.

Two senators — Lisa Murkowski of Alaska and Susan Collins of Maine — voted no on all three of the Republican bills. Senators John McCain of Arizona and Dean Heller of Nevada voted no twice. All four are from states that would lose funding.

All States That Expanded Medicaid Would Lose

The bill shifts money from states that expanded Medicaid to those that did not.

Funding loss per person Gain per person –$2,000 –$1,000 0 0 +$1,000 Ore. Miss. Vt. Ala. Mass. Kan. N.Y. S.D. Del. Tex. Conn. Okla. Minn. Ga. Ky. Tenn. Calif. S.C. R.I. Neb. Hawaii Utah Idaho La. N.J. Mo. Wash. Wis. D.C. Va. N.M. Mont. N.H. N.D. Md. Mich. Ark. Alaska W.Va. Ohio Iowa Ariz. Nev. Wyo. Colo. Ill. Fla. N.C. Me. Pa. Ind. Funding loss per person Gain per person –$2,000 –$1,000 0 0 +$1,000 Ore. Miss. Vt. Ala. Mass. Kan. N.Y. S.D. Del. Tex. Conn. Okla. Minn. Ga. Ky. Tenn. Calif. S.C. R.I. Neb. Hawaii Utah Idaho La. N.J. Mo. Wash. Wis. D.C. Va. N.M. Mont. N.H. N.D. Md. Mich. Ark. Alaska W.Va. Ohio Iowa Ariz. Nev. Wyo. Colo. Ill. Fla. N.C. Me. Pa. Ind. Funding loss per person Gain per person –$2,000 –$1,000 0 0 +$1,000 Ore. Miss. Vt. Ala. Mass. Kan. N.Y. S.D. Del. Tex. Conn. Okla. Minn. Ga. Ky. Tenn. Calif. S.C. R.I. Neb. Hawaii Utah Idaho La. N.J. Mo. Wash. Wis. D.C. Va. N.M. Mont. N.H. N.D. Md. Mich. Ark. Alaska W.Va. Ohio Iowa Ariz. Nev. Wyo. Colo. Ill. Fla. N.C. Me. Pa. Ind.

Under the Affordable Care Act, 31 states and the District of Columbia expanded Medicaid to cover adults whose income was at or below 138 percent of the poverty line.