A new analysis from the U.S. Department of Health and Human Services suggests that Pennsylvania could lose 30 percent of the federal funds it now receives for rehab if the ACA is repealed. Without the law, the state's uninsured rate would go up as residents lose access to private insurance through the ACA marketplaces, as well as expanded Medicaid coverage, according to HHS. Republicans have promised to replace the law, but have not been specific.