This project will assess the economic effects of federal matching funds for state Medicaid programs under various policy changes including: a 5 percentage-point increase in matching funds under the COVID relief legislation; termination of the temporary 6.2 percentage-point matching fund increase at the end of the public health emergency; and additional proposals that may increase incentives for nonexpansion states to expand, such as higher matching rates for the expansion population in those or all 50 states plus D.C. The team will use the change in federal funding in each proposal as inputs to the REMI input-output model. This will allow them to project the economic and employment implications of these policy changes.