Rolling Back the ACA’s Medicaid Expansion: What Are the Costs for States?

George Washington University’s Sara Rosenbaum explains that rolling back the Medicaid expansion would do more than cause many people to lose coverage or create gaps in state budgets; it also would present states with expensive and complex administrative challenges. “One law can end the ACA’s Medicaid eligibility expansion funds,” she writes. “But the reverberations from eliminating federal funding will be experienced by the expansion states for years to come.”