KFF-State Budgets Under Federal Health Reform: The Extent and Causes of Variations in Estimated Impacts

A Kaiser Family Foundation analysis on the potential costs and savings that the ACA could generate for state budgets that are currently in a shortfall after the recession. The report addresses why recent state estimates on the likely impact health reform may have on their budgets differ state-to-state, and looks at key expected sources of costs and savings from implementation of the health reform law.The report found many opportunities and new options to offset state costs related to the Medicaid expansion begining in 2014. The actual impact on states will vary based on current state coverage and how each state implements the law.