The Fiscal Impact to States of the Affordable Care Act (ACA): Comprehensive Analysis

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Deloitte Center for Health Solutions constructed plausible scenarios to identify cost and saving drivers and provide a range of the estimated per person fiscal impact to states due to ACA requirements. Key findings include:

  • Potential fiscal impact to states due to ACA requirements ranges from a savings of $318 to a cost of $470 per person (2011–2020)
  • The most substantial costs that states could face in implementing ACA provisions relate to Medicaid expansion