States that have not expanded Medicaid eligibility under the ACA make net contributions to the other states that have expanded, and many of these nonexpansion states have low per capita incomes. If the remaining states were to expand Medicaid eligibility, they would receive more in federal dollars than they contribute in taxes, as is the case with the traditional programs.
About the Urban Institute
The nonprofit Urban Institute is dedicated to elevating the debate on social and economic policy. For nearly five decades, Urban scholars have conducted research and offered evidence-based solutions that improve lives and strengthen communities across a rapidly urbanizing world. Their objective research helps expand opportunities for all, reduce hardship among the most vulnerable, and strengthen the effectiveness of the public sector. Visit the Urban Institute’s Health Policy Center for more information specific to its staff and its recent research.