The healthcare bill submitted by Sens. Lindsey Graham, R-S.C., and Bill Cassidy, R-La., would benefit Republican-run states more than Democratic ones, The Washington Post reported.
The bill "would implement a decades-old conservative concept, capping the amount that taxpayers spend on Medicaid and giving states full control over the program," write the Post's David Weigel.
"What's new, thanks to the Affordable Care Act, is a discrepancy in state-by-state funding that would be flattened out by the block grants. Most states used the ACA's funding to expand Medicaid; some Republican-run states, liberated by the Supreme Court's decision to make the funding optional, did not. As a result, 14 of the 15 states that would stand to gain from block grants are run by Republicans; Democratic megastates including California, New York, and Massachusetts would lose billions of dollars, a feature both Graham and Cassidy have talked up to conservatives."
The paper cites analysis from the left-leaning Center for Budget and Policy Priorities states even a heavily Republican state like Cassidy's own Louisiana would lose about $2.3 billion in healthcare funding over 10 years.
A similar report from Avalere Health found federal funding for states would fall by $215 billion by 2026, and over $4 trillion within the next 20 years, leaving 34 states and Washington, D.C., facing funding cuts.
"The Graham-Cassidy bill would significantly reduce funding to states over the long term, particularly for states that have already expanded Medicaid," Caroline Pearson, Avalere senior vice president, said in a statement. "States would have broad flexibility to shape their markets but would have less funding to subsidize coverage for low- and middle-income individuals."
New Hampshire's Republican Gov. Chris Sununu said, while he does "strongly believe that Obamacare must be reformed, it must be replaced with something that works for New Hampshire."
He added that although "the Graham-Cassidy healthcare plan has some laudable aspects . . . New Hampshire could possibly lose over a $1 billion in Medicaid funding between 2020-2026. While innovative, consumer-driven programs that eliminate waste and provide flexibility is the direction our nation's healthcare must go, it is not practical for New Hampshire to craft a system with over $1 billion in cuts to federal funding."
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