The proposed repeal of the Affordable Care Act (ACA) without a simultaneous comparable replacement will put health coverage for millions of Californians in jeopardy. According to two recent reports, it will also put a lot of jobs in jeopardy. California stands to lose more than any other state because it has the largest population and because it fully embraced opportunities to expand coverage through the ACA.
Recent research from George Washington University, supported by the Commonwealth Fund, projects that the US would lose 2.6 million jobs in 2019, the year repeal is assumed to take effect. California is projected to lose 334,000 jobs — 225,000 more than the next most-affected state, Florida. The report also details declines in state and local taxes, gross state product, and other economic indicators across the country and by state if no replacement plan is in place between 2019 and 2023.
Some of the key California-specific figures are included in a new CHCF infographic.
These analyses underscore the reality that ACA repeal has ramifications that extend beyond just the health care system to the broader health of the economy. As the repeal debate unfolds in Washington, DC, we must remain aware of the potential consequences for California.
Amy Adams is a senior program officer for CHCF’s Improving Access team, which works to improve access to coverage and care for low-income Californians.
Prior to joining the foundation, Amy worked for the Service Employees International Union (SEIU), leading a range of state and federal health care policy and research efforts. Her most recent work there focused on the Affordable Care Act (ACA), analyzing regulations and developing policy positions. Prior to that, she led a team working on Medicaid policy issues in California and other states, including public hospital and long-term care financing issues. Amy also brings program evaluation and assessment experience through her previous work as deputy director of a nonprofit research and policy organization and a private consultant to foundations, government agencies, and nonprofits. She received a bachelor’s degree in American Studies from Yale College and a master’s degree in social welfare from the University of California, Berkeley.