Illustrative State‐by‐State Impact of Graham‐Cassidy‐Heller‐Johnson (GCHJ) Market‐Based Health Care Grant 
Program (Section 106), Calendar Years 2020‐2026
Amounts in millions of Dollars

Total
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming

Current Law 
Baseline 

GCHJ State 
Block Grant

GCHJ
State Savings

GCHJ
+ 
State Savings 

$1,259,488
$7,340
$3,705
$29,729
$18,291
$271,770
$20,691
$17,692
$5,198
$4,078
$66,652
$18,662
$5,956
$3,528
$43,591
$23,927
$9,682
$2,926
$28,143
$34,908
$3,417
$27,964
$24,462
$44,652
$22,018
$3,378
$10,709
$6,372
$3,258
$13,293
$5,087
$38,689
$15,275
$123,728
$29,175
$3,560
$49,104
$5,358
$28,108
$56,643
$4,066
$8,764
$1,069
$9,223
$36,212
$4,377
$3,170
$13,566
$27,133
$10,093
$9,676
$1,422

$1,218,886
$11,277
$3,606
$31,392
$16,864
$213,151
$18,652
$14,135
$3,991
$3,709
$81,260
$27,937
$4,995
$5,396
$43,700
$27,242
$10,080
$4,738
$26,430
$32,342
$4,889
$22,439
$22,258
$40,116
$17,136
$5,472
$14,898
$5,890
$5,066
$13,369
$4,321
$35,348
$13,010
$96,198
$37,465
$3,792
$47,545
$8,338
$20,623
$50,802
$3,944
$13,277
$2,008
$14,037
$54,053
$6,814
$2,633
$19,767
$25,422
$9,616
$15,481
$1,961

$112,381
‐
$227
$2,589
$1,755
$23,587
$1,901
$2,459
$486
$449
‐
‐
$612
‐
$5,084
$3,705
$1,040
‐
$2,854
$2,906
‐
$2,650
$2,215
$4,431
$1,599
‐
‐
$508
‐
$1,160
$442
$3,178
$1,581
$26,217
‐
$372
$6,172
‐
$2,741
$5,371
$319
‐
‐
‐
‐
‐
$252
‐
$2,506
$1,009
‐
‐

$1,331,267
$11,277
$3,833
$33,980
$18,619
$236,739
$20,553
$16,594
$4,477
$4,158
$81,260
$27,937
$5,607
$5,396
$48,784
$30,946
$11,120
$4,738
$29,284
$35,249
$4,889
$25,089
$24,473
$44,547
$18,735
$5,472
$14,898
$6,399
$5,066
$14,529
$4,764
$38,526
$14,591
$122,415
$37,465
$4,164
$53,717
$8,338
$23,364
$56,173
$4,263
$13,277
$2,008
$14,037
$54,053
$6,814
$2,885
$19,767
$27,929
$10,625
$15,481
$1,961

GCHJ Relative to 
Current Law

54%
3%
14%
2%
‐13%
‐1%
‐6%
‐14%
2%
22%
50%
‐6%
53%
12%
29%
15%
62%
4%
1%
43%
‐10%
0%
0%
‐15%
62%
39%
0%
55%
9%
‐6%
0%
‐4%
‐1%
28%
17%
9%
56%
‐17%
‐1%
5%
51%
88%
52%
49%
56%
‐9%
46%
3%
5%
60%
38%

NOTES:
* Current law baseline reflects Administration estimates of Medicaid expansion, advance payments of the premium tax credit, cost‐
sharing reductions, and Basic Health Program, based on the 2018 Mid‐Session Review.
* Current law baseline and state savings do not include impacts associated with Wisconsin's coverage of non‐elderly adults up to 100 
percent of the Federal Poverty Level at regular Medicaid match.
* State savings represent State spending no longer required as match on Medicaid expansion (VIII Group).
* Estimates include CY 2020‐2026 estimates of funding under GCHJ Section 106, as well as related assistance under Section 108 
Medicaid disproportionate share hospital (DSH) payments. 
* The GCJH estimates do not include $10 billion in stabilization funding allocated to states in 2019, which would increase states' 
allocation relative to current law.
* Estimates of funding to States under GCHJ reflect current data availability, and will differ based on final implementation and 
execution parameters. Estimates do not account for any net effects of the population risk or state specific population adjustments. 
The application of these adjustments could shift estimated amounts.