The Economics of Medicaid & ACA Cuts in the Southeast

The Economic Cliff

Analyzing the Impact of Medicaid Cuts and ACA Subsidy Lapses in the Southeast

$6.86B

10-year Medicaid funding loss for GA, SC, NC, and TN.

1 Million

Jobs projected to be lost nationally.

$1.1T

National economic loss over the next decade.

State-by-State Breakdown

Projected Impact for Georgia

Economic & Job Losses

Key Vulnerabilities

Uninsured Rate Increase from ACA Subsidy Cuts

39%

LTC Residents on Medicaid

71%

Disabled & Elderly Enrollees at Risk

104,000

Local Spotlight

In Pulaski County, Taylor Regional Hospital is already operating on a -20.7% margin, while 23% of residents rely on Medicaid.

Drilling Down on the Impact

The Impact on Families and At-Risk Groups

Cuts disproportionately harm non-elderly adults and children in rural areas. In these four states, Medicaid paid for **165,476 births** in 2022 alone. Those who lose insurance are less likely to seek care, leading to untreated chronic diseases and significant medical debt. The economic burden on unpaid caregivers—who already spend over $7,200 annually—will increase, contributing to a nationwide productivity loss of **$44 billion per year**.

A Hypothetical Family's Story

Imagine a family of five where the mom is pregnant and they care for an elderly relative. The loss of Medicaid or subsidies could mean losing prenatal visits, in-home care for their relative, and coverage for chronic conditions, leading to catastrophic health and financial consequences.

Actionable Solutions

Provide additional state appropriations to Medicaid programs and prepare for the ACA subsidy cliff to protect citizens and stabilize hospitals.