The map above indicates the net loss of federal funds by 2022, in millions, for the 20 states choosing not to participate in Medicaid expansion, assuming all other states participate.
As the Huffington Post explains,
Following a 2012 Supreme Court ruling that made Medicaid expansion under the Affordable Care Act optional for states, 20 states have opted out of the reform, rejecting billions of dollars of federal funding for low-income residents. Texas and Florida will lose more than $9 billion and $5 billion, respectively.
See, also, Al Madrigal’s lambasting of the states that rejected expanded Medicaid coverage under the Affordable Care Act.