Leighton Ku and colleagues at George Washington University’s Milken Institute School of Public Health analyzed the potential effects of the most recent version of Graham-Cassidy on employment and state economies. The researchers projected that, if the bill became law, total national employment would have risen by 225,000 in 2018 before falling – with 345,000 jobs lost by 2026. Collectively, the 32 states that expanded Medicaid would have lost jobs, while the 19 nonexpansion states stood to gain employment.