This report projects that over 71,000 newly insured Montanans could lose access to medical care and that the state could lose over $284 million in critical health care funding if Congress repeals the Medicaid expansion. The Affordable Care Act allowed states to extend Medicaid coverage to adults with incomes up to 138% of the federal poverty line. In 2015, Montana took advantage of this opportunity through the bipartisan Health and Economic Livelihood Partnership (HELP) Act. This report, commissioned by MHCF, and written by nationally-recognized experts from Manatt Health analyzes the impacts of Montana’s recent Medicaid expansion, and the potential consequences if Congress repeals the program. The report was released in Mar 2017.