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New FGA Report: ObamaCare Expansion has Cost More than Twice as Much as Promised

Naples, FL – A new report, released today by the Foundation for Government Accountability (FGA), reveals that higher than projected enrollment and per-person costs of ObamaCare expansion have led to billions of dollars in cost overruns. In total, ObamaCare expansion has cost taxpayers more than two and a half times as much as promised.

The report, authored by FGA’s Vice President of Research Jonathan Ingram and Research Director Nic Horton, found that this explosion in enrollment and costs means fewer resources are available for the truly needy and other critical budget items including education, public safety, and infrastructure.

According to research in the report:

  • One out of every three dollars in states’ budgets is now spent on Medicaid.
  • States signed up more than twice as many able-bodied adults as promised.
  • Expansion states have spent 76 percent more per expansion enrollee than expected.
  • With higher enrollment and per-person costs, expansion has been more than twice as expensive as projected, resulting in taxpayers spending 157 percent more than ever expected.

“Obamacare expansion has proven to be a disaster, leaving states with massive cost overruns that have shattered budgets, put the truly needy at risk, and left taxpayers on the hook—and projections are only getting worse,” said Ingram. “Policymakers must enact solutions that will protect resources for the most vulnerable and unwind these failed expansions.”

Read the full report here.

The Foundation for Government Accountability is a non–profit, multi-state think tank that specializes in health care, welfare, and regulatory reform. To learn more, visit



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