Because CT dropped insurers from our Medicaid plan three years ago, we are not subject to the ACA tax on insurers saving state taxpayers more than a billion dollars over the next decade. The ACA tax on fully-insured plans is due for the first time September 30 and will cost fully-insured states $700 million just this year. Twelve other states without Medicaid insurers are also spared this tax. Medicaid programs in NY, RI and NJ will pay over $2,000 per member over the next decade in ACA taxes. In a satisfying twist, several states that did not expand Medicaid under the ACA are paying the tax to fund our expansion.