Judy Solomon, a Senior VP for Health Care Policy at the Center on Budget and Policy Priorities, explains that the Republican plan to repeal most of the Affordable Care Act without replacing it would double the number of uninsured people to roughly 59 million. The vast majority of people becoming uninsured would be in working families. 35,000 fewer people in Vermont would have health insurance. In Vermont, repeal means the loss of $91 million in federal marketplace spending in 2019, and Vermont would lose $171 million in federal Medicaid funding in 2019.