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U.S. House Speaker Paul Ryan, a Republican from Wisconsin, center, holds up a copy of the American Health Care Act while Representative Greg Walden, a Republican from Oregon, right, and House Majority Leader Kevin McCarthy, a Republican from California, listen during a news conference at the Capitol Building in Washington, D.C., U.S., on Tuesday, March 7, 2017. Ryan's new bill to replace Obamacare is being savaged by early bad reviews from a wide range of conservatives, with one Republican senator declaring it "dead on arrival" in the Senate -- if it can make it through the House. Photographer: Zach Gibson/Bloomberg
Zach Gibson/Bloomberg

10 cities most affected by AHCA

Comparative analysis looks at how the Republican proposed healthcare law stacks up against the Affordable Care Act, and how cities across the country would be affected if enacted.
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Methodology

In order to gauge the AHCA’s impact on individuals who buy their own insurance, personal finance website WalletHub compared the differences in premium subsidies that the average households in 457 U.S. cities would receive under the ACA and AHCA. To assess ACA subsidies, WalletHub used the Kaiser Family Foundation’s health insurance marketplace calculator, using a two-person household with a median income. For the AHCA, the analysis used the age-based dollar amounts:

Age: 20-29
Premium tax credit: $4,000

Age: 30-39
Premium tax credit: $5,000

Age: 40-59
Premium tax credit: $6,000

Age: 50-59
Premium tax credit: $7,000

Age: 60 and older
Premium tax credit: $8,000

Based on the data, these following cities would be hit hardest under the GOP’s proposed bill when it comes to tax credits.
1. Ashville.jpeg
low aerial view of downtown Ashevill, North Carolina and mountains
JOHN WOLLWERTH/Wollwerth Imagery - Fotolia

Ashville, N.C.

Average AHCA tax subsidy: $5,000
Average ACA Subsidy: $9,232
Subsidy difference: -$4,232
2. Witchita Falls.jpeg
wichita falls, vintage stamp on paper background
Argus - Fotolia

Witchita Falls, Texas

Average AHCA tax subsidy: $5,000
Average ACA Subsidy: $9,434
Subsidy difference: -$4,434
3. Birmingham.jpeg
Birmingham, Alabama, USA downtown skyline.
Sean Pavone/SeanPavonePhoto - Fotolia

Birmingham, Alab.

Average AHCA tax subsidy: $5,000
Average ACA Subsidy: $9,494
Subsidy difference: -$4,494
4. Fayetteville.jpeg
abstract silhouette of the city with text Fayetteville at the vintage american flag background
luzitanija - Fotolia

Fayetteville, N.C.

Average AHCA tax subsidy: $5,000
Average ACA Subsidy: $9,687
Subsidy difference: -$4,687
5. Greenville.jpeg
greenville, vintage stamp on paper background
Argus - Fotolia

Greenville, N.C.

Average AHCA tax subsidy: $4,000
Average ACA Subsidy: $9,067
Subsidy difference: -$5,067
6. Chatanooga.jpeg
Robert Hainer - Fotolia

Chattanooga, Tenn.

Average AHCA tax subsidy: $5,000
Average ACA Subsidy: $10,786
Subsidy difference: -$5,786
7. Reading.jpeg
Downtown street shot of the U.S. city of Reading, Pennsylvania at dusk on an autumn day
WideAwake - Fotolia

Reading, Pa.

Average AHCA tax subsidy: $4,000
Average ACA Subsidy: $10,149
Subsidy difference: -$6,149
8. Syracuse.jpeg
jiawangkun - Fotolia

Syracuse, N.Y.

Average AHCA tax subsidy: $4,000
Average ACA Subsidy: $10,398
Subsidy difference: -$6,398
9. Anchorage.jpeg
A summer day looking across the bay from Point Woronzof
Christopher Boswell/Christopher Boswell - Fotolia

Anchorage, Alaska

Average AHCA tax subsidy: $5,000
Average ACA Subsidy: $12,748
Subsidy difference: -$7,748
10. Yuma.jpeg
greetings from yuma, stamped on a postcard
Argus - Fotolia

Yuma, Ariz.

Average AHCA tax subsidy: $5,000
Average ACA Subsidy: $12,815
Subsidy difference: -$7,815
Nick Otto
Former senior editor, Employee Benefit News
AHCA Healthcare-related legislation Healthcare costs Healthcare plans Healthcare benefits Health insurance
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