Economic and Fiscal Impacts of Medicaid Expansion Reversal in Ohio

The “One Big Beautiful Bill” passed recently by the House of Representatives significantly cuts federal funding for Medicaid. It is uncertain how these cuts will affect the program, but they may impact the Federal Medical Assistance Percentage (FMAP) for the Medicaid expansion population, which is currently set at a 90% federal match.

In light of this possibility, the Health Policy Institute of Ohio commissioned REMI to analyze the state-level and regional economic and fiscal impacts of reversing Medicaid expansion in Ohio. Multiple scenarios were analyzed, including a complete elimination of the state’s Medicaid expansion, and a reallocation of state expenditures to match the increased Medicaid obligation under a range of lower FMAP values. REMI used a regional PI+ economic model of Ohio to ground their analysis.

REMI found that eliminating Medicaid expansion in Ohio would lower employment growth by 53,181 jobs statewide over the next five years. While the health care sector would be significantly affected, the majority of the job impacts would be spread across a wide variety of non-health care related industries, such as construction, administrative support services, and restaurants. There would also be significant decreases in consumer spending and investment activity, leading to an average annual decrease in GDP growth of $7.2 billion through 2030. There would also be reduced state tax revenue growth of $221 million per year on average.

Click here to view the full report commissioned by the Health Policy Institute of Ohio.

Click here to view Health Policy Institute of Ohio’s announcement of this report.

The Economic Promise of the Gateway Program

The Gateway Program is a multifaceted approach to optimizing a critical part of the Northeast Corridor (NEC) between Newark, New Jersey, and New York Penn Station. The program outlines a series of investments that aim to improve and modernize this stretch of rail infrastructure, allowing for more consistent and higher volume rail service for commuters.   

In this economic impact analysis conducted by Regional Plan Association and consulting firm WSP USA using REMI TranSight, they found that over 2023-2060, the Gateway Program will generate close to $445 billion in economic benefits and sustain 46,100 jobs on average.   

Click here to view the full report published by Regional Plan Association. 

The National and Regional Economic Impacts of Federal Government Reductions in Force

President Donald Trump has made it a priority of his administration to reduce the size of the federal workforce and has tasked the Department of Government Efficiency (DOGE) with leading the efforts to date. These cuts have come through a variety of channels, including layoffs, eliminations of federal agencies, and deferred resignations. They disproportionally impact the DMV region (D.C., Maryland, and Virginia), but have significant economic consequences for communities all across the United States.

In this presentation, Dr. Peter Evangelakis, Senior Vice President of Economics & Consulting at REMI, used REMI PI+ to analyze the impacts of federal layoffs on employment, GDP, and personal income in the DMV region and the entire United States. This presentation was conducted by Dr. Evangelakis at a NEC (National Economists Club) luncheon on April 10th, 2025.

Click here to view the slides from this presentation.

Economic Impacts of Establishing the Crane Clean Energy Center (CCEC)

Nuclear energy is a safe and clean method of producing energy for businesses and households. Three Mile Island Unit 1 was a nuclear power plant in Pennsylvania that produced clean energy until it was shut down five years ago for economic reasons. Constellation signed a power purchase agreement with Microsoft to restore this nuclear power plant, which will now be known as the Crane Clean Energy Center (CCEC).

In this presentation created by The Brattle Group, Inc. for the Pennsylvania State Building & Construction Trades Council, Dean Murphy, Mark Berkman, and Wonjun Chang conducted an economic and environmental analysis of the reconstruction and operations of CCEC. They found that 20 years of CCEC operations would contribute $16 billion to the state’s GDP, 3,400 new jobs for Pennsylvania, and $3.6 billion in estimated tax revenue.

 

Click here to view The Brattle Group’s announcement.

Click here to access the full report.

The Preparedness Payoff: The Economic Benefits of Investing in Climate Resilience

The United States experiences many natural disasters each year that destroy private property and critical infrastructure. These disasters result in significant cleanup costs and economic impacts on metrics including employment and GDP. In this study, completed by the United States Chamber of Commerce in partnership with Allstate and the U.S. Chamber of Commerce Foundation, the authors concluded that every $1 invested in disaster preparation saves $13 in economic costs, damages, and cleanup. This highlights the importance of investing in climate resilience.

Click here to view the published report.