A new study from the Commonwealth Fund finds that repeal of two major federal spending provisions of the Affordable Care Act, insurance premium tax credits and the expansion of Medicaid, would ultimately lead to the loss of 2.6 million jobs in 2019. The data, generated by researchers at George Washington, breaks down the impact of repeal for each state. California would lose the most jobs, 334,000 their multistate economic forecasting model suggests, and Wyoming the least with 4,000 jobs lost.