Over five million Californians rely on the resources provided by the Affordable Care Act, either to get their coverage through the Medicaid (Medi-Cal) expansion, or to get financial assistance to afford and buy a private health plan through Covered California. Repeal of the ACA would be a loss of over $22 billion/year to California’s health system (and 209,000 jobs lost) in 2017-18 and beyond. This includes $17.3 billion for covering 4.1 million Californians in Medi-Cal, and over $5 billion in tax credits (averaging over $309/month) for over 1.2 million in Covered California. Repeal of the ACA would directly impact not just these 5 million Californians, but also millions of other consumers who will be left in a smaller and sicker insurance pool, with skyrocketing premiums as a result. The chart below details enrollment by California Congressional district with the best and most recent available estimates and numbers for mid-2016. Enrollment has continued to grow beyond this in both Medi-Cal and Covered California.