This week, our In Focus section reviews a report published by HMA on August 23, 2017, “Impacts of Imposing the ACA’s Health Insurance Tax on Medicaid Plans.” The report, authored by HMA Senior Fellow Jack Meyer, PhD, and Senior Consultant Andrew Fairgrieve, assesses the indirect impacts on health care premiums in private markets, participation by consumers in those markets, and direct federal and state budget impacts resulting from the imposition of the Health Insurance Tax (HIT) on state Medicaid programs. The report includes estimation of the public-to-private sector cost-shift that would occur as states and the federal government incur added Medicaid spending due to the HIT.