Sept 15 (Reuters) – Fitch:‍

* Fitch says latest ACA bill includes Medicaid repeal and replace provisions for states​

* Fitch – ‍States that expanded Medicaid access to newly eligible population under Affordable Care Act are particularly at risk under the latest bill​

* ‍Fitch – ‍ACA Repeal bill introduced Wednesday includes elements of Medicaid “repeal and replace” that may lead state government to face significant federal funding​ reductions

* Fitch – ‍Negative implications for entities that rely on state support could be more significant given their generally more constrained budgetary flexibility​

* Fitch says lastest ACA ‍bill’s repeal of certain provisions of ACA “are more disruptive for most states than prior republican efforts​”

* Fitch says ‍states that expanded Medicaid access to newly eligible population under ACA are particularly at risk under this latest ACA bill​

* ‍Fitch says will continue to closely monitor legislative developments around ACA repeal and replace efforts that include changes to Medicaid​ Source text for Eikon:

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BRIEF-‍Fitch says latest ACA bill includes Medicaid repeal, replace provisions for states​