The Medicaid expansion is a particular sore spot if the ACA gets repealed, a majority of our physicians are in California where Medi-Cal has had gobs of funding and covered an expanded population well before the ACA was implemented - but for those in states that did rely on the expansion funding I expect our collection rates are going to plummet as Medicaid patients continue to make up a large majority of those that utilize emergency department and urgent care facilities.

There's going to be a lot of people losing Medicaid if this happens that will become self-pay (aka, no money) patients. Not a good time to be in the billing industry.