Consumers Union, the policy arm of nonprofit Consumer Reports, sent a letter to all 50 governors expressing our concern regarding the fundamental changes to the financing and structure of the Medicaid program in the Senate version of American Health Care Act (AHCA) and the harmful effects it would have on consumers in your state. Implementing per capita caps would leave states unable to provide coverage and high quality healthcare while continuing to fully fund other public priorities like education and infrastructure investments. This plan would also make it nearly impossible to quickly address unexpected public health crises, and leave states unable to adequately respond to an aging population and their long-term care needs. We urge governors to oppose the fundamental restructuring of Medicaid as proposed in the AHCA.