--- title: Health Care Vote: States That Backed Trump Have Most to Lose description: The 11 states with the largest percentages of people under age 65 with pre-existing conditions all voted for Donald Trump. canonical: https://time.com/4769170/congress-ahca-trump-voters/ author: Tessa Berenson article:opinion: false article:content_tier: free article:published_time: 2017-05-05T18:46:11.000Z article:modified_time: 2026-02-23T04:46:53.874Z article:section: Politics og:title: States That Voted for Trump May Have the Most to Lose Under House Health Care Bill og:description: The 11 states with the largest percentages of people with pre-existing conditions. og:url: https://time.com/4769170/congress-ahca-trump-voters/ og:site_name: TIME og:image: https://static.time.com/v3/assets/bltea6093859af6183b/bltaf8c628ac6e8b1a7/6988cc350a4a22765f9ce0d8/states-most-likely-affected-pre-existing-conditions-voted-trump1.jpg?branch=production&width=1200&quality=75&auto=webp&crop=16:9 og:image:width: 5502 og:image:height: 3095 og:image:alt: states-most-likely-affected-pre-existing-conditions-voted-trump og:type: article twitter:card: summary_large_image twitter:title: States That Voted for Trump May Have the Most to Lose Under House Health Care Bill twitter:description: The 11 states with the largest percentages of people with pre-existing conditions. twitter:image: https://static.time.com/v3/assets/bltea6093859af6183b/bltaf8c628ac6e8b1a7/6988cc350a4a22765f9ce0d8/states-most-likely-affected-pre-existing-conditions-voted-trump1.jpg?branch=production&width=1200&quality=75&auto=webp&crop=16:9 ---  # States That Voted for Trump May Have the Most to Lose Under House Health Care Bill > Sponsored content. 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Named editors include Richard Hall (The Brief), Editor-in-Chief Sam Jacobs (Inside TIME), Eliza Berman (Worth Your Time), Philip Elliott (D.C. Brief), Justin Worland (Future Proof) and Harry Booth (In the Loop). Health Matters is written by TIME's health desk. #### How do I sign up for a TIME newsletter? Go to time.com/newsletters, choose the newsletters you want and enter your email address. There is no cost and no subscription requirement.  by [Tessa Berenson](https://time.com/author/tessa-berenson/)  ## Tessa Berenson May 5, 2017 6:46 PM UTC  President Donald Trump claps as he arrives with Vice President Mike Pence after the House pushed through a health care bill, in the Rose Garden at the White House in Washington on May 04, 2017. President Donald Trump claps as he arrives with Vice President Mike Pence after the House pushed through a health care bill, in the Rose Garden at the White House in Washington on May 04, 2017. Jabin Botsford—The Washington Post/Getty Images  by [Tessa Berenson](https://time.com/author/tessa-berenson/)  ## Tessa Berenson May 5, 2017 6:46 PM UTC House Republicans [passed a health care bill](http://time.com/4767856/health-care-vote-senate-republicans-mitch-mcconnell/?xid=homepage) Thursday to replace Obamacare, but red states could stand to lose the most under the new plan. That’s because, according to a [CNN analysis](http://www.cnn.com/2017/05/04/politics/obamacare-pre-existing-conditions/index.html) of a [2016 study](http://kff.org/health-reform/issue-brief/pre-existing-conditions-and-medical-underwriting-in-the-individual-insurance-market-prior-to-the-aca/) by the nonpartisan Kaiser Family Foundation, the 11 states with the largest percentages of people under age 65 with [pre-existing conditions](http://time.com/money/4763609/pre-existing-conditions-ahca/) not covered by pre-Affordable Care Act health care all voted for Donald Trump. The American Health Care Act, Republicans’ new plan, [would allow states to opt-out](http://time.com/4766850/health-care-vote-trumpcare-bill-specifics/) of the Obamacare mandate for insurers to charge everyone the same amount for health insurance. Insurers would still technically be required to cover people with pre-existing conditions, but they could potentially charge them much more. That could cause a particular problem in these top 11 states, each of which has 30% or more of residents under age 65 with a pre-existing condition, above the national rate of 27%. The state with the highest rate is West Virginia at 36%, followed by Mississippi, Kentucky, Alabama, Arkansas, Tennessee, Oklahoma, Louisiana, Missouri, Indiana and Kansas. ```json [{"@context":"https://schema.org","@type":"NewsArticle","@id":"https://time.com/4769170/congress-ahca-trump-voters/","mainEntityOfPage":{"@type":"WebPage","@id":"https://time.com/4769170/congress-ahca-trump-voters/"},"headline":"States That Voted for Trump May Have the Most to Lose Under House Health Care Bill","datePublished":"2017-05-05T18:46:11.000Z","dateModified":"2026-02-23T04:46:53.874Z","description":"The 11 states with the largest percentages of people under age 65 with pre-existing conditions all voted for Donald Trump.","url":"https://time.com/4769170/congress-ahca-trump-voters/","keywords":["Congress","Health Care","Healthcare","ACA","onetime","AHCA"],"thumbnailUrl":"https://static.time.com/v3/assets/bltea6093859af6183b/bltaf8c628ac6e8b1a7/6988cc350a4a22765f9ce0d8/states-most-likely-affected-pre-existing-conditions-voted-trump1.jpg?branch=production&width=1200&quality=75&auto=webp&crop=1200:675&height=675","author":[{"@type":"Person","name":"Tessa Berenson","jobTitle":null,"url":"https://time.com/author/tessa-berenson/"}],"articleSection":"Politics","image":[{"@type":"ImageObject","url":"https://static.time.com/v3/assets/bltea6093859af6183b/bltaf8c628ac6e8b1a7/6988cc350a4a22765f9ce0d8/states-most-likely-affected-pre-existing-conditions-voted-trump1.jpg?branch=production&width=1200&quality=75&auto=webp&crop=1200:675&height=675","width":1200,"height":675,"headline":"states-most-likely-affected-pre-existing-conditions-voted-trump","caption":"states-most-likely-affected-pre-existing-conditions-voted-trump","creditText":"Jabin Botsford—The Washington Post/Getty Images","representativeOfPage":true}],"publisher":{"@type":"Organization","name":"Time","url":"https://time.com/","logo":{"@type":"ImageObject","url":"https://time.com/images/logo.png","width":528,"height":156},"foundingDate":"March 3, 1923","sameAs":["https://www.facebook.com/time","https://www.instagram.com/time/?hl=en","https://twitter.com/time","https://www.pinterest.com/timemagazine"]}},{"@context":"https://schema.org","@type":"BreadcrumbList","itemListElement":[{"@type":"ListItem","position":1,"item":{"@id":"/section/politics/","name":"Politics"}},{"@type":"ListItem","position":2,"item":{"@id":"/tag/congress/","name":"Congress"}},{"@type":"ListItem","position":3,"item":{"@id":"https://time.com/4769170/congress-ahca-trump-voters/","name":"States That Voted for Trump May Have the Most to Lose Under House Health Care Bill"}}]}] ```