new york now-delayed u.s. senate healthcare overhaul bill would boost state spend medicaid 565 million 2022 accord independent report issue wednesday credit agencies say would cause state face downward pressure credit rat senate republican leaders tuesday postpone vote bill hop would take place july recess accord credit rat agencies moody investors service fitch rat legislation would negatively impact state change core fund medicaid phase medicaid expansion plan urban institute washington d.c.-based think tank issue report wednesday estimate state medicaid spend would increase 565 million 2022 propose legislation also estimate federal fund medicaid fund medical care poor indigent would 102.2 billion low year national governor association monday advocate time review financial impact bill welcome delay members senate republicans party resist measure non-partisan congressional budget office say would cause 22 million americans lose insurance next decade reduce federal outlays medicaid 772 billion time moody senior analyst genevieve nolan tell reuters legislation current form would credit negative state mainly reduce federal fund medicaid obviously bill aca affordable care act repeal replace even medicaid repeal replace medicaid 50-year-old program partnership state federal government senate bill house bill propose really fundamental restructure program fund eric kim fitch director u.s. public finance tell reuters mix republican democratic governors criticize strongly oppose bill include connecticut governor dannel malloy colorado governor john hickenlooper ohio governor john kasich connecticut office policy management say report tuesday bill could cost state 2.9 billion per year 2026. report also say cap federal payments would force state include connecticut assume cost limit benefit decrease number people serve reduce rat providers virginia bill would cost state medicaid program least 1.4 billion seven years accord governor terry mcauliffe office would blow hole virginia budget mcauliffe say statement state medicaid spend increase senate bill report