New regulations under the ACA will have cost states and private business more than $27 billion once the law is fully implemented, according to a study by the American Action Forum. According to the study, private businesses will have spent $20 in new compliance costs, while state governments will have spent another $7.2 billion.

According to the study:

  • States will have spent $580 million and 21.2 million hours on paperwork to make changes to Medicaid eligibility;
  • Private employers will have spent $757 million and 2.6 million hours complying with new menu-labeling requirements; and
  • Five states will have spent at least $1 billion on regulatory compliance.