At the University of Michigan Acute Care Research Unit Kick-Off Meeting held on May 23, 2017, moderator Dr. Keith Kocher, MD MPH, and panelists Drs. John Z. Ayanian MD, MPP; Jeffrey S. Desmond, MD; Timothy A. Peterson, MD, MBA; and Caroline R. Richardson, MD discuss the potential impacts of Medicaid expansion repeal or reduction of benefits on acute care delivery.