This "reform" will be worse for Alaskans than Obamacare. 

"Subsidies will be erased and replaced with tax credits that don't take into account local costs. Under current law, a 45-year old with income of $22,000 could purchase benchmark health insurance coverage for $1,200 or less anywhere in the country. Under the House plan, he/she would pay at least $11,800 to purchase comparable coverage in Alaska."

"More than 27,000 Alaskans have been added to the Medicaid program in Alaska since eligibility was expanded in 2015. In mid-2016, more than 155,000 people in Alaska were covered by Medicaid and the Children's Health Insurance Program, known as CHIP, according to the state."

"The House plan would continue Medicaid coverage as is until 2019, after which point it would cost 2.8 to 5 times more to enroll new citizens, according to CBPP. States would bear that cost, or be forced to shrink the number of people covered by Medicaid."