According to a report prepared by the Urban Institute for the Kaiser Family Foundation's Commission on Medicaid and the Uninsured, the House Republican Medicaid block grant plan would cut $1.7 trillion from the program and jeopardize health coverage for more than 30 million people, 17 million because of the ACA repeal and more than 14 million from the lower spending on block grants, by 2022. The authors state, "There would be a reduction in federal spending of $932 billion over the 2013 to 2022 period because of the repeal of the Affordable Care Act and another $810 billion due to the block grant. Together, these cuts represent 38% total reduction in federal spending relative to the baseline spending assuming full implementation of the ACA. By 2022, total reductions total 47%."