The fact about most of our health care spending

That means about one-third of Americans would see cost reductions for health insurance, up from about 40 percent between 1980 and 2010, it said. Most of the benefits would go to the low-income population, while the rest would go to the middle class, according to Sullust. That means about half the health care costs would go to people whose incomes make it a lot harder for them to access the kinds of coverage needed to pay for many of the essential benefits that Americans typically afford. Those costs would fall on people earning more than $40,000 in 2013, as well as people getting health insurance plans to cover some of the lowest costs. That's expected to grow by 3 percent over the next 20 years -- but still not in the fast-growing middle class, experts said, who face significant financial demands on how to pay for their plans. Many health providers have been looking into how to adjust their services to make up for the losses caused by the Affordable Care Act. But some have struggled to find a way to absorb the costs even as they are rising. But a new bipartisan report suggests a way of dealing with that issue could be a cost-cutting measure. Still, the proposal was not opposed by Republican leaders, who said it would save taxpayers money and increase the size of the federal government. For example, in some states, Medicaid reimbursements would expire in seven years, effectively allowing millions of people with pre-existing health conditions to continue paying into private money. But in the other eight states, insurers will pick up most of the losses in new money from newly-created Medicaid plans by 2019, while allowing state-level money to expand further through the individualized exchanges and expanding subsidies through the exchanges. Advertisement Continue reading the main story The plan, which was also praised by many Republicans and opposed by all but one GOP congressman, would slash funding for child and medical care, prevent federal aid for schools and reduce the deficit, it said in a statement. If the funding is no longer available, Medicaid-eligible recipients would find other ways to enroll and pay for other services.