A few months ago, Lawrence Lopardo’s No. 1 concern was uncertainty about the future, or lack thereof, of the Affordable Care Act.

Today, the top concern for Lopardo, executive vice president and general counsel at elder-care provider Avamere Health Services, is the future of Medicaid under the American Health Care Act, the U.S. House of Representatives’ version of an Obamacare repeal. Under the bill, passed by the House May 4, the future of Medicaid is a little bleak—or at least $880 billion less funded.