An estimated 37,000 Louisiana jobs will be lost if Congress ends the Medicaid expansion program and premium tax credits linked to the federal Affordable Care Act, according to a new nonpartisan report. Repealing the health-care law would lead to a $639.7 million loss in state and local taxes; a $39.1 billion loss in business output; and a $21.5 billion hit to the gross state product, according to the report from the Milken Institute School of Public Health at George Washington University in Washington, D.C. and nonprofit Commonwealth Fund.