Federal health care reform could save Maryland roughly $829 million in health care costs until 2020, but drive up costs thereafter — to the tune of $46 million in fiscal 2020 — as the federal government begins shifting more expensesonto states.

The state is expecting about 400,000 uninsured Marylanders to enroll for coverage by 2017, according to the report by Maryland’s Health Care Reform Coordinating Council.

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