Five Million Americans Lose Health Coverage Following GOP Cuts
Nearly five million Americans have lost health insurance coverage within a year of President Donald Trump signing the One Big Beautiful Bill Act into law. A new report from Protect Our Care labels the decline a direct consequence of massive Medicaid and CHIP budget slashes paired with expiring ACA tax credits.

The report, utilizing data from the Centers for Medicare and Medicaid Services, reveals that enrollment in Medicaid and CHIP plummeted from 80.8 million to 76.9 million over the last year. An additional 1.2 million people lost coverage as premium costs surged following the expiration of subsidies that previously lowered expenses for ACA marketplace consumers. According to KFF, families remaining on exchange plans face an average annual increase of $780, forcing many to pivot toward cheaper, less comprehensive insurance options.
Brad Woodhouse, president of Protect Our Care, characterized the current situation as a spiraling affordability crisis. He noted that the human impact extends beyond those who lost their insurance entirely, as millions more struggle to cover basic necessities like rent or groceries while attempting to maintain their health coverage.
Looking ahead, the Congressional Budget Office projects that the situation will deteriorate further. Upcoming work requirements for Medicaid recipients and stricter eligibility verification hurdles are expected to strip an additional 6 million people of coverage by 2034. In total, analysts estimate that the legislation will result in roughly 15 million Americans losing their insurance over the next decade. With healthcare costs emerging as a central voter concern, these figures present a political challenge for Republicans heading into the midterm elections, particularly as polling shows a significant majority of voters disapprove of the administration's handling of the sector.
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