Millions Face Health Insurance Loss as Trump’s Policies Take Effect
Millions of Americans could lose their health insurance subsidies under the Affordable Care Act (ACA) as the 2021 American Rescue Plan subsidies are set to expire in 2025. Republicans have signaled they will not extend the subsidies, which have doubled enrollment in ACA plans, particularly in Southern states. If the subsidies aren’t extended, nearly 4 million people could lose their coverage by 2026, with further declines in enrollment in subsequent years. With a possible GOP sweep of Congress, significant changes to the ACA are anticipated, potentially including cuts to funding for outreach, Medicaid, and preventive services, although outright repeal of the law seems unlikely.