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One Big Beautiful Bill Not (Yet) Driving ACA, Medicaid Declines

Experts say most coverage losses stem from expiring subsidies and higher premiums, while major Medicaid changes in the law have not yet begun.

Summary by Fact Check
Multiple Democratic lawmakers have claimed that 8 million Americans have lost healthcare coverage as a result of the Trump-backed budget reconciliation bill that passed a year ago, known as the One Big Beautiful Bill Act. But experts told us the enrollment declines seen to date are largely due to other factors — including other Trump administration policies. Enrollment in Medicaid and the Affordable Care Act marketplace has indeed declined by ab…

7 Articles

More than a year ago Donald Trump introduced his One Big Beautiful Bill. Since then, millions of Americans have lost their health insurance due to this and other laws of the Republicans. According to a recent report by the organization Protect Our Care, the number of insured persons at Medicaid and in the CHIP Children's Health Insurance Program has fallen by almost four million since July 2025. Last month, data from the Ministry of Health and S…

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DCCC broke the news on Wednesday, July 29, 2026.
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