When the bill passed the Senate, the CBO estimated it would leave about 11.8 million Americans without health insurance through 2034. The law signed by Trump won't cut as deep because it excluded a provision that would've penalized states extending Medicaid to undocumented residents.
Still, nearly 5 million could lose coverage if Congress doesn't extend the expiring COVID-19 pandemic-era tax credits that have made Affordable Care Act plans more affordable for consumers, according to earlier CBO estimates.
Consumers who use those pandemic-era tax credits will see the amount they need to pay spike an average of more than 75%, according to KFF, a health policy nonprofit.
The combination of the tax law, expiring tax credits and overall rising medical costs will make insurance premiums more expensive for everyone. Insurers plan a median premium increase of 18% for 2026 plans, which would be the largest ACA insurance price hike since 2018, according to a Peterson-KFF Health System Tracker Give Feedback USA TODAY Print Editions Internships Support Local Business