The B,BB is effectively ACA repeal
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Harvard Health Policy professor Adrianna McIntyre has the grim details:
The final estimated increase in the uninsured is 10.9 million (a little above the prior estimate)
[image or embed]— Adrianna McIntyre (@adrianna.bsky.social) June 4, 2025 at 7:02 AM
They don't break out the effects by provision, but 7.8 million people become uninsured because of policies related to Medicaid and the remainder would be related to changes in the ACA marketplaces.— Adrianna McIntyre (@adrianna.bsky.social) June 4, 2025 at 7:07 AM
Enhanced ACA subsidies are set to expire at the end of this year, which is further projected to increase the uninsured by 4.2 million people. So, on net, we're expecting the ranks of the uninsured to grow by 15 million over the next ten years, a >50% increase over the number uninsured today.— Adrianna McIntyre (@adrianna.bsky.social) June 4, 2025 at 7:11 AM
The ACA marketplace policies, which have gotten scant attention compared to Medicaid work requirements, also have much more immediate bite. Most of those provisions are effective *January 2026* and will particularly affect low-income people in red states that haven't expanded Medicaid.— Adrianna McIntyre (@adrianna.bsky.social) June 4, 2025 at 7:23 AM
The great Republican Populist hope, Josh Hawley, assures us that these cuts to Medicaid are not actually cuts to Medicaid:
Sen. Josh Hawley drills down on what he defines as a Medicaid “benefit cut” in the House bill: He tells me he takes issue with the provider tax and cost-sharing changes. BUT he’s fine with the work requirements and eligibility rules, the centerpiece of the legislation’s spending cuts.— Sahil Kapur (@sahilkapur.bsky.social) June 2, 2025 at 3:46 PM
To Hawley, if 50 million people lose their health insurance but the people who keep it get roughly the same level of benefits (at least until the next Republican trifecta), this doesn’t count as a “cut.” And, in fairness, nobody deserves to have their intelligence insulted more than people who thought that Trump and Hawley were going to protect Medicaid.