"
The Congressional Budget Office (CBO) estimates that, taken together, these changes will result in
16 million more uninsured people in the year 2034 than would otherwise be the case, including:
- 7.8 million more uninsured resulting from Medicaid changes in the One Big Beautiful Bill Act (OBBBA)
- 3.1 million more uninsured from OBBBA provisions affecting the ACA Marketplaces
- 900 thousand more uninsured from codifying the recent Trump Administration proposed rule on the ACA Marketplaces. This accounts for only half the effect of the proposed rule; the remaining 900 thousand people becoming uninsured are included in the effects of ACA provisions in the reconciliation package.
- 4.2 million more uninsured with the expiration of the enhanced premium tax credits, relative to an estimate of a permanent extension of those credits
This would represent a significant increase in the uninsured rate in most
states, and it would come after years of
declining uninsured rates following implementation of the ACA."
How Will the One Big Beautiful Bill Act Affect the ACA, Medicaid, and the Uninsured Rate? | KFF
Lots more impacts at the link I am sure you won't care about either....