According to a new report, the crisis is “only going to get worse.”
US President Donald Trump bangs a gavel after signing the One Big Beautiful Bill Act at the White House in Washington, DC, on July 4, 2025.
(Photo by Brendan Smialowski/Pool/AFP)
Stephen Prager
Jun 23, 2026
COMMON DREAMS
Not even a year after President Donald Trump signed the largest healthcare cuts in US history into law, around five million Americans have lost insurance coverage, according to a report out Monday from Protect Our Care, which predicted that the crisis was “only going to get worse.”
The massive budget and tax legislation passed by Republicans last July, known as the One Big Beautiful Bill Act, slashed nearly $1 trillion from Medicaid and the Children’s Health Insurance Program (CHIP) over the next decade while introducing tax breaks that are expected to hand an additional $1 trillion to the richest 1% of Americans.
“Five million and counting. That’s the human toll of the spiraling Republican healthcare affordability crisis,” said Protect Our Care president Brad Woodhouse. “Just one year after Trump and congressional Republicans made the largest cuts to healthcare in history to fund tax breaks for billionaires and big corporations on Wall Street, millions have lost the care they depended on to stay alive and healthy.”
Citing the most recent data from the Centers for Medicare and Medicaid Services (CMS) and state agencies, the report found that the number of Americans enrolled in Medicaid and CHIP had fallen to just 76.9 million, down from 80.8 million a year before—a decline of more than 3.8 million people.
Another 1.2 million are also estimated to have lost coverage due to the massive spike in premiums after Republicans voted not to renew tax credits for consumers under the Affordable Care Act (ACA) that lowered costs for Americans who purchased coverage through ACA marketplaces.
During open enrollment in 2025, 24.3 million Americans selected insurance plans through the ACA. This year, as the average premium was projected to more than double on average, the number of Americans enrolled through the ACA fell to just 23.1 million—a drop of nearly 1.2 million.
The millions of other families still enrolled in insurance through the ACA exchanges saw an average increase of $780, and according to KFF, it’s only been that low because many families have opted to switch to cheaper, less comprehensive plans.
The loss of insurance coverage “is only a small piece of the puzzle,” Woodhouse said.
“Millions more are making impossible choices every day to keep their coverage, including skipping rent or cutting back on groceries so they can see a doctor,” he said. “Their pain and suffering are incalculable.”
The report said the coverage losses over the first year are “just the beginning” and that “millions more will lose coverage once deeper cuts go into effect.”
The full slate of changes to Medicaid from the GOP bill has not yet been enacted. Next year, many adult recipients will be required to submit proof that they are doing at least 80 hours of work or other qualifying activity each month in order to maintain benefits, which the nonpartisan Congressional Budget Office (CBO) estimated could increase the uninsured population by 5.3 million by 2034.
Another paperwork hurdle, the requirement that certain Medicaid expansion enrollees prove their eligibility every six months, is expected to result in another 700,000 people becoming uninsured by 2034.
In total, CBO analyses estimate that over the next decade, roughly 15 million Americans would lose their insurance coverage as a result of the legislation.
“These are our neighbors, our friends, our loved ones. These are small business owners and farmers. These are seniors. Veterans. Moms,” Woodhouse said. “These are millions of working people now scrambling to find insulin pumps, taking thousands out of retirement just to see a doctor for that cough that’s not getting better, or, worse, not getting care at all.”
With healthcare costs now a top concern among voters—66% of whom said they were worried about affording it, according to a KFF poll in January—cuts to healthcare spending appear to be a glaring liability for Republicans entering the midterm elections.
Another KFF poll from April found that 37% of voters said they trusted Democrats to address healthcare costs, while just 26% said they trusted Republicans. Meanwhile, 67% of voters said they disapproved of the Trump administration’s handling of healthcare costs.
“Every single day, the affordability crisis mounts, and more Americans will find themselves joining the five million struggling to keep up with skyrocketing healthcare costs,” Woodhouse said. “The American people won’t forget this betrayal in November.”
Democrats have seized on Monday’s report as part of their election pitch, including Rep. Greg Landsman, who faces a competitive reelection fight in Ohio’s 1st Congressional District.
He wrote on social media Tuesday that Republicans “cut healthcare by nearly a trillion to pay for tax cuts for the super wealthy... five million people no longer have healthcare.”
“The healthcare crisis in America is dominating the lives of millions, and will soon dominate all of our lives,” he said. “We need a new Congress to restore people’s healthcare and to end this crisis. There is no other way.”
While Kicking Millions Off Healthcare, GOP Holds ‘Sham Hearing’ on Medicaid Fraud
“If Republicans are really interested in looking into waste, fraud, and abuse, they should look no further than the actions of Trump and his administration.”
Workers protest Republican Medicaid cuts near the US Capitol building on June 23, 2025 in Washington, DC.
(Photo by Joe Raedle/Getty Images)
Jake Johnson
Jun 25, 2026
COMMON DREAMS
Congressional Democrats and healthcare justice advocates on Thursday accused Republicans of trying to divert attention away from their destructive cuts to Medicaid—and the resulting large-scale loss of insurance coverage—by convening a hearing on purportedly “rampant” fraud in the program that provides care to tens of millions of low-income Americans.
Rep. Frank Pallone Jr. (D-NJ), the top Democrat on the House Energy and Commerce Committee, noted in his scathing opening remarks at the hearing that Republicans have “repeatedly insisted” they are only interested in fighting fraud and abuse of taxpayer dollars, even as their unprecedented Medicaid cuts strip healthcare from millions of people across the US, including many children.
“You cannot cut healthcare by $1 trillion and not impact millions of people’s healthcare,” said Pallone, pointing to a report published earlier this week estimating that more than 5 million Americans have lost health insurance since President Donald Trump signed the GOP’s massive budget package into law last summer.
“If Republicans are really interested in looking into waste, fraud, and abuse, they should look no further than the actions of Trump and his administration,” Pallone continued, pointing to the illegal and costly war of choice in Iran as just one example. “Playing politics with Americans’ healthcare is cruel and dangerous. Unfortunately, that is what we are repeatedly seeing from Republicans here in Washington.”
The advocacy group Protect Our Care decried the GOP’s “sham hearing” and said Republicans are “pointing fingers at everyone but themselves.”
“Let’s be clear about who the real fraudsters are: not the senior rationing insulin, not the mom skipping the emergency room, and not the family choosing between groceries and seeing a doctor,” said Brad Woodhouse, the group’s president. “It’s Republicans ripping away healthcare from millions with one hand and signing tax breaks to billionaires and big corporations with the other.”
“They’ve decided that if they simply say they’re eliminating fraud in Medicaid, then they can get away with eliminating Medicaid. They are wrong.”
Thursday’s hearing featured testimony from the state Medicaid directors of California, Minnesota, New York, and Ohio, each of whom said they are committed to fighting fraud in their systems. Experts say most Medicaid fraud is committed by providers, not ordinary patients bilking the program.
In recent months, the Trump administration has launched investigations into the Medicaid programs of several states, including California, Minnesota, and New York—probes that officials in those Democratic-controlled states say are politically motivated and based on exaggerated claims of fraud.
In April, the Centers for Medicare & Medicaid Services—led by Mehmet Oz—admitted that it grossly overstated the number of New Yorkers who received personal care services under the state’s Medicaid program last year.
“Oz claimed that New York’s Medicaid program last year provided some 5 million people with personal care services, which assist people in need with basic activities like bathing, grooming, and meal preparation. That would add up to nearly three-fourths of the state’s 6.8 million Medicaid enrollees,” The Associated Press reported. “The real number of New Yorkers who used those services last year was about 450,000, or between 6% and 7% of total enrollees, CMS spokesman Chris Krepich told the AP.”
Republicans have repeatedly cited “waste, fraud, and abuse” as reasons to target and slash federal Medicaid spending. But according to one analysis, just seven of the 24 Medicaid provisions in the 2025 Republican budget law specifically target waste, fraud, and abuse in the program. Overall, the GOP law will cut federal Medicaid spending by roughly $900 billion over the next decade.
In the coming months, Republicans are expected to pursue another budget reconciliation package that they say would crack down on “fraud” in Medicaid—a seeming admission that the 2025 budget law didn’t accomplish the GOP’s stated objective.
“As Republicans try to figure out a way to pay for President Trump’s reckless war of choice with Iran through another partisan reconciliation bill, they are reportedly considering even more cuts to Medicaid,” Pallone said Thursday. “More than 70 million Americans who are disabled or chronically ill, elderly, or children rely on Medicaid for their healthcare.”
“The Trump administration and Republicans in Congress continue to find ways to endanger or take away that care,” Pallone added. “They’ve decided that if they simply say they’re eliminating fraud in Medicaid, then they can get away with eliminating Medicaid. They are wrong.”
“If Republicans are really interested in looking into waste, fraud, and abuse, they should look no further than the actions of Trump and his administration.”
Workers protest Republican Medicaid cuts near the US Capitol building on June 23, 2025 in Washington, DC.
(Photo by Joe Raedle/Getty Images)
Jake Johnson
Jun 25, 2026
COMMON DREAMS
Congressional Democrats and healthcare justice advocates on Thursday accused Republicans of trying to divert attention away from their destructive cuts to Medicaid—and the resulting large-scale loss of insurance coverage—by convening a hearing on purportedly “rampant” fraud in the program that provides care to tens of millions of low-income Americans.
Rep. Frank Pallone Jr. (D-NJ), the top Democrat on the House Energy and Commerce Committee, noted in his scathing opening remarks at the hearing that Republicans have “repeatedly insisted” they are only interested in fighting fraud and abuse of taxpayer dollars, even as their unprecedented Medicaid cuts strip healthcare from millions of people across the US, including many children.
“You cannot cut healthcare by $1 trillion and not impact millions of people’s healthcare,” said Pallone, pointing to a report published earlier this week estimating that more than 5 million Americans have lost health insurance since President Donald Trump signed the GOP’s massive budget package into law last summer.
“If Republicans are really interested in looking into waste, fraud, and abuse, they should look no further than the actions of Trump and his administration,” Pallone continued, pointing to the illegal and costly war of choice in Iran as just one example. “Playing politics with Americans’ healthcare is cruel and dangerous. Unfortunately, that is what we are repeatedly seeing from Republicans here in Washington.”
The advocacy group Protect Our Care decried the GOP’s “sham hearing” and said Republicans are “pointing fingers at everyone but themselves.”
“Let’s be clear about who the real fraudsters are: not the senior rationing insulin, not the mom skipping the emergency room, and not the family choosing between groceries and seeing a doctor,” said Brad Woodhouse, the group’s president. “It’s Republicans ripping away healthcare from millions with one hand and signing tax breaks to billionaires and big corporations with the other.”
“They’ve decided that if they simply say they’re eliminating fraud in Medicaid, then they can get away with eliminating Medicaid. They are wrong.”
Thursday’s hearing featured testimony from the state Medicaid directors of California, Minnesota, New York, and Ohio, each of whom said they are committed to fighting fraud in their systems. Experts say most Medicaid fraud is committed by providers, not ordinary patients bilking the program.
In recent months, the Trump administration has launched investigations into the Medicaid programs of several states, including California, Minnesota, and New York—probes that officials in those Democratic-controlled states say are politically motivated and based on exaggerated claims of fraud.
In April, the Centers for Medicare & Medicaid Services—led by Mehmet Oz—admitted that it grossly overstated the number of New Yorkers who received personal care services under the state’s Medicaid program last year.
“Oz claimed that New York’s Medicaid program last year provided some 5 million people with personal care services, which assist people in need with basic activities like bathing, grooming, and meal preparation. That would add up to nearly three-fourths of the state’s 6.8 million Medicaid enrollees,” The Associated Press reported. “The real number of New Yorkers who used those services last year was about 450,000, or between 6% and 7% of total enrollees, CMS spokesman Chris Krepich told the AP.”
Republicans have repeatedly cited “waste, fraud, and abuse” as reasons to target and slash federal Medicaid spending. But according to one analysis, just seven of the 24 Medicaid provisions in the 2025 Republican budget law specifically target waste, fraud, and abuse in the program. Overall, the GOP law will cut federal Medicaid spending by roughly $900 billion over the next decade.
In the coming months, Republicans are expected to pursue another budget reconciliation package that they say would crack down on “fraud” in Medicaid—a seeming admission that the 2025 budget law didn’t accomplish the GOP’s stated objective.
“As Republicans try to figure out a way to pay for President Trump’s reckless war of choice with Iran through another partisan reconciliation bill, they are reportedly considering even more cuts to Medicaid,” Pallone said Thursday. “More than 70 million Americans who are disabled or chronically ill, elderly, or children rely on Medicaid for their healthcare.”
“The Trump administration and Republicans in Congress continue to find ways to endanger or take away that care,” Pallone added. “They’ve decided that if they simply say they’re eliminating fraud in Medicaid, then they can get away with eliminating Medicaid. They are wrong.”
No comments:
Post a Comment