Map of States Where Most People Could Lose Health Care Under Medicaid Shift
Summary
Changes made by President Donald Trump's 2025 tax and spending law will cause millions of Americans to lose health insurance over the next decade. The law changes Medicaid rules, including new work requirements starting in 2027 and restrictions for some immigrants, leading to an estimated 10 million more uninsured people by 2034.Key Facts
- The Congressional Budget Office predicts 7.5 million more uninsured Americans by 2034 due to Medicaid changes.
- When other changes to the Affordable Care Act (ACA) marketplace are included, the total increase in uninsured people is projected to be 10 million.
- New Medicaid work and community engagement requirements will start on January 1, 2027.
- Some legally present immigrants will lose Medicaid coverage starting October 1, 2024.
- States will have limits on how they can fund healthcare providers through taxes and payments.
- California is expected to see the largest increase of uninsured residents, with 1.6 million more people without insurance by 2034.
- Other states most affected include New York, Florida, Texas, and Illinois.
- The uninsured rate could increase by at least 3 percentage points in 20 states and Washington, D.C.
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