January 1, 2034effective dateHealthcareEconomyFederal BudgetHealthcareEconomyFederal Budget
CBO projects peak coverage loss: 10 million more uninsured
Congressional Budget Office projects the cumulative peak of all OBBBA health coverage cuts: 10 million more Americans without insurance compared to the pre-OBBBA baseline. National debt projected to reach 124% of GDP, up from ~100% at time of passage. Total deficit increase: $3.4 trillion (2025–2034).