House Speaker targets ACA through budget reconciliation process

ACA Navigator funding cut 90% from $98 million to $10 million annually in Feb. 2025

First-term Navigator cuts caused ACA enrollment to drop by over one million people

Trump rescinded Biden executive orders on enrollment deadlines, eligibility requirements, and Medicaid subsidies on Jan. 20, 2025

Estimated 3 million adults across nine states lost coverage due to state trigger laws tied to federal funding cuts

Enhanced ACA subsidies expired Dec. 2025 when Congress left without extending them

22 million Americans face premium increases from expired subsidies

Four Republicans joined Democrats to require a vote on ACA funds in 2026, but Senate Republicans declared the bill dead