June 5, 2025
House Speaker targets ACA through budget reconciliation process
Speaker Johnson promises "massive" ACA changes with full Republican control
š„Public HealthāCivil Rights
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Trump rescinded Biden executive orders on enrollment deadlines, eligibility requirements, and Medicaid subsidies on Jan. 20, 2025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
š„Public HealthāCivil Rights
Test Your Knowledge
10
Q1
House Speaker Mike Johnson said the ACA needs "massive reform" and would be on the GOP agenda.
Q2
How many people are currently enrolled in ACA marketplace and Medicaid expansion combined?
Q3
What percentage of Americans approve of the ACA according to recent polling?
Q4
How many Americans enrolled in ACA marketplace plans for 2025?
Q5
Trump could use executive authority to weaken the ACA even without congressional action.
5 more questions available
Upgrade to Premium to access all practice questions and unlock advanced quiz features.
Upgrade to PremiumThese questions are part of the House Speaker targets ACA through budget reconciliation process topic. Master this topic by completing the quiz or exploring each question in detail.
Ready to test your knowledge?
Take the full quiz to master this topic and track your progress.
Start QuizPeople, bills, and sources
Donald Trump
President of the United States
Mike Johnson
House Speaker
CMS (Centers for Medicare & Medicaid Services)
Federal Agency
Elizabeth Warren
U.S. Senator (D-MA)
Kathy Castor
U.S. Representative (D-FL)
Insurance Companies
ACA Marketplace Participants