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Trump rescinded Biden executive orders on enrollment deadlines, eligibility requirements, and Medicaid subsidies on Jan. 20, 2025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
What did Trump call the ACA during his November 2023 Truth Social post?
Q2
What phrase did Trump use during his 2024 debate with Harris to describe his healthcare plan?
Q3
How many people with preexisting conditions does the ACA protect from discrimination?
Q4
How many people are currently enrolled in ACA marketplace and Medicaid expansion combined?
Q5
How many Americans enrolled in ACA marketplace plans for 2025?
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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