The October 15 post in Econ4Voters contained a chart from the Kaiser Family Foundation which showed how premiums will rise in 2026 for those who buy insurance in the Affordable Care Act marketplace. Rising premiums are only part of the impact of the OBBB. A much bigger impact are the total number of people who will be uninsured as a result of the OBBB.
Fortunately, the Kaiser family foundation also provides a chart breaking down the different categories of our fellow Americans who would be uninsured if the provisions of the OBBB take effect in 2026. As the chart shows, the total number projected to be uninsured by 2034 is 16 million people. SIXTEEN MILLION. The chart breaks this number into A. those who would be uninsured due to changes in Medicaid eligibility requirements); B. changes in the way people can sign up for insurance under the ACA marketplace; and, C. expiration of the enhanced premium tax credits relative to a permanent extension of those credits.


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