On July 4, 2025, Donald Trump and Republicans in Congress passed the largest cuts to health care in American history. They gutted over $1 trillion from Medicaid and the Affordable Care Act (ACA) — all to bankroll tax breaks for billionaires and big corporations. The result? A nation engulfed in a health care crisis that deepens every single day.
As the country’s 250th anniversary approaches, so does the one-year mark of these massive cuts. The results have been catastrophic: eight million people have already lost their health care, with nearly 15 million Americans set to lose health care coverage in the years to come. Premiums and out-of-pocket costs are skyrocketing, and insurance companies have pulled out of markets, reducing choices and leaving working families scrambling to find affordable coverage. Fewer than half of Americans now say they can afford health care, and over one in three is skipping meals or cutting back on essentials to afford their care. Meanwhile, more than 1,000 hospitals, clinics, nursing homes, and other critical providers are closing, cutting essential services, or are at risk of cuts or closure. From Alaska to Alabama to Maine, Americans are delaying care, skipping prescriptions, falling deeper into medical debt, because Republicans chose tax giveaways for the ultrawealthy over people’s health and financial security.
The Trump-GOP Premium Disaster, One Year In
- One Year Ago, Trump and Republicans Doubled, Tripled, and Even Quadrupled Premiums for Millions of Working Families. Instead of protecting working families, Trump and Republicans prioritized tax breaks for billionaires and big corporations — triggering premium hikes that are doubling, tripling, and even quadrupling costs. Each day of open enrollment, millions were forced to make gut-wrenching decisions about their futures. A Georgia mom closed her small business to afford her son’s insulin. A Texas retiree cut his budget down to the bare bones to afford his premium until he qualifies for Medicare. A Louisiana woman was forced to finish out her high-risk pregnancy without coverage at all.
- One Year Ago, Millions Were Priced Out of the Coverage They Needed and Now Have to Rely on Reduced Coverage That Won’t Cover Them When They Get Sick. Skyrocketing premiums have forced millions out of high-quality coverage and into bare-bones coverage with high deductibles and steep out-of-pocket costs. These bronze plans expose families to thousands in medical bills before coverage begins, leaving them vulnerable to debt if they face a serious illness or accident. In California, 73 percent of people who switched plans moved to such a plan. In Maine, bronze plan selections now compose 60 percent of plan selections. Idaho, New Jersey, and Rhode Island also reported an increase in bronze plan selections.
Over Eight Million Americans Lost Coverage In the Year Following Trump-GOP Health Care Cuts
- One Year Into Trump and Republicans’ Health Care Crisis, 8 Million Have Lost Coverage. One year after Donald Trump and Republicans in Congress made the largest health care cuts in history to bankroll tax breaks for billionaires and big corporations, eight million Americans and counting have lost their health care coverage — and it’s only going to get worse:
- 4.2 Million Have Lost ACA Coverage. Last November, premiums more than doubled for 22 million families because Trump and Republicans took away the tax credits that helped millions afford coverage, plunging the country into a health care affordability crisis. In early 2025, an estimated 23.4 million Americans bought affordable health insurance on their own through the ACA and had an active policy. The latest numbers released by the Trump administration show that just 19.2 million Americans have an active policy as of February 2026 — an estimated coverage loss of nearly 4.2 million.
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- Over 3.8 Million Have Lost Medicaid/CHIP. Republicans gutted around $1 trillion from Medicaid alone last July. In June 2025, 80.8 million Americans were enrolled in Medicaid and CHIP. According to the most recent enrollment numbers released by the Centers for Medicare and Medicaid Services and state agencies, 76.9 million Americans are now enrolled in Medicaid and CHIP — an estimated coverage loss of over 3.8 million Medicaid/CHIP enrollees.
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- …And It Gets Worse Every Day. Millions more will lose coverage once deeper cuts go into effect. The coverage loss we’re seeing now likely reflects skyrocketing premiums from GOP elimination of enhanced premium tax credits, the red tape created by the overturn of multiple rules that were designed to expand access to Medicaid and mitigate coverage loss from the unwinding of pandemic-era policies, and other eligibility restrictions that have already taken effect. Next year, coverage losses will accumulate even more from work requirements, redeterminations, and downstream effects of other cuts.
One Year After the GOP Health Care Cuts, Over 1,000 Hospitals, Clinics, and Nursing Homes Across the Country Face Disaster
- One Year Into Trump and Republicans’ Devastating Medicaid Cuts, Over 1,000 Providers Are Facing Disaster. Over 1,000 hospitals, clinics, and nursing homes have shut down, cut services, or are at risk of doing so after Trump and Republicans gutted over $1 trillion from Medicaid and the ACA. Medicaid accounts for one-fifth of spending on hospitals, one-fifth of hospital discharges, and at least one in five inpatient days in nearly every state. 92 percent of hospital leaders expect Medicaid cuts to have a significant financial impact, and shuttered facilities will only force Americans to travel further for maternity care and emergency rooms, face longer wait times, and pay more for their care. By the numbers:
- Over 400 hospitals are at risk of closure or cuts after the GOP health care cuts.
- 80+ hospital wards have already shuttered, from maternity wards to pediatric units after the GOP health care cuts.
- Over 360 clinics have been forced to close after the GOP health care cuts.
- More than 30 nursing homes have shuttered after the GOP health care cuts and hundreds more are at risk.
- Multiple hospitals have converted to standalone emergency departments after the GOP health care cuts.
- More than 15 hospitals have closed or announced closure after the GOP health care cuts.
- One Year Into GOP Medicaid Cuts, Moms, People with Disabilities, and Seniors Are Losing Providers. By gutting Medicaid, Republicans gutted the largest payor of maternal health, mental health, and nursing home care in the country. Now, expectant mothers, seniors, and children struggling with mental health are forced to pay the price as maternity wards, nursing homes, and treatment centers shutter. Nearly 40 maternity wards have shuttered after H.R. 1, and multiple inpatient psychiatric units, eating disorder clinics, substance use treatment facilities, and therapy centers have been forced to close.
One Year After the Trump-GOP Tax Giveaway, Big Drug Companies Are Richer Than Ever
- One Year Ago, Trump and Republicans Gave Big Pharma Massive Tax Breaks. Last year, Trump and Republicans used their massive health care cuts to pay for tax breaks benefiting big drug companies. The law lowered the corporate tax rate, padded drugmakers’ profits by an additional $15 billion with a special tax break, expanded the tax break through the IRS, then gave Big Pharma an additional $9 billion gift at the expense of seniors and taxpayers.
- One Year In, Big Drug Companies Are Richer Than Ever. Thanks to Trump’s tax giveaways to Big Pharma, Johnson and Johnson, AbbVie, Pfizer, Amgen, and Merck have paid $0 in federal taxes since 2018. In 2025, the 10 largest drugmakers netted over $130 billion, after spending over $80 billion showering their wealthy shareholders with stock buybacks and dividends. Ten of the largest drugmakers collectively pocketed $50 billion more in profits during Trump’s first year back in office on top-selling products that Trump specially carved out from Medicare drug price negotiation. Over the past year, big drug companies shave even raised prices by an average of 5.5% for 688 top prescription drugs.