The consequences of Republican health care cuts are growing more severe by the day. After slashing more than $1 trillion from Medicaid and the Affordable Care Act and ripping away health care tax credits that helped families afford coverage, Republicans created a health care affordability crisis that is rippling through communities nationwide. Millions have already lost the coverage they relied on, and families are facing higher premiums, higher out-of-pocket costs, and growing uncertainty about their care. The latest reporting from across the country shows the damage is mounting. Enrollment is falling across the country, insurers are proposing another double-digit premium increase, and rural communities are facing some of the steepest consequences.
Recent National Coverage
The Daily Yonder: The Data Is Out on GOP Budget Bill: Rural Americans Are Losing Health Insurance Coverage
PBS: Affordable Care Act Enrollment Shrank Dramatically in Many States Over the Past Year, New Federal Data Shows
KFF Health News: They Harvest the Nation’s Food, but a New Rule May Strip Them of Health Insurance
The Contrarian: The Quiet Unraveling of Health Insurance Coverage in America
The Conversation: 2.6 Million Americans Lost Health Insurance in 2025 After ACA Subsidies Expired, Leading to Real Health Consequences
InkFreeNews: Proposed ACA Marketplace Premium Hikes For 2027 Deepen Affordability Concerns
Arizona
KJZZ: Data: Arizona Had One of the Largest Drops in ACA Enrollment in Early 2026
Colorado
Kiowa County Press: Data: 3 Million People Lost Health Insurance in Colorado, U.S.
Connecticut
CT Mirror: ACA Coverage Losses Surge in Connecticut After Subsidy Expiration
Florida
Axios: Florida Sees 440,000 Drop in ACA Enrollees After Subsidies Expire
WFTV: Your Health Insurance Costs Could Spike Next Year
Illinois
Chicago Tribune: Health Insurers Propose Double-Digit-Percentage Price Increases for Illinois Exchange Plans
Iowa
Des Moines Register: Iowans Will Likely See ACA Health Insurance Premiums Rise Again
Kentucky
WPSD: Affordable Care Act Rates Rate Hikes Could Strain Kentucky Families, WKAS Warns
Michigan
Bridge Michigan: Michigan Affordable Care Act Marketplace Enrollment Slumps Amid Rising Costs
Minnesota
Bring Me the News: MNsure Enrollment Drops 12% Amid End of Federal Tax Credits
Albert Lea Tribune: Soaring Costs and End of Tax Credit Leads 17,000 Minnesotans to Drop MNsure Health Coverage
Twin Cities Business: In One Year, 17,000 Minnesotans Left the Affordable Care Act Marketplace
Missouri
STLPR: Obamacare Marketplace Enrollment Shows Steep Drop in Missouri, Following National Trend
Nevada
Nevada Independent: Nevada Sees Drop in Health Insurance Marketplace Enrollment as Subsidies Lapse
Ohio
Cleveland.com: Ohio Led the Nation in Dropping ACA Coverage — Will It Cost Republicans at the Ballot Box
Shine My Crown: ‘They’re Not Just Numbers. They’re People’: Shontel Brown Says 161,000 Ohioans Lost Health Coverage After ACA Cuts
Columbus Underground: Ohio Ranked #1 for Largest Drop in Affordable Care Enrollment
Ohio Capital Journal: Ohio Saw the Largest Drop in Enrollment After Trump/Republican Affordable Care Act Cuts
Axios: Ohio Tops the Nation in ACA Enrollment Drop
Pennsylvania
TribLive: Affordable Care Act Premiums May Be Headed for Spike in Pa. — Again
Texas
The Black Chronicle: Texas Experiences 4% Drop In Affordable Care Act Enrollment
Texas Tribune: Texas’ ACA Enrollment Shrinks by 4% After Tax Credit Expiration, New Federal Data Shows