Report: Up to 10 Million Americans Lost Health Coverage Under Trump

Gaba’s analysis synthesizes enrollment data from Medicaid, the Children's Health Insurance Program (CHIP), Medicare, and the Affordable Care Act (ACA). The figures show a net loss of 5.9 million people from Medicaid and CHIP, alongside a drop of at least 4.5 million in ACA enrollment. While Medicare enrollment saw a modest uptick of 1.6 million, the overall trend points to a systemic contraction in public health security that Gaba attributes to policy shifts rather than employment gains.

With unemployment rising during the current term, the analyst argues that the displaced millions have not transitioned to employer-sponsored insurance. The situation is poised to worsen: the current estimates account for impacts occurring before the implementation of new Medicaid work requirements mandated by the 2025 budget law. Hospitals are already signaling distress, warning that proposed regulatory changes from the Centers for Medicare and Medicaid Services could force service reductions or facility closures, compounding the $900 billion in Medicaid spending cuts enacted through the 2025 legislative cycle.