How Will the 2025 Reconciliation Bill Affect the Uninsured Rate in Each State? Allocating CBO’s Estimates of Coverage Loss June 6, 2025 Issue Brief House Republicans have passed a reconciliation package (the “One Big Beautiful Bill Act”) that would make significant changes to Medicaid and the Affordable Care Act (ACA) Marketplaces and increase the number of people without health insurance by an estimated 10.9 million. This analysis estimates state-level increases in the number of uninsured people due to this legislation, along with other changes to the Marketplace, including the expiration of the enhanced premium tax credits.
Fraud in Marketplace Enrollment and Eligibility: Five Things to Know June 30, 2025 Issue Brief This brief evaluates what is currently known about fraud and abuse in the Affordable Car Act (ACA) Marketplace, including how the final Marketplace Integrity and Affordability Rule and proposed budget reconciliation legislation would change existing Marketplace enrollment and eligibility standards.
