Roughly 11.8 million adults and children will be at risk for losing health insurance if Republicans' domestic policy package becomes a law. The losses won't come all at once. The GOP's “ One Big, Beautiful Bill Act ” makes changes that will whittle away at enrollment through federal health care programs like Medicaid and

CMS said the move is expected to save American taxpayers up to $12 billion in 2026, by "combating the surge of improper enrollments in the Affordable Care Act (ACA) Exchanges." Concern has been raised by some that these new measures will push many Americans off their health coverage.

Advocates fear Trump's policies will dismantle Massachusetts' popular health program, risking coverage for 25% of enrollees.