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CBO: ACA Repeal Would Cost 24 Million Americans Health Insurance

Repeal of the Affordable Care Act (ACA) would result in 14 million people losing Medicaid coverage, according to a June 19 Congressional Budget Office (CBO) report. The CBO estimates that an additional 18 million people would drop their individual coverage, and only 8 million of these people would be eligible for employer-sponsored coverage. This would result in 24 million non-elderly U.S. residents becoming uninsured.

The CBO also found that if a full ACA repeal took effect on Jan. 1, 2016, the federal deficit would increase by $137 billion between 2016 and 2025. Full ACA repeal would cost the government largely through increased Medicare payment rates, elimination of the tax on high-premium insurance plans, and the tax-exempt nature of premiums for employer-based coverage. The government would recoup a portion of this loss through the repeal of health insurance marketplace subsidies.

Contact Zina Gontscharow, MPP, policy analyst, at or 202.585.0113 with questions.


About the Author

Matt Buechner is the policy and advocacy associate for America's Essential Hospitals.

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