From Urban Institute :: Research Update <[email protected]>
Subject More than 5 million people could lose Marketplace coverage
Date June 16, 2025 1:35 PM
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Urban Institute Update
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Reconciliation bill would cut Marketplace enrollment by over 5 million people
The reconciliation bill, recently passed by the House of Representatives, would reduce Marketplace enrollment by 5 million people, with most states losing one-third or more of their Marketplace enrollees. These declines would be on top of additional reductions in enrollment caused by expiring premium tax credit enhancements.


About 3.1 million people may not be eligible for coverage because of provisions advanced by the House Ways and Means Committee, and another 1.9 million could lose coverage because of provisions advanced by the House Energy and Commerce Committee.


The provisions would substantially reduce Marketplace enrollment in every state, potentially leading to insurer exits and additional disruptions.



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