Overview

• The House-passed budget bill includes ACA marketplace provisions that the CBO estimates would leave about 3 million more Americans uninsured.
• The measure would end automatic reenrollment for subsidy recipients and require them to proactively reapply and verify income each year.
• Republicans argue the changes will tighten fraud safeguards; health policy experts contend they disproportionately penalize legitimate enrollees.
• Patient advocacy groups warn the added requirements will create unprecedented barriers to coverage for low-income individuals and certain legal immigrants.
• Critics caution that letting enhanced ACA subsidies expire at the end of 2025 would compound premium hikes fueled by the proposed marketplace adjustments.