The Facts

Today, roughly 28 million Americans are uninsured, down from 41.3 million in 2013, due in large part to the Affordable Care Act. Its expansion of Medicaid, the creation of online health insurance marketplaces, the ability of young people to stay on their parents’ coverage through age 26, and its mandates that everyone purchase a health insurance plan mean that more Americans are insured.

If the Affordable Care Act is repealed…

  • The Non-Partisan Congressional Budget Office estimates that at minimum 18 million people will lose coverage (not including Medicaid beneficiaries).
  • The Urban Institute and the Robert Wood Johnson Foundation published a report projecting that 24 million additional people by 2021 would have lost coverage or be unable to find it.
  • The Committee for a Responsible Federal Budget, a group that seeks to lower the federal deficit, projected that the number would be 23 million.
  • A 2016 study by the Commonwealth Fund and the Rand Corp. determined that even the most successful replacement scenario would leave an additional 15.6 million uninsured, while the most pessimistic would lead to an additional 25.1 million uninsured Americans.
  • The Kaiser Family Foundation found that 52 million Americans could be at risk of being denied coverage in the future if the pre-existing conditions provision is repealed, though many are currently covered by employer health insurance.