A person out of frame holds a sign up that reads "The affordable care act. Lower costs, better care" in front of the U.S. Capitol -- health policy coverage from STAT

Enrollment in Affordable Care Act marketplace health plans has more than doubled since 2020, and most of that growth has been in states won by President Trump.

 

House Republicans’ legislative agenda could cut that by one-third and make the insurance more expensive.

 

 

Most of the attention on Republicans’ budget reconciliation bill in health care circles has been on projected enrollment losses in Medicaid, which provides coverage to nearly 80 million compared to about 24 million people with private Obamacare insurance.