For Subscribers How Trump’s megabill may be affecting you right now

Nearly a year and a half after President Donald Trump signed his tax-and-spending law in July 2025, its effects on health coverage are becoming visible, and more are coming. Republicans promote the tax breaks on tips and overtime, but the law pays for its cuts by shrinking safety-net programs, so fewer people receive help with food or insurance. The administration frequently points to fraud, often without evidence, to justify curbs, according to CNN.

On the Affordable Care Act exchanges, Congress let the enhanced subsidies lapse at the end of last year, and premium payments climbed 58% for 2026. Federal data show February enrollment of 19. 2 million, down 2. 6 million and the first drop in seven years. Eighteen states tracked by the State Marketplace Network saw an 8. 5% decline by May. Mississippi's insurance commissioner told CNN that only 126,000 residents held plans in August, 63% fewer than before. Looking ahead, KFF says carriers want rate increases with a median near 15% for 2027.

The law also makes the deepest Medicaid reductions in the program's 66 years. The Congressional Budget Office projects more than $1 trillion in cuts and 7. 5 million additional uninsured people over ten years.

Summarized by PolitiKool from CNN’s reporting. Read the full story at CNN →