The bill would lower federal spending tied to the ACA but primarily by removing coverage, protections, subsidies, and financial supports that currently protect millions of low-income people, patients with chronic conditions, young adults, hospitals, and small businesses.
Taxpayers could face lower federal spending obligations if ACA-related programs are ended, reducing federal outlays and (potentially) downward pressure on deficits.
Low-income people enrolled in marketplace plans could lose marketplace coverage and premium subsidies on Oct 1, 2025, causing millions to become uninsured or face much higher premiums.
Medicaid beneficiaries and low-income individuals could lose eligibility expansions and related protections, reducing access to care for millions who rely on Medicaid.
People with chronic conditions would lose statutory protections for preexisting conditions and guaranteed essential health benefits, increasing the risk of coverage denials and large out-of-pocket costs.
Based on analysis of 2 sections of legislative text.
Repeals the ACA and related reconciliation law effective Oct 1, 2025, restoring prior statutes as if those laws had never been enacted.
Introduced January 3, 2025 by Andrew S. Biggs · Last progress January 3, 2025
Repeals the Patient Protection and Affordable Care Act and the Health Care and Education Reconciliation Act of 2010, effective October 1, 2025, and restores prior statutes as if those laws had never been enacted. That repeal would end the ACA’s marketplaces, premium tax credits, Medicaid expansion, many consumer protections (including rules for preexisting conditions and essential health benefits), and other programmatic and tax changes created by those laws.