Notable Quotable: On Loss Of Health Insurance

A new marketing campaign is being promoted across the country encouraging people to call their Congressional leaders to support Trump's Big Beautiful Bill.

It's doubtful anyone has time to read the gargantuan bill, so they really have no idea what devils are in the details. One thing, however, is certain—many of the clueless callers will lose their health insurance.

Today's notable quotable is a heads up to all those who may pick up the phone in support of the bill.

The following letter by Phillip L. Swagel, Director of the Congressional Budget Office, was sent in response to a request by Congressional leaders who were seeking to understand how many Americans would lose their health insurance under the Republican's Big Beautiful Bill:

Re: Estimated Effects on the Number of Uninsured People in 2034 Resulting From Policies Incorporated Within CBO’s Baseline Projections and H.R. 1, the One Big Beautiful Bill Act

Dear Ranking Member Wyden, Ranking Member Pallone, and Ranking Member Neal:

You have asked the Congressional Budget Office to analyze how federal policy would change the number of people without health insurance. Specifically, you asked for changes resulting from:

• Two policies incorporated into CBO’s baseline budget projections under current law, and
• Several policies included in H.R. 1, the One Big Beautiful Bill Act, as passed by the House of Representatives on May 22, 2025.

The first policy to be discussed, included in CBO’s baseline, involves the expiration at the end of calendar year 2025 of the expanded structure of the premium tax credit. That expansion was initially authorized by the American Rescue Plan Act of 2021 and extended under the 2022 reconciliation act.

The second arises from a rule proposed in March 2025 by the Department of Health and Human Services (HHS) for the health insurance marketplaces established by the Affordable Care Act (ACA).

The policy changes included in title IV and title XI of H.R. 1 are related to Medicaid and the health insurance marketplaces.

CBO estimates that the combined effects of those policies—two under current law and the others under H.R. 1—would increase the number of people without health insurance by 16.0 million in 2034 (see Table 1). Of that number, about 5.1 million stems from policies incorporated into CBO’s baseline projections and 10.9 million from provisions that would be enacted under H.R. 1.

To continue reading the full letter with additional details, you may do so here.