More than 10 million people are projected to lose health insurance because of the 2025 Republican reconciliation law and related health-policy changes.

The claim is supported within its stated scope and timeframe. The Center on Budget and Policy Priorities reports that the Congressional Budget Office projects roughly 15 million people will lose health coverage and become uninsured by 2034 because of the 2025 reconciliation law, the expiration of enhanced premium tax credits, and related ACA marketplace rules. That exceeds the claim’s threshold of 10 million.cbpp.orgcbpp.orgHealth Coverage Tracker: Millions of People Are Losing Coverage Following 2025... Earlier analysis also supports the scale of the projection. In August 2025, CBPP summarized a CBO estimate that about 10 million people would become uninsured because of Medicaid and ACA marketplace reductions in the reconciliation law, including interacting provisions. A June 2025 analysis concerned the House-passed version of the bill, so the later estimate addressing the enacted law and related policy changes is the more relevant evidence for the claim as written.cbpp.orgcbpp.orgBy the Numbers: House Bill Takes Health Coverage Away From Millions of People...+1 more

The Georgetown Center for Children and Families separately reported a CBO estimate that one related policy change would cause 4.2 million enrollees to become uninsured over 10 years, adding to losses from other provisions. This figure should not simply be added to the broader 15 million estimate because the estimates may overlap, but it corroborates that the policy changes outside the reconciliation law were part of the projected coverage impact. The remaining sources do not directly evaluate the claim. The Federal Reserve and BLS materials concern general health-care spending, employment, or historical projections, while the BEA page describes health-care economic data. A Federal Reserve discussion paper mentions earlier coverage-loss projections after the end of the COVID-19 public health emergency, but that is a separate policy issue and does not establish the effect of the 2025 law.federalreserve.govfederalreserve.govChallenges for Health-Care Reformbls.govbls.govHealth Care and Social Assistance: NAICS 62 : U.S. Bureau of Labor Statistics+4 more

The bottom line is that the claim accurately describes a CBO-based projection exceeding 10 million people, provided that “because of” refers to the reconciliation law and the related ACA policy changes together, and that the projection is understood as a cumulative estimate through 2034 rather than a count of people who have already lost insurance.