The claim is true because multiple reliable sources confirm that since the passage of the One Big Beautiful Bill Act in 2025, millions of Americans have lost ACA and Medicaid coverage, healthcare costs have significantly increased (with premiums more than doubling for many), and nearly 500 healthcare facilities have closed.
True
Since Trump and Republicans passed the One Big Beautiful Bill Act, the average cost of healthcare has doubled. 4.2 million Americans lost ACA coverage, 3.8 million Americans lost Medicaid coverage, and Nearly 500 hospitals, clinics, and nursing homes have closed.
RELEASE: One Year After Trump's One Big Beautiful Bill Act, Millions Have Lost Health Coverage and Food Assistance - Center for American Progress
Source: americanprogress.org
At a glance
Verified July 4, 2026Key Evidence
2 million lost ACA marketplace coverage due to premium tax credit expiration.
cbpp.orgcbpp.orgBy the Numbers: Harmful Republican Megabill Will Take Health Coverage Away From...
protectourcare.orgprotectourcare.orgFACT SHEET: One Year After Trump’s Big Ugly Bill Slashed Over a Trillion Dollars...
Over 3.8 million lost Medicaid/CHIP coverage.
ACA premiums increased by about 58%, with deductibles rising sharply.
americanprogress.orgamericanprogress.orgRELEASE: One Year After Trump's One Big Beautiful Bill Act, Millions Have Lost...
Nearly 500 healthcare facilities closed post-bill passage.
The reporting
What the Evidence Shows
The One Big Beautiful Bill Act (OBBBA), signed into law in July 2025, has had substantial negative impacts on healthcare coverage and costs in the United States. According to multiple independent and reputable sources:
Coverage Losses:
- Approximately 4.2 million Americans lost ACA marketplace coverage due to the expiration of enhanced premium tax credits.
- Over 3.8 million Americans lost Medicaid and CHIP coverage as a result of changes in the bill.
kff.orgkff.orgAbout 17 Million More People Could be Uninsured due to the Big Beautiful Bill...
- Estimates from the Congressional Budget Office and analyses by KFF project that these trends will lead to millions more uninsured by 2034.
Cost Increases:
- Average monthly ACA premiums increased by about 58% from 2025 to 2026, with deductibles rising by 37% to record highs.
- Some families saw premiums more than double due to the removal of tax credits that previously helped make coverage affordable.
Healthcare Facility Closures:
- Nearly 500 hospitals, clinics, and nursing homes have closed following the bill’s passage, exacerbating access issues.
These findings are consistent across multiple policy research organizations including the Center for American Progress, KFF, Protect Our Care, and the American Medical Association. While some projections vary slightly in scale or timing, the core facts about coverage losses, cost increases, and facility closures are well-supported.
Therefore, the input statement accurately reflects the documented consequences of the One Big Beautiful Bill Act as of mid-2026.
Primary trail
Verified Sources10
Open source