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Protestors gather outside the offices of Sen. Joni Ernst (R-Iowa) and Rep. Mariannette Miller-Meeks (R-Iowa) to voice their healthcare concerns on November 5, 2025, in Davenport, Iowa.
(Photo by Matthew Holst/Getty Images)
Refuting Trump Claims of Fraud, Analysis Shows Millions Dropped Health Insurance Due to GOP Cuts
"They didn’t cheat their way in. They simply can’t afford to stay in the program."
Jul 07, 2026
President Donald Trump's administration has tried spinning government data showing millions of people have dropped their health insurance coverage under the Affordable Care Act by claiming these people were defrauding the program.
However, an analysis published Tuesday by Public Citizen refutes this claim, finding that most people who lost their ACA coverage did so because they could not afford to keep it after congressional Republicans let enhanced health insurance subsidies expire last year.
Data released last month showed that nationwide ACA enrollment fell from 22.3 million people in 2025 to just 17.5 million in 2026, a drop of nearly five million people over the span of just a year.
US Health and Human Services Director Robert F. Kennedy Jr. and Centers for Medicare and Medicaid Services Administrator Mehmet Oz have both said this drop is due to the administration's efforts to root out fraud, with Oz even saying that current enrollment in the program is at "too high of a number."
The Public Citizen report, however, finds that "the decline in... enrollment this year has nothing to do with removing deceitful enrollees," as what "the numbers show is that American families are being priced out of coverage."
According to Public Citizen's analysis, the best way for a fraudster to game the system created by the ACA would be to falsely claim to have an income right around the poverty line, which would ensure the fraudulent enrollee would get a higher subsidy to purchase coverage.
In other words, if the administration were really pursuing fraud on a mass scale, it would likely mean a drop in enrollees who are claiming incomes near the poverty line.
"But that’s not what is happening," the report explains. "The people losing coverage are concentrated at incomes well above the poverty line. They are low- and middle-income families whose premiums doubled after subsidies were cut. They didn’t cheat their way in. They simply can’t afford to stay in the program."
In fact, the report finds that enrollment is actually growing among people who claim income right at the poverty line, which could suggest there is more prospective fraud in the program than before.
However, the report authors do not think that this increase is due to fraud, but rather to "people living just below the poverty line in states that refused to expand Medicaid" and whose income is not low enough to qualify for Medicaid, but too high to qualify for ACA subsidies.
"To escape the coverage gap, some have reported incomes just above the poverty line," states the report, "enough to be eligible for the ACA marketplace."
The ACA isn't the only federal healthcare program under pressure from Trump administration and GOP policies, as cuts to Medicaid included in Republicans' 2025 budget law are projected by the Congressional Budget Office to leave more than 10 million fewer people enrolled in the program by 2034.
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President Donald Trump's administration has tried spinning government data showing millions of people have dropped their health insurance coverage under the Affordable Care Act by claiming these people were defrauding the program.
However, an analysis published Tuesday by Public Citizen refutes this claim, finding that most people who lost their ACA coverage did so because they could not afford to keep it after congressional Republicans let enhanced health insurance subsidies expire last year.
Data released last month showed that nationwide ACA enrollment fell from 22.3 million people in 2025 to just 17.5 million in 2026, a drop of nearly five million people over the span of just a year.
US Health and Human Services Director Robert F. Kennedy Jr. and Centers for Medicare and Medicaid Services Administrator Mehmet Oz have both said this drop is due to the administration's efforts to root out fraud, with Oz even saying that current enrollment in the program is at "too high of a number."
The Public Citizen report, however, finds that "the decline in... enrollment this year has nothing to do with removing deceitful enrollees," as what "the numbers show is that American families are being priced out of coverage."
According to Public Citizen's analysis, the best way for a fraudster to game the system created by the ACA would be to falsely claim to have an income right around the poverty line, which would ensure the fraudulent enrollee would get a higher subsidy to purchase coverage.
In other words, if the administration were really pursuing fraud on a mass scale, it would likely mean a drop in enrollees who are claiming incomes near the poverty line.
"But that’s not what is happening," the report explains. "The people losing coverage are concentrated at incomes well above the poverty line. They are low- and middle-income families whose premiums doubled after subsidies were cut. They didn’t cheat their way in. They simply can’t afford to stay in the program."
In fact, the report finds that enrollment is actually growing among people who claim income right at the poverty line, which could suggest there is more prospective fraud in the program than before.
However, the report authors do not think that this increase is due to fraud, but rather to "people living just below the poverty line in states that refused to expand Medicaid" and whose income is not low enough to qualify for Medicaid, but too high to qualify for ACA subsidies.
"To escape the coverage gap, some have reported incomes just above the poverty line," states the report, "enough to be eligible for the ACA marketplace."
The ACA isn't the only federal healthcare program under pressure from Trump administration and GOP policies, as cuts to Medicaid included in Republicans' 2025 budget law are projected by the Congressional Budget Office to leave more than 10 million fewer people enrolled in the program by 2034.
From Your Site Articles
- Yet More 'Shameful' Evidence Trump Is Actively Sabotaging Obamacare ›
- Court Blocks 'Illegal' Trump Rule That Created Barriers to Affordable Care Act Coverage ›
- 'Republicans Created This Crisis on Purpose': Federal Data Shows ACA Enrollment Plunging ›
Related Articles Around the Web
President Donald Trump's administration has tried spinning government data showing millions of people have dropped their health insurance coverage under the Affordable Care Act by claiming these people were defrauding the program.
However, an analysis published Tuesday by Public Citizen refutes this claim, finding that most people who lost their ACA coverage did so because they could not afford to keep it after congressional Republicans let enhanced health insurance subsidies expire last year.
Data released last month showed that nationwide ACA enrollment fell from 22.3 million people in 2025 to just 17.5 million in 2026, a drop of nearly five million people over the span of just a year.
US Health and Human Services Director Robert F. Kennedy Jr. and Centers for Medicare and Medicaid Services Administrator Mehmet Oz have both said this drop is due to the administration's efforts to root out fraud, with Oz even saying that current enrollment in the program is at "too high of a number."
The Public Citizen report, however, finds that "the decline in... enrollment this year has nothing to do with removing deceitful enrollees," as what "the numbers show is that American families are being priced out of coverage."
According to Public Citizen's analysis, the best way for a fraudster to game the system created by the ACA would be to falsely claim to have an income right around the poverty line, which would ensure the fraudulent enrollee would get a higher subsidy to purchase coverage.
In other words, if the administration were really pursuing fraud on a mass scale, it would likely mean a drop in enrollees who are claiming incomes near the poverty line.
"But that’s not what is happening," the report explains. "The people losing coverage are concentrated at incomes well above the poverty line. They are low- and middle-income families whose premiums doubled after subsidies were cut. They didn’t cheat their way in. They simply can’t afford to stay in the program."
In fact, the report finds that enrollment is actually growing among people who claim income right at the poverty line, which could suggest there is more prospective fraud in the program than before.
However, the report authors do not think that this increase is due to fraud, but rather to "people living just below the poverty line in states that refused to expand Medicaid" and whose income is not low enough to qualify for Medicaid, but too high to qualify for ACA subsidies.
"To escape the coverage gap, some have reported incomes just above the poverty line," states the report, "enough to be eligible for the ACA marketplace."
The ACA isn't the only federal healthcare program under pressure from Trump administration and GOP policies, as cuts to Medicaid included in Republicans' 2025 budget law are projected by the Congressional Budget Office to leave more than 10 million fewer people enrolled in the program by 2034.
From Your Site Articles
- Yet More 'Shameful' Evidence Trump Is Actively Sabotaging Obamacare ›
- Court Blocks 'Illegal' Trump Rule That Created Barriers to Affordable Care Act Coverage ›
- 'Republicans Created This Crisis on Purpose': Federal Data Shows ACA Enrollment Plunging ›
Related Articles Around the Web
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