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People in Every US Congressional District Set to Be Harmed by Trump-GOP Attack on Healthcare
"Every member of Congress, regardless of party or geography, will see tens of thousands of their constituents lose coverage under this law," says new research.
Sep 05, 2025
As Republican lawmakers attempt to rebrand the budget law that slashed $1 trillion for Medicaid to help pay for tax cuts for the rich—unable to ignore the blaring message from angry town hall participants and polls showing Americans do not support the so-called One Big Beautiful Bill Act—research released Friday suggests the GOP should brace for even more outrage from voters across the country.
According to the analysis by the Center for American Progress (CAP), no state or congressional district will be spared from the cuts the OBBBA makes to healthcare, and every district in the US is projected to see a rise in the number of uninsured people by 2034.
"Every member of Congress, regardless of party or geography, will see tens of thousands of their constituents lose coverage under this law," said the group.
CAP's report builds on analysis from the nonpartisan Congressional Budget Office (CBO), which found last month that the law's Medicaid work requirements, expiration of the Affordable Care Act's enhanced premium tax credits, and termination of reforms that benefit low-income Medicare beneficiaries will increase the number of uninsured Americans by 14.2 million over the next decade.
"Families, communities, and health systems nationwide will feel the consequences of these cuts."
The center-left think tank also expanded on a subsequent KFF report that showed how the 14.2 million figure would be spread out across states, finding that the uninsured rate would rise by at least 3% in 34 states and Washington, DC.
CAP's district-by-district analysis found that congressional districts will have an average of 33,000 more people who are uninsured by 2034 due to the OBBBA's healthcare provisions. Those with more than 30% of their under-65 population enrolled in Medicaid are projected to see particularly large increases in the number of uninsured constituents, with Democratic Rep. Yassamin Ansari's district in Arizona expected to have about 80,000 more uninsured residents by 2034—the most of any district in the country.
Ansari launched an "Accountability Summer" town hall tour in her state in July, holding events in Republican-led districts where she spoke with Arizonans about how their "Republican representatives have failed" them by supporting the OBBBA, in some cases after having expressed concerns about the impact it would have on their constituents.
One district Ansari visited, represented by Rep. Eli Crane (R-Ariz.), is also among the districts expected to see a major increase in the number of uninsured residents, at 54,000.
Other Republicans are expected see people they represent lose their coverage in large numbers due to the law, including Reps. Daniel Newhouse (R-Wash.) and Hal Rogers (R-Ky.). About 66,000 of Newhouse's constituents are projected to lose coverage, along with 64,000 of people in Rogers' district.
Rep. Randy Fine (R-Fla.), who touted the OBBBA as a "generational win for working families," will see 54,000 of his constituents lose their insurance, according to CAP.
The think tank found that California, Florida, and Texas will have the highest increases in their uninsured population, with more than 1 million people in each state losing coverage.
The losses caused by the OBBBA are projected to reverse "more than a decade of progress in expanding coverage," said CAP.
"Every lawmaker will see thousands of constituents lose coverage under this law," added the group. "Families, communities, and health systems nationwide will feel the consequences of these cuts."
In addition to attempting to reframe the OBBBA to boost its popularity, some Republicans are attempting to backpedal on the provision ending ACA tax credits that have helped millions of Americans afford their health coverage, which is scheduled to go into effect at the end of the year.
Reps. Tom Kean Jr. (R-NJ), Rob Bresnahan (R-Penn.), and Juan Ciscomani (R-Ariz.) have proposed a bill to extend the credits for one year, hoping to delay until after the midterm elections the provision that could cause some monthly premiums to skyrocket by 75% and leave more than 4 million Americans without health coverage.
"Congressional Republicans voted to rip health coverage from millions of Americans. They don't get brownie points for attempting to kick the can down the road on their own harmful and unpopular agenda because it's convenient for them," said Leor Tal, campaign director for Unrig Our Economy.
"If Republicans in Congress were serious about protecting people's care," added Tal, "they would vote to make these vital healthcare tax credits permanent and they wouldn't have passed the largest cut to Medicaid in history to pay for tax breaks for billionaires."
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'Death Warrant': New Fears Emerge as GOP Medicaid Cuts Come Closer to Reality
"If we make one wrong decision as the parents of a critically ill child, that could be the end of it," said one Louisiana mother about the added paperwork burdens being imposed by the GOP's budget law.
Sep 02, 2025
Several reports published on Tuesday highlighted the negative impacts that are expected from Medicaid cuts included in the Republicans' budget law.
The Medicaid cuts, which passed this past summer as part of the so-called One Big Beautiful Bill Act, are estimated to total $1 trillion over the next decade and are projected to kick more than 10 million Americans off their health insurance. However, the cuts are also expected to have several other knock-on effects that could negatively impact the entire American healthcare system.
Rhian Lubin, a reporter for The Independent, recently traveled to Louisiana, where she met a 28-year-old mother named Hannah McDaniel who relies on Medicaid to pay for treatment for her two-year-old son, Myles, who suffers from an incurable heart defect.
As McDaniel explained to Lubin, she is already inundated with paperwork required to keep Medicaid paying for Myles' lifesaving care, and she fears that the new work requirements added by Republicans will only add to the burden and increase the risk that her son's care will be cut off.
"If we make one wrong decision as the parents of a critically ill child, that could be the end of it," said McDaniel, who added that when the GOP passed its budget package it felt like "the government had signed Myles' death warrant."
Lubin wrote that these cuts will make it especially hard for patients who live in rural communities, where local hospitals have for years been under financial strain and are in greater danger of closing thanks to the GOP's budget.
"Any cuts to that program are going to trickle down and impact children, whether that's pediatric practices who depend on Medicaid to be able to stay open or children’s hospitals," West Virginia pediatrician Lisa Costello told Lubin.
The impact of these cuts is projected to be felt nationwide, as The Idaho Statesman reported that nursing homes and hospice care facilities in the Gem State are also bracing for a catastrophic loss of funding.
The report highlighted Table Rock Senior Living at Park Place, an assisted living facility in the city of Nampa, which will see a cut in its reimbursement rates paid out by Idaho's Department of Health and Welfare in response to the GOP's Medicaid cuts. Gary Connell, who runs Table Rock Senior Living, told The Idaho Statesman that such cuts are "going to cause a lot of havoc" at both his facility and senior residences across the state.
Expected cuts to Medicaid reimbursement rates in the state are likely to force more facilities to decline Medicaid recipients as patients, which would in turn place higher burdens on emergency rooms.
"We're going to see serious access issues now, and then, what’s going to happen? They're going to go to the hospital emergency room," Democratic Idaho state Sen. Melissa Wintrow told The Idaho Statesman. "We can't refuse people at the hospital emergency room, and that's a higher cost of care, which means the legislature is going to take it on the chin in the end."
Over in North Carolina, local public radio station WHQR reported that dentists in the state are similarly fearful of lower reimbursement rates that would force them to cut off Medicaid recipients from care.
Before the GOP passed its budget law, North Carolina lawmakers were actually considering a bill that would have boosted the reimbursement rate from 35% to 46%. But with less money projected to come in from the federal government over the next decade, they abandoned the effort.
Dr. Robert Stowe, a dentist based in Winston-Salem, said that the North Carolina state legislature's current plan to slash reimbursement rates by an additional 3% this year would likely be a tipping point for many healthcare providers.
"You got a system that the reimbursement is so low now that you have providers who are seeing Medicaid dental patients that they're taking a loss on already," he explained to WHQR. "Then you're going to cut that fee by 3%—it's just untenable."
Finally, Ohio Capital Journal reported that the Medicaid cuts could come at great expense for many low-income Ohio military veterans who rely on the program.
According to the report, roughly 10% of US veterans use Medicaid for services for which they aren't eligible to receive through the US Department of Veterans Affairs, including some mental health treatment.
Dr. Forrest Faison, the former surgeon general of the United States Navy, told Ohio Capital Journal that many veterans who depend on Medicaid "because of job issues, disability, PTSD" may fall through the cracks due to the Medicaid cuts. He also emphasized that the cuts could fall particularly hard on Medicaid recipients in rural Ohio.
"A lot of these veterans, especially in Ohio, live in rural areas," he said, "where even if you've got some benefits, you may not have the services available."
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3 Simple Things a Republican Congress Could Do to Help Workers (But Probably Won’t)
If Republicans in Congress were willing to listen to the voices of their constituents, they could act immediately to help millions of workers in tangible ways.
Sep 01, 2025
When US President Donald Trump prevailed on election night, headlines touted the emergence of the GOP as the party of the working class. Just as Trump has been quick to market himself as putting “America workers first,” a small but increasing number of Republicans in Congress have also taken up the cause, championing their pro-worker credentials and even expressing tentative support for initiatives to promote unions and workers’ rights—conversations that would have been unheard of a decade ago.
This shift in messaging is hardly surprising—recent polling shows increasing support for unions and pro-worker initiatives across the political spectrum, even in polling sponsored by Republican-leaning organizations. But while President Trump has publicly touted his support for proposals like “no tax on tips” (a misleading talking point for a proposal that may hurt more workers than it helps), the White House has simultaneously launched an all-out assault on workers’ rights—effectively shuttering the National Labor Relations Board, stripping collective bargaining rights from 1 million federal workers, and proposing to scale back minimum wage, overtime, and health and safety protections for millions of workers.
It’s clear that President Trump has no real interest in helping working people. But it’s equally noteworthy that “pro-worker” congressional Republicans are doing very little to counter these attacks, and have no real agenda of their own to help workers succeed.
It doesn’t have to be this way. Workers have told elected officials—again and again—what government can do to help them. When working people are given the opportunity to vote directly on pro-worker policies through state and local ballot initiatives, strong majorities of voters—across party lines—support these policies. If Republicans in Congress were willing to listen to the voices of their constituents, they could act immediately to help millions of workers in tangible ways.
(1) A $15 minimum wage by 2026. Even someone who is working full time, year-round at the current minimum wage of $7.25 will live in poverty. While Democrats have introduced the leading proposal to raise the minimum wage to $17 per hour, Missouri Republican Sen. Josh Hawley has introduced a different bill that would raise the wage to $15 by 2026—still a huge improvement that would benefit nearly 40 million American workers.
Raising the minimum wage is immensely popular, with 34 states having already increased their minimum wages above the federal level. Ten states already have minimum wages of $15 or more, and by the end of 2026 Florida and Nebraska will join this group—through ballot initiatives that passed with overwhelming public support. If the Republican senators and representatives from Florida and Nebraska would follow their constituents’ lead and join Sen. Hawley to support a raise, there would be a majority vote to pass a $15 minimum wage in both houses of Congress.
(2) Paid sick days. As of March 2023, nearly 28 million US workers did not have a guarantee of even a single day of paid sick leave. The Healthy Families Act (HFA) would let private sector workers earn up to seven paid sick days per year, benefiting 34 million workers and ensuring that they do not have to make impossible choices between their jobs and caring for themselves or a sick family member.
In the absence of federal protections, many states have taken the initiative to help workers. As of December 2024, 18 states have enacted laws that require private employers to provide paid sick leave. The three most recent state laws passed last November in Nebraska, Alaska, and Missouri by wide voter margins (though the Missouri initiative was subsequently repealed by the legislature and the governor). Even excluding the Missouri delegation, a total of 48 GOP representatives and four senators come from states that have already passed a paid sick days guarantee similar to the HFA—thus, paid sick days should easily have enough votes to win majority support in both houses of Congress.
(3) Restoring the Federal Right to Organize. As of July, 2025 almost 3 million people were employed by the federal government. Federal workers comprise a significant portion of the workforce in many states across the country. These public servants have faced mass firings and unprecedented attacks in the new Trump administration, including an executive order purporting to strip nearly 1 million federal workers of their right to form and join a union.
Whether in federal, state, or local government, both public servants and the people they serve benefit from collective bargaining. The process is a valuable tool to resolve conflicts early, reduce litigation, improve morale, and help attract and retain a qualified workforce, all of which helps the government function better. Thirty-four states and the District of Columbia recognize this and provide some collective bargaining rights for their public sector workers. When politicians attempt to revoke these rights, voters can use ballot initiatives to protect them—as in 2011 when Ohio voters overwhelmingly rejected an effort to strip rights from their public servants.
The Protect America’s Workforce Act (PAWA), recently introduced in the House of Representatives, would reverse the Trump executive order and protect federal workers’ right to form and join a union. This popular legislation has 222 cosponsors, including seven Republicans. Two Senate Republicans—Susan Collins of Maine and Lisa Murkowski of Alaska—have already voted for an unsuccessful amendment on the Budget resolution to protect collective bargaining rights for federal workers. If the two GOP senators from Ohio would follow their constituents’ lead in supporting public sector collective bargaining rights, PAWA could pass both houses of Congress and restore these important protections to more than 1 million American workers.
More than seven months into this Congress’ work, the fact that none of these commonsense proposals are even under discussion by our nation’s elected leaders sends a strong message about this Congress’ priorities. And it is manifestly clear that Republicans in Congress stand with President Trump, and not with working Americans.
These three simple proposals are overwhelmingly popular with people across the political spectrum and would collectively benefit millions of American workers. A Republican-controlled Congress that was willing to work across party lines could move these proposals to the president’s desk in a matter of days. (While the filibuster might prove a stumbling block in the Senate, there are opportunities every Congress to consider legislation under rules that provide a simple majority vote if proponents are properly motivated.) It’s time for congressional leaders to step up this Labor Day and put helping working families front and center on their agendas.
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