Up To 12.4 Million Fewer Americans Enrolled In Public Health Coverage
Between 10.88 million and 12.40 million fewer Americans were enrolled in a public health coverage program as of June 2026 than in January 2025, according to an analysis published October 8 by the independent analyst Charles Gaba. The figure is a net change in enrollment, and Gaba wrote that it “isn’t quite the same thing as counting how many lost coverage.”
Gaba reported that Medicaid and CHIP enrollment was about 6.22 million lower. He put the decline in Affordable Care Act exchange enrollment at between 4.57 million and 6.09 million, and Basic Health Plan enrollment at about 272,000 lower.