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March 2017

Impact of ACA Repeal on the 1st Congressional District of


Alabama
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 11 million Americans
who were newly eligible and enrolled in Medicaid since 2014. Additionally, Republican proposals to tax
employer-based health coverage could destabilize employer-based coverage and raise taxes on individuals
who have health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Byrnes (R) district.
Here is what is at risk:

The districts uninsured rate has gone from 15.6% to 10.9% since the ACA was implemented.
This 4.8% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

328,800 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

348,000 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

29,200 individuals in the district who have purchased high quality Marketplace coverage through
now stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

26,700 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

22,100 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

25,100 individuals in the district who could become eligible for Medicaid if the state expanded
Medicaid will now lose the opportunity to gain coverage if the Republican Congress eliminates
the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 2nd Congressional District of
Alabama
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 11 million Americans
who were newly eligible and enrolled in Medicaid since 2014. Additionally, Republican proposals to tax
employer-based health coverage could destabilize employer-based coverage and raise taxes on individuals
who have health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Robys (R) district.
Here is what is at risk:

The districts uninsured rate has gone from 13.3% to 10.5% since the ACA was implemented.
This 2.8% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

307,600 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

327,600 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

20,600 individuals in the district who have purchased high quality Marketplace coverage through
now stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

19,100 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

15,900 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

25,700 individuals in the district who could become eligible for Medicaid if the state expanded
Medicaid will now lose the opportunity to gain coverage if the Republican Congress eliminates
the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 3rd Congressional District of
Alabama
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 11 million Americans
who were newly eligible and enrolled in Medicaid since 2014. Additionally, Republican proposals to tax
employer-based health coverage could destabilize employer-based coverage and raise taxes on individuals
who have health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Rogerss (R) district.
Here is what is at risk:

The districts uninsured rate has gone from 12.2% to 9.3% since the ACA was implemented.
This 2.8% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

335,700 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

359,300 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

21,000 individuals in the district who have purchased high quality Marketplace coverage through
now stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

19,600 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

16,200 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

26,700 individuals in the district who could become eligible for Medicaid if the state expanded
Medicaid will now lose the opportunity to gain coverage if the Republican Congress eliminates
the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 4th Congressional District of
Alabama
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 11 million Americans
who were newly eligible and enrolled in Medicaid since 2014. Additionally, Republican proposals to tax
employer-based health coverage could destabilize employer-based coverage and raise taxes on individuals
who have health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Aderholts (R) district.
Here is what is at risk:

The districts uninsured rate has gone from 13.7% to 10.4% since the ACA was implemented.
This 3.3% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

326,500 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

349,700 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

23,300 individuals in the district who have purchased high quality Marketplace coverage through
now stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

22,100 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

18,400 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

27,600 individuals in the district who could become eligible for Medicaid if the state expanded
Medicaid will now lose the opportunity to gain coverage if the Republican Congress eliminates
the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 5th Congressional District of
Alabama
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 11 million Americans
who were newly eligible and enrolled in Medicaid since 2014. Additionally, Republican proposals to tax
employer-based health coverage could destabilize employer-based coverage and raise taxes on individuals
who have health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Brookss (R) district.
Here is what is at risk:

The districts uninsured rate has gone from 13.1% to 10.1% since the ACA was implemented.
This 3.0% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

370,500 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

408,600 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

25,400 individuals in the district who have purchased high quality Marketplace coverage through
now stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

23,200 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

19,000 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

21,500 individuals in the district who could become eligible for Medicaid if the state expanded
Medicaid will now lose the opportunity to gain coverage if the Republican Congress eliminates
the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 6th Congressional District of
Alabama
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 11 million Americans
who were newly eligible and enrolled in Medicaid since 2014. Additionally, Republican proposals to tax
employer-based health coverage could destabilize employer-based coverage and raise taxes on individuals
who have health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Palmers (R) district.
Here is what is at risk:

The districts uninsured rate has gone from 9.8% to 7.9% since the ACA was implemented.
This 1.8% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

397,100 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

447,400 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

23,800 individuals in the district who have purchased high quality Marketplace coverage through
now stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

21,300 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

17,100 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

16,300 individuals in the district who could become eligible for Medicaid if the state expanded
Medicaid will now lose the opportunity to gain coverage if the Republican Congress eliminates
the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 7th Congressional District of
Alabama
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 11 million Americans
who were newly eligible and enrolled in Medicaid since 2014. Additionally, Republican proposals to tax
employer-based health coverage could destabilize employer-based coverage and raise taxes on individuals
who have health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Sewells (D) district.
Here is what is at risk:

The districts uninsured rate has gone from 15.7% to 11.9% since the ACA was implemented.
This 3.8% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

282,500 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

304,900 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

22,300 individuals in the district who have purchased high quality Marketplace coverage through
now stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

20,300 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

16,700 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

34,200 individuals in the district who could become eligible for Medicaid if the state expanded
Medicaid will now lose the opportunity to gain coverage if the Republican Congress eliminates
the Medicaid expansion.
March 2017
Impact of ACA Repeal on Alaskas Congressional District
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Youngs (R) district.
Here is what is at risk:

The districts uninsured rate has gone from 20.5% to 14.9% since the ACA was implemented.
This 5.6% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

332,700 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

389,600 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

18,000 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

16,200 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

7,500 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

8,500 individuals in the district who are covered by the ACAs Medicaid expansion now stand to
lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 1st Congressional District of
Arizona
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. O'Hallerans (D) district.
Here is what is at risk:

The districts uninsured rate has gone from 18.3% to 11.5% since the ACA was implemented.
This 6.8% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

314,000 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

340,200 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

16,100 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

13,000 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

8,900 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

52,600 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 2nd Congressional District of
Arizona
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. McSallys (R) district.
Here is what is at risk:

The districts uninsured rate has gone from 13.4% to 7.7% since the ACA was implemented.
This 5.7% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

328,500 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

337,500 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

19,100 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

13,400 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

10,500 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

39,700 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 3rd Congressional District of
Arizona
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Grijalvas (D) district.
Here is what is at risk:

The districts uninsured rate has gone from 23.5% to 14.1% since the ACA was implemented.
This 9.3% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

288,400 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

324,700 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

19,800 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

13,900 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

10,800 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

62,800 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 4th Congressional District of
Arizona
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Gosars (R) district.
Here is what is at risk:

The districts uninsured rate has gone from 16.3% to 9.4% since the ACA was implemented.
This 6.8% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

320,300 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

298,500 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

20,700 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

17,400 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

11,100 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

39,100 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 5th Congressional District of
Arizona
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Biggss (R) district.
Here is what is at risk:

The districts uninsured rate has gone from 11.5% to 7.4% since the ACA was implemented.
This 4.1% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

456,000 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

488,600 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

20,800 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

13,300 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

10,600 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

26,100 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 6th Congressional District of
Arizona
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Schweikerts (R) district.
Here is what is at risk:

The districts uninsured rate has gone from 14.0% to 9.0% since the ACA was implemented.
This 5.0% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

387,900 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

383,700 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

20,800 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

13,300 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

10,600 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

34,000 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 7th Congressional District of
Arizona
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Gallegos (D) district.
Here is what is at risk:

The districts uninsured rate has gone from 31.4% to 19.2% since the ACA was implemented.
This 12.2% drop in the uninsured rate could be reversed if the ACA is entirely or partially
repealed.

227,100 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

259,100 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

20,800 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

13,300 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

10,600 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

82,500 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 8th Congressional District of
Arizona
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Frankss (R) district.
Here is what is at risk:

The districts uninsured rate has gone from 11.5% to 7.0% since the ACA was implemented.
This 4.5% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

405,500 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

430,600 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

20,800 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

13,300 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

10,600 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

28,200 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 9th Congressional District of
Arizona
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Sinemas (D) district.
Here is what is at risk:

The districts uninsured rate has gone from 18.0% to 11.9% since the ACA was implemented.
This 6.2% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

385,400 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

425,700 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

20,800 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

13,300 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

10,600 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

48,100 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 1st Congressional District of
Arkansas
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Crawfords (R) district.
Here is what is at risk:

The districts uninsured rate has gone from 18.0% to 8.6% since the ACA was implemented.
This 9.4% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

289,600 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

286,100 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

15,000 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

13,800 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

8,900 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

77,200 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 2nd Congressional District of
Arkansas
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Hills (R) district.
Here is what is at risk:

The districts uninsured rate has gone from 14.2% to 9.2% since the ACA was implemented.
This 5.0% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

359,900 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

374,900 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

16,000 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

14,000 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

8,800 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

69,100 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 3rd Congressional District of
Arkansas
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Womacks (R) district.
Here is what is at risk:

The districts uninsured rate has gone from 16.9% to 9.9% since the ACA was implemented.
This 7.0% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

381,200 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

415,200 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

17,900 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

15,800 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

9,900 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

69,800 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 4th Congressional District of
Arkansas
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Westermans (R) district.
Here is what is at risk:

The districts uninsured rate has gone from 16.8% to 10.2% since the ACA was implemented.
This 6.6% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

292,700 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

288,700 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

14,500 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

13,200 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

8,500 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

75,600 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 1st Congressional District of
California
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance Marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA Marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. LaMalfas (R) district.
Here is what is at risk:

The districts uninsured rate has gone from 15.9% to 7.2% since the ACA was implemented.
This 8.7% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

311,800 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

311,500 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

24,900 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

21,800 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

12,500 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

73,600 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 2nd Congressional District of
California
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance Marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA Marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Huffmans (D) district.
Here is what is at risk:

The districts uninsured rate has gone from 13.8% to 6.5% since the ACA was implemented.
This 7.3% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

358,900 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

353,200 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

26,800 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

23,500 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

13,400 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

53,900 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 3rd Congressional District of
California
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance Marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA Marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Garamendis (D) district.
Here is what is at risk:

The districts uninsured rate has gone from 13.8% to 7.5% since the ACA was implemented.
This 6.3% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

328,500 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

357,900 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

21,100 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

18,500 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

10,600 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

70,100 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 4th Congressional District of
California
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance Marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA Marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. McClintocks (R) district.
Here is what is at risk:

The districts uninsured rate has gone from 12.2% to 5.1% since the ACA was implemented.
This 7.1% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

394,100 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

429,200 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

26,900 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

23,600 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

13,500 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

39,600 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 5th Congressional District of
California
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance Marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA Marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Thompsons (D) district.
Here is what is at risk:

The districts uninsured rate has gone from 15.9% to 5.9% since the ACA was implemented.
This 10.0% drop in the uninsured rate could be reversed if the ACA is entirely or partially
repealed.

375,800 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

411,700 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

25,400 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

22,300 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

12,700 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

53,400 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 6th Congressional District of
California
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance Marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA Marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Matsuis (D) district.
Here is what is at risk:

The districts uninsured rate has gone from 18.2% to 7.5% since the ACA was implemented.
This 10.7% drop in the uninsured rate could be reversed if the ACA is entirely or partially
repealed.

315,100 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

356,400 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

23,600 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

20,700 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

11,800 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

87,000 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 7th Congressional District of
California
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance Marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA Marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Beras (D) district.
Here is what is at risk:

The districts uninsured rate has gone from 13.6% to 4.7% since the ACA was implemented.
This 8.8% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

395,300 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

454,600 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

23,800 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

20,900 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

11,900 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

52,600 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 8th Congressional District of
California
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance Marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA Marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Cooks (R) district.
Here is what is at risk:

The districts uninsured rate has gone from 18.9% to 7.7% since the ACA was implemented.
This 11.2% drop in the uninsured rate could be reversed if the ACA is entirely or partially
repealed.

266,800 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

294,800 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

23,700 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

20,800 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

11,900 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

85,600 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 9th Congressional District of
California
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance Marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA Marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. McNerneys (D) district.
Here is what is at risk:

The districts uninsured rate has gone from 17.6% to 6.7% since the ACA was implemented.
This 10.9% drop in the uninsured rate could be reversed if the ACA is entirely or partially
repealed.

324,900 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

366,200 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

23,800 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

20,900 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

11,900 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

71,000 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 10th Congressional District of
California
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance Marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA Marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Denhams (R) district.
Here is what is at risk:

The districts uninsured rate has gone from 16.2% to 6.3% since the ACA was implemented.
This 9.9% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

314,600 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

349,300 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

23,600 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

20,700 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

11,800 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

74,100 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 11th Congressional District of
California
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance Marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA Marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. DeSaulniers (D) district.
Here is what is at risk:

The districts uninsured rate has gone from 12.5% to 6.2% since the ACA was implemented.
This 6.3% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

401,400 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

444,700 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

24,400 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

21,400 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

12,200 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

49,400 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 12th Congressional District of
California
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance Marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA Marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Pelosis (D) district.
Here is what is at risk:

The districts uninsured rate has gone from 10.6% to 4.4% since the ACA was implemented.
This 6.2% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

411,500 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

452,500 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

28,800 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

25,200 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

14,400 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

48,500 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 13th Congressional District of
California
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance Marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA Marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Lees (D) district.
Here is what is at risk:

The districts uninsured rate has gone from 14.1% to 6.4% since the ACA was implemented.
This 7.7% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

385,700 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

415,800 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

28,500 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

25,000 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

14,300 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

68,400 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 14th Congressional District of
California
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance Marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA Marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Speiers (D) district.
Here is what is at risk:

The districts uninsured rate has gone from 11.3% to 4.8% since the ACA was implemented.
This 6.5% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

425,700 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

470,900 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

23,100 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

20,200 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

11,600 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

40,400 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 15th Congressional District of
California
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance Marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA Marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Swalwells (D) district.
Here is what is at risk:

The districts uninsured rate has gone from 10.7% to 3.6% since the ACA was implemented.
This 7.1% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

453,700 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

520,200 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

28,100 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

24,600 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

14,100 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

33,600 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 16th Congressional District of
California
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance Marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA Marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Costas (D) district.
Here is what is at risk:

The districts uninsured rate has gone from 22.5% to 11.1% since the ACA was implemented.
This 11.3% drop in the uninsured rate could be reversed if the ACA is entirely or partially
repealed.

221,400 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

246,400 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

21,700 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

19,000 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

10,900 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

121,300 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 17th Congressional District of
California
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance Marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA Marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Khannas (D) district.
Here is what is at risk:

The districts uninsured rate has gone from 10.2% to 3.5% since the ACA was implemented.
This 6.7% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

452,900 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

527,700 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

25,000 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

21,900 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

12,500 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

29,100 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 18th Congressional District of
California
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance Marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA Marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Eshoos (D) district.
Here is what is at risk:

The districts uninsured rate has gone from 9.5% to 4.0% since the ACA was implemented.
This 5.5% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

455,000 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

511,400 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

24,200 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

21,200 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

12,100 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

28,700 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 19th Congressional District of
California
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance Marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA Marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Lofgrens (D) district.
Here is what is at risk:

The districts uninsured rate has gone from 14.9% to 6.1% since the ACA was implemented.
This 8.8% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

385,900 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

435,800 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

23,800 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

20,900 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

11,900 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

49,900 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 20th Congressional District of
California
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance Marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA Marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Panettas (D) district.
Here is what is at risk:

The districts uninsured rate has gone from 18.7% to 9.2% since the ACA was implemented.
This 9.5% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

318,800 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

335,600 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

26,700 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

23,400 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

13,400 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

67,900 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 21st Congressional District of
California
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance Marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA Marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Valadaos (R) district.
Here is what is at risk:

The districts uninsured rate has gone from 25.4% to 12.2% since the ACA was implemented.
This 13.1% drop in the uninsured rate could be reversed if the ACA is entirely or partially
repealed.

193,700 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

213,800 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

18,000 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

15,800 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

9,000 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

115,600 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 22nd Congressional District of
California
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance Marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA Marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Nuness (R) district.
Here is what is at risk:

The districts uninsured rate has gone from 17.1% to 7.4% since the ACA was implemented.
This 9.7% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

325,500 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

366,200 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

19,700 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

17,300 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

9,900 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

82,800 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 23rd Congressional District of
California
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance Marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA Marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. McCarthys (R) district.
Here is what is at risk:

The districts uninsured rate has gone from 15.7% to 5.9% since the ACA was implemented.
This 9.8% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

330,900 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

379,700 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

19,300 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

16,900 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

9,700 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

73,500 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 24th Congressional District of
California
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance Marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA Marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Carbajals (D) district.
Here is what is at risk:

The districts uninsured rate has gone from 16.5% to 9.4% since the ACA was implemented.
This 7.1% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

359,500 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

365,300 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

27,500 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

24,100 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

13,800 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

61,500 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 25th Congressional District of
California
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance Marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA Marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Knights (R) district.
Here is what is at risk:

The districts uninsured rate has gone from 14.9% to 7.4% since the ACA was implemented.
This 7.5% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

359,700 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

410,500 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

28,900 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

25,300 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

14,500 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

52,700 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 26th Congressional District of
California
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance Marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA Marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Brownleys (D) district.
Here is what is at risk:

The districts uninsured rate has gone from 16.7% to 9.6% since the ACA was implemented.
This 7.1% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

345,800 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

380,400 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

28,800 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

25,200 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

14,400 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

47,600 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 27th Congressional District of
California
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance Marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA Marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Chus (D) district.
Here is what is at risk:

The districts uninsured rate has gone from 16.1% to 7.0% since the ACA was implemented.
This 9.1% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

343,900 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

352,300 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

28,700 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

25,100 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

14,400 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

58,200 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 28th Congressional District of
California
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance Marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA Marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Schiffs (D) district.
Here is what is at risk:

The districts uninsured rate has gone from 20.0% to 9.9% since the ACA was implemented.
This 10.1% drop in the uninsured rate could be reversed if the ACA is entirely or partially
repealed.

330,700 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

341,700 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

28,900 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

25,300 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

14,500 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

60,500 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 29th Congressional District of
California
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance Marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA Marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Cardenass (D) district.
Here is what is at risk:

The districts uninsured rate has gone from 29.7% to 13.6% since the ACA was implemented.
This 16.2% drop in the uninsured rate could be reversed if the ACA is entirely or partially
repealed.

243,200 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

266,900 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

28,900 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

25,300 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

14,500 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

90,200 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 30th Congressional District of
California
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance Marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA Marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Shermans (D) district.
Here is what is at risk:

The districts uninsured rate has gone from 16.6% to 8.7% since the ACA was implemented.
This 7.9% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

397,900 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

410,600 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

28,900 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

25,300 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

14,500 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

48,300 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 31st Congressional District of
California
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance Marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA Marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Aguilars (D) district.
Here is what is at risk:

The districts uninsured rate has gone from 20.5% to 8.7% since the ACA was implemented.
This 11.8% drop in the uninsured rate could be reversed if the ACA is entirely or partially
repealed.

300,700 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

347,300 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

23,400 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

20,500 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

11,700 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

80,500 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 32nd Congressional District of
California
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance Marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA Marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Napolitanos (D) district.
Here is what is at risk:

The districts uninsured rate has gone from 22.2% to 11.9% since the ACA was implemented.
This 10.3% drop in the uninsured rate could be reversed if the ACA is entirely or partially
repealed.

305,100 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

337,900 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

28,900 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

25,300 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

14,500 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

59,400 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 33rd Congressional District of
California
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance Marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA Marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Lieus (D) district.
Here is what is at risk:

The districts uninsured rate has gone from 8.6% to 4.4% since the ACA was implemented.
This 4.2% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

444,100 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

429,300 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

28,900 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

25,300 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

14,500 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

33,700 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 34th Congressional District of
California
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance Marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA Marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Californias 34th congressional
district.
Here is what is at risk:

The districts uninsured rate has gone from 35.6% to 18.6% since the ACA was implemented.
This 17.0% drop in the uninsured rate could be reversed if the ACA is entirely or partially
repealed.

212,600 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

223,500 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

28,900 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

25,300 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

14,500 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

111,300 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 35th Congressional District of
California
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance Marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA Marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Torress (D) district.
Here is what is at risk:

The districts uninsured rate has gone from 24.8% to 12.0% since the ACA was implemented.
This 12.8% drop in the uninsured rate could be reversed if the ACA is entirely or partially
repealed.

280,600 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

327,100 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

24,600 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

21,600 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

12,300 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

74,900 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 36th Congressional District of
California
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance Marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA Marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Ruizs (D) district.
Here is what is at risk:

The districts uninsured rate has gone from 21.7% to 10.3% since the ACA was implemented.
This 11.4% drop in the uninsured rate could be reversed if the ACA is entirely or partially
repealed.

270,800 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

271,700 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

25,200 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

22,100 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

12,600 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

90,400 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 37th Congressional District of
California
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance Marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA Marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Basss (D) district.
Here is what is at risk:

The districts uninsured rate has gone from 22.1% to 12.7% since the ACA was implemented.
This 9.4% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

318,000 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

332,200 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

28,900 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

25,300 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

14,500 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

79,500 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 38th Congressional District of
California
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance Marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA Marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Sanchezs (D) district.
Here is what is at risk:

The districts uninsured rate has gone from 20.1% to 10.4% since the ACA was implemented.
This 9.7% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

333,300 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

384,700 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

29,000 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

25,400 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

14,500 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

51,200 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 39th Congressional District of
California
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance Marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA Marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Royces (R) district.
Here is what is at risk:

The districts uninsured rate has gone from 17.1% to 7.4% since the ACA was implemented.
This 9.7% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

380,900 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

403,100 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

29,100 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

25,500 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

14,600 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

42,900 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 40th Congressional District of
California
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance Marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA Marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Roybal-Allards (D) district.
Here is what is at risk:

The districts uninsured rate has gone from 31.7% to 17.5% since the ACA was implemented.
This 14.2% drop in the uninsured rate could be reversed if the ACA is entirely or partially
repealed.

196,800 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

228,900 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

28,900 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

25,300 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

14,500 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

106,800 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 41st Congressional District of
California
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance Marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA Marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Takanos (D) district.
Here is what is at risk:

The districts uninsured rate has gone from 24.3% to 11.8% since the ACA was implemented.
This 12.5% drop in the uninsured rate could be reversed if the ACA is entirely or partially
repealed.

292,300 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

333,500 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

25,200 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

22,100 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

12,600 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

74,100 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 42nd Congressional District of
California
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance Marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA Marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Calverts (R) district.
Here is what is at risk:

The districts uninsured rate has gone from 15.9% to 7.9% since the ACA was implemented.
This 8.1% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

369,300 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

418,000 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

25,200 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

22,100 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

12,600 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

54,100 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 43rd Congressional District of
California
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance Marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA Marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Waterss (D) district.
Here is what is at risk:

The districts uninsured rate has gone from 23.3% to 12.8% since the ACA was implemented.
This 10.5% drop in the uninsured rate could be reversed if the ACA is entirely or partially
repealed.

297,500 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

345,100 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

28,900 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

25,300 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

14,500 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

88,700 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 44th Congressional District of
California
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance Marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA Marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Barragans (D) district.
Here is what is at risk:

The districts uninsured rate has gone from 25.7% to 13.2% since the ACA was implemented.
This 12.5% drop in the uninsured rate could be reversed if the ACA is entirely or partially
repealed.

237,400 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

274,800 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

28,900 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

25,300 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

14,500 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

91,500 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 45th Congressional District of
California
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance Marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA Marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Walterss (R) district.
Here is what is at risk:

The districts uninsured rate has gone from 10.2% to 5.7% since the ACA was implemented.
This 4.5% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

441,800 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

469,400 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

30,200 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

26,500 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

15,100 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

41,400 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 46th Congressional District of
California
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance Marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA Marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Correas (D) district.
Here is what is at risk:

The districts uninsured rate has gone from 28.3% to 16.6% since the ACA was implemented.
This 11.6% drop in the uninsured rate could be reversed if the ACA is entirely or partially
repealed.

257,000 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

293,100 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

30,200 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

26,500 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

15,100 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

83,800 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 47th Congressional District of
California
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance Marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA Marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Lowenthals (D) district.
Here is what is at risk:

The districts uninsured rate has gone from 18.9% to 9.0% since the ACA was implemented.
This 9.9% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

317,100 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

356,200 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

29,400 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

25,800 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

14,700 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

71,200 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 48th Congressional District of
California
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance Marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA Marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Rohrabachers (R) district.
Here is what is at risk:

The districts uninsured rate has gone from 14.0% to 6.6% since the ACA was implemented.
This 7.5% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

382,200 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

393,700 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

30,200 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

26,500 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

15,100 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

44,600 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 49th Congressional District of
California
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance Marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA Marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Issas (R) district.
Here is what is at risk:

The districts uninsured rate has gone from 15.0% to 8.0% since the ACA was implemented.
This 7.0% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

370,800 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

377,000 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

30,100 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

26,400 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

15,100 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

43,400 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 50th Congressional District of
California
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance Marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA Marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Hunters (R) district.
Here is what is at risk:

The districts uninsured rate has gone from 16.2% to 8.7% since the ACA was implemented.
This 7.5% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

350,200 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

383,400 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

29,500 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

25,800 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

14,800 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

54,700 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 51st Congressional District of
California
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance Marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA Marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Vargass (D) district.
Here is what is at risk:

The districts uninsured rate has gone from 27.2% to 13.0% since the ACA was implemented.
This 14.2% drop in the uninsured rate could be reversed if the ACA is entirely or partially
repealed.

222,000 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

248,800 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

36,000 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

31,500 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

18,000 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

100,300 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 52nd Congressional District of
California
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance Marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA Marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Peterss (D) district.
Here is what is at risk:

The districts uninsured rate has gone from 9.4% to 5.4% since the ACA was implemented.
This 4.0% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

424,600 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

442,700 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

30,100 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

26,400 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

15,100 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

39,500 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 53rd Congressional District of
California
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance Marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA Marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Daviss (D) district.
Here is what is at risk:

The districts uninsured rate has gone from 16.5% to 8.6% since the ACA was implemented.
This 7.9% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

365,400 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

397,100 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

30,100 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

26,400 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

15,100 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

59,300 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 1st Congressional District of
Colorado
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance Marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA Marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. DeGettes (D) district.
Here is what is at risk:

The districts uninsured rate has gone from 15.9% to 10.5% since the ACA was implemented.
This 5.4% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

386,800 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

417,300 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

16,800 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

10,400 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

4,500 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

62,900 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 2nd Congressional District of
Colorado
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance Marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA Marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Poliss (D) district.
Here is what is at risk:

The districts uninsured rate has gone from 10.1% to 5.7% since the ACA was implemented.
This 4.4% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

461,200 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

485,000 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

20,600 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

12,700 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

5,500 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

44,400 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 3rd Congressional District of
Colorado
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance Marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA Marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Tiptons (R) district.
Here is what is at risk:

The districts uninsured rate has gone from 17.3% to 11.3% since the ACA was implemented.
This 5.9% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

324,300 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

322,400 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

18,700 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

11,600 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

5,000 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

61,900 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 4th Congressional District of
Colorado
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance Marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA Marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Bucks (R) district.
Here is what is at risk:

The districts uninsured rate has gone from 14.2% to 5.4% since the ACA was implemented.
This 8.8% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

429,800 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

467,200 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

14,500 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

9,000 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

3,900 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

42,600 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 5th Congressional District of
Colorado
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance Marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA Marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Lamborns (R) district.
Here is what is at risk:

The districts uninsured rate has gone from 13.8% to 7.4% since the ACA was implemented.
This 6.4% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

332,800 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

335,400 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

10,500 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

6,500 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

2,800 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

50,100 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 6th Congressional District of
Colorado
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance Marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA Marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Coffmans (R) district.
Here is what is at risk:

The districts uninsured rate has gone from 15.8% to 7.9% since the ACA was implemented.
This 7.8% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

429,300 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

488,700 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

14,000 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

8,700 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

3,700 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

37,800 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 7th Congressional District of
Colorado
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance Marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA Marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Perlmutters (D) district.
Here is what is at risk:

The districts uninsured rate has gone from 16.2% to 8.3% since the ACA was implemented.
This 8.0% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

393,500 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

432,900 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

13,300 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

8,200 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

3,500 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

48,100 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 1st Congressional District of
Connecticut
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance Marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA Marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Larsons (D) district.
Here is what is at risk:

The districts uninsured rate has gone from 8.5% to 4.8% since the ACA was implemented.
This 3.8% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

379,100 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

429,600 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

20,600 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

16,200 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

10,400 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

41,300 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 2nd Congressional District of
Connecticut
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance Marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA Marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Courtneys (D) district.
Here is what is at risk:

The districts uninsured rate has gone from 6.9% to 3.6% since the ACA was implemented.
This 3.3% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

382,500 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

434,100 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

20,600 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

16,200 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

10,400 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

33,800 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 3rd Congressional District of
Connecticut
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance Marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA Marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. DeLauros (D) district.
Here is what is at risk:

The districts uninsured rate has gone from 9.4% to 5.6% since the ACA was implemented.
This 3.8% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

376,600 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

423,000 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

20,600 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

16,200 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

10,400 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

43,300 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 4th Congressional District of
Connecticut
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance Marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA Marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Himess (D) district.
Here is what is at risk:

The districts uninsured rate has gone from 11.1% to 9.0% since the ACA was implemented.
This 2.1% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

391,200 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

441,800 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

20,600 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

16,200 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

10,400 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

41,400 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 5th Congressional District of
Connecticut
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance Marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA Marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Estys (D) district.
Here is what is at risk:

The districts uninsured rate has gone from 9.6% to 6.6% since the ACA was implemented.
This 3.0% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

367,900 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

419,400 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

20,600 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

16,200 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

10,400 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

41,100 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the District of Columbia
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance Marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA Marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Nortons (D) district.
Here is what is at risk:

The districts uninsured rate has gone from 5.9% to 3.8% since the ACA was implemented.
This 2.2% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

345,900 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

388,000 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

17,700 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

1,200 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

300 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

62,000 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on Delawares Congressional District
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Blunt Rochesters (D)
district.
Here is what is at risk:

The districts uninsured rate has gone from 8.8% to 5.9% since the ACA was implemented.
This 3.0% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

490,300 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

563,600 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

25,400 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

21,500 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

11,100 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

61,300 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 1st Congressional District of
Florida
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 11 million Americans
who were newly eligible and enrolled in Medicaid since 2014. Additionally, Republican proposals to tax
employer-based health coverage could destabilize employer-based coverage and raise taxes on individuals
who have health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Gaetzs (R) district.
Here is what is at risk:

The districts uninsured rate has gone from 17.9% to 13.2% since the ACA was implemented.
This 4.7% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

31,100 individuals in the district who have purchased high quality Marketplace coverage through
now stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

27,800 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

21,000 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

26,100 individuals in the district who could become eligible for Medicaid if the state expanded
Medicaid will now lose the opportunity to gain coverage if the Republican Congress eliminates
the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 2nd Congressional District of
Florida
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 11 million Americans
who were newly eligible and enrolled in Medicaid since 2014. Additionally, Republican proposals to tax
employer-based health coverage could destabilize employer-based coverage and raise taxes on individuals
who have health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Dunns (R) district.
Here is what is at risk:

The districts uninsured rate has gone from 20.2% to 14.1% since the ACA was implemented.
This 6.1% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

31,500 individuals in the district who have purchased high quality Marketplace coverage through
now stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

29,300 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

23,700 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

29,500 individuals in the district who could become eligible for Medicaid if the state expanded
Medicaid will now lose the opportunity to gain coverage if the Republican Congress eliminates
the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 3rd Congressional District of
Florida
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 11 million Americans
who were newly eligible and enrolled in Medicaid since 2014. Additionally, Republican proposals to tax
employer-based health coverage could destabilize employer-based coverage and raise taxes on individuals
who have health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Yohos (R) district.
Here is what is at risk:

The districts uninsured rate has gone from 21.0% to 12.9% since the ACA was implemented.
This 8.1% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

35,100 individuals in the district who have purchased high quality Marketplace coverage through
now stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

32,100 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

25,400 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

29,700 individuals in the district who could become eligible for Medicaid if the state expanded
Medicaid will now lose the opportunity to gain coverage if the Republican Congress eliminates
the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 4th Congressional District of
Florida
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 11 million Americans
who were newly eligible and enrolled in Medicaid since 2014. Additionally, Republican proposals to tax
employer-based health coverage could destabilize employer-based coverage and raise taxes on individuals
who have health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Rutherfords (R) district.
Here is what is at risk:

The districts uninsured rate has gone from 15.5% to 8.9% since the ACA was implemented.
This 6.6% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

342,100 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

391,500 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

39,900 individuals in the district who have purchased high quality Marketplace coverage through
now stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

35,500 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

25,900 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

25,000 individuals in the district who could become eligible for Medicaid if the state expanded
Medicaid will now lose the opportunity to gain coverage if the Republican Congress eliminates
the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 5th Congressional District of
Florida
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 11 million Americans
who were newly eligible and enrolled in Medicaid since 2014. Additionally, Republican proposals to tax
employer-based health coverage could destabilize employer-based coverage and raise taxes on individuals
who have health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Lawsons (D) district.
Here is what is at risk:

The districts uninsured rate has gone from 18.7% to 14.9% since the ACA was implemented.
This 3.8% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

34,000 individuals in the district who have purchased high quality Marketplace coverage through
now stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

30,700 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

23,200 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

30,600 individuals in the district who could become eligible for Medicaid if the state expanded
Medicaid will now lose the opportunity to gain coverage if the Republican Congress eliminates
the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 6th Congressional District of
Florida
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 11 million Americans
who were newly eligible and enrolled in Medicaid since 2014. Additionally, Republican proposals to tax
employer-based health coverage could destabilize employer-based coverage and raise taxes on individuals
who have health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. DeSantiss (R) district.
Here is what is at risk:

The districts uninsured rate has gone from 16.5% to 12.0% since the ACA was implemented.
This 4.5% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

319,900 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

335,900 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

48,800 individuals in the district who have purchased high quality Marketplace coverage through
now stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

45,100 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

33,800 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

25,900 individuals in the district who could become eligible for Medicaid if the state expanded
Medicaid will now lose the opportunity to gain coverage if the Republican Congress eliminates
the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 7th Congressional District of
Florida
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 11 million Americans
who were newly eligible and enrolled in Medicaid since 2014. Additionally, Republican proposals to tax
employer-based health coverage could destabilize employer-based coverage and raise taxes on individuals
who have health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Murphys (D) district.
Here is what is at risk:

The districts uninsured rate has gone from 19.8% to 11.2% since the ACA was implemented.
This 8.6% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

353,400 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

389,500 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

58,000 individuals in the district who have purchased high quality Marketplace coverage through
now stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

53,400 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

41,900 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

26,100 individuals in the district who could become eligible for Medicaid if the state expanded
Medicaid will now lose the opportunity to gain coverage if the Republican Congress eliminates
the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 8th Congressional District of
Florida
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 11 million Americans
who were newly eligible and enrolled in Medicaid since 2014. Additionally, Republican proposals to tax
employer-based health coverage could destabilize employer-based coverage and raise taxes on individuals
who have health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Poseys (R) district.
Here is what is at risk:

The districts uninsured rate has gone from 17.3% to 11.4% since the ACA was implemented.
This 5.9% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

311,000 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

340,800 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

43,700 individuals in the district who have purchased high quality Marketplace coverage through
now stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

40,300 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

30,600 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

22,700 individuals in the district who could become eligible for Medicaid if the state expanded
Medicaid will now lose the opportunity to gain coverage if the Republican Congress eliminates
the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 9th Congressional District of
Florida
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 11 million Americans
who were newly eligible and enrolled in Medicaid since 2014. Additionally, Republican proposals to tax
employer-based health coverage could destabilize employer-based coverage and raise taxes on individuals
who have health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Sotos (D) district.
Here is what is at risk:

The districts uninsured rate has gone from 20.9% to 15.7% since the ACA was implemented.
This 5.2% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

316,300 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

349,200 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

59,600 individuals in the district who have purchased high quality Marketplace coverage through
now stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

56,800 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

47,600 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

36,300 individuals in the district who could become eligible for Medicaid if the state expanded
Medicaid will now lose the opportunity to gain coverage if the Republican Congress eliminates
the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 10th Congressional District of
Florida
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 11 million Americans
who were newly eligible and enrolled in Medicaid since 2014. Additionally, Republican proposals to tax
employer-based health coverage could destabilize employer-based coverage and raise taxes on individuals
who have health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Demingss (D) district.
Here is what is at risk:

The districts uninsured rate has gone from 22.2% to 15.0% since the ACA was implemented.
This 7.2% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

343,100 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

392,700 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

64,600 individuals in the district who have purchased high quality Marketplace coverage through
now stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

60,400 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

50,400 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

33,700 individuals in the district who could become eligible for Medicaid if the state expanded
Medicaid will now lose the opportunity to gain coverage if the Republican Congress eliminates
the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 11th Congressional District of
Florida
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 11 million Americans
who were newly eligible and enrolled in Medicaid since 2014. Additionally, Republican proposals to tax
employer-based health coverage could destabilize employer-based coverage and raise taxes on individuals
who have health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Websters (R) district.
Here is what is at risk:

The districts uninsured rate has gone from 15.7% to 9.3% since the ACA was implemented.
This 6.4% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

296,000 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

291,600 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

41,200 individuals in the district who have purchased high quality Marketplace coverage through
now stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

38,300 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

30,900 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

24,100 individuals in the district who could become eligible for Medicaid if the state expanded
Medicaid will now lose the opportunity to gain coverage if the Republican Congress eliminates
the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 12th Congressional District of
Florida
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 11 million Americans
who were newly eligible and enrolled in Medicaid since 2014. Additionally, Republican proposals to tax
employer-based health coverage could destabilize employer-based coverage and raise taxes on individuals
who have health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Bilirakiss (R) district.
Here is what is at risk:

The districts uninsured rate has gone from 16.1% to 9.9% since the ACA was implemented.
This 6.3% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

307,100 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

340,900 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

43,400 individuals in the district who have purchased high quality Marketplace coverage through
now stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

39,700 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

30,900 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

23,900 individuals in the district who could become eligible for Medicaid if the state expanded
Medicaid will now lose the opportunity to gain coverage if the Republican Congress eliminates
the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 13th Congressional District of
Florida
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 11 million Americans
who were newly eligible and enrolled in Medicaid since 2014. Additionally, Republican proposals to tax
employer-based health coverage could destabilize employer-based coverage and raise taxes on individuals
who have health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Crists (D) district.
Here is what is at risk:

The districts uninsured rate has gone from 17.2% to 11.6% since the ACA was implemented.
This 5.6% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

306,400 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

331,100 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

44,200 individuals in the district who have purchased high quality Marketplace coverage through
now stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

40,400 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

30,800 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

22,400 individuals in the district who could become eligible for Medicaid if the state expanded
Medicaid will now lose the opportunity to gain coverage if the Republican Congress eliminates
the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 14th Congressional District of
Florida
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 11 million Americans
who were newly eligible and enrolled in Medicaid since 2014. Additionally, Republican proposals to tax
employer-based health coverage could destabilize employer-based coverage and raise taxes on individuals
who have health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Castors (D) district.
Here is what is at risk:

The districts uninsured rate has gone from 18.9% to 13.4% since the ACA was implemented.
This 5.5% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

325,700 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

376,100 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

41,800 individuals in the district who have purchased high quality Marketplace coverage through
now stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

37,400 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

30,100 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

29,600 individuals in the district who could become eligible for Medicaid if the state expanded
Medicaid will now lose the opportunity to gain coverage if the Republican Congress eliminates
the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 15th Congressional District of
Florida
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 11 million Americans
who were newly eligible and enrolled in Medicaid since 2014. Additionally, Republican proposals to tax
employer-based health coverage could destabilize employer-based coverage and raise taxes on individuals
who have health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Rosss (R) district.
Here is what is at risk:

The districts uninsured rate has gone from 18.4% to 11.1% since the ACA was implemented.
This 7.4% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

317,900 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

361,000 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

39,700 individuals in the district who have purchased high quality Marketplace coverage through
now stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

36,100 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

28,600 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

29,700 individuals in the district who could become eligible for Medicaid if the state expanded
Medicaid will now lose the opportunity to gain coverage if the Republican Congress eliminates
the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 16th Congressional District of
Florida
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 11 million Americans
who were newly eligible and enrolled in Medicaid since 2014. Additionally, Republican proposals to tax
employer-based health coverage could destabilize employer-based coverage and raise taxes on individuals
who have health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Buchanans (R) district.
Here is what is at risk:

The districts uninsured rate has gone from 17.2% to 13.2% since the ACA was implemented.
This 4.0% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

329,700 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

335,600 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

42,400 individuals in the district who have purchased high quality Marketplace coverage through
now stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

38,200 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

28,100 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

24,000 individuals in the district who could become eligible for Medicaid if the state expanded
Medicaid will now lose the opportunity to gain coverage if the Republican Congress eliminates
the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 17th Congressional District of
Florida
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 11 million Americans
who were newly eligible and enrolled in Medicaid since 2014. Additionally, Republican proposals to tax
employer-based health coverage could destabilize employer-based coverage and raise taxes on individuals
who have health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Tom Rooneys (R) district.
Here is what is at risk:

The districts uninsured rate has gone from 25.1% to 16.8% since the ACA was implemented.
This 8.3% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

39,300 individuals in the district who have purchased high quality Marketplace coverage through
now stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

36,500 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

27,600 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

26,000 individuals in the district who could become eligible for Medicaid if the state expanded
Medicaid will now lose the opportunity to gain coverage if the Republican Congress eliminates
the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 18th Congressional District of
Florida
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 11 million Americans
who were newly eligible and enrolled in Medicaid since 2014. Additionally, Republican proposals to tax
employer-based health coverage could destabilize employer-based coverage and raise taxes on individuals
who have health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Masts (R) district.
Here is what is at risk:

The districts uninsured rate has gone from 19.5% to 11.3% since the ACA was implemented.
This 8.2% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

311,500 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

319,700 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

60,000 individuals in the district who have purchased high quality Marketplace coverage through
now stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

55,700 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

44,100 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

25,300 individuals in the district who could become eligible for Medicaid if the state expanded
Medicaid will now lose the opportunity to gain coverage if the Republican Congress eliminates
the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 19th Congressional District of
Florida
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 11 million Americans
who were newly eligible and enrolled in Medicaid since 2014. Additionally, Republican proposals to tax
employer-based health coverage could destabilize employer-based coverage and raise taxes on individuals
who have health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Francis Rooneys (R) district.
Here is what is at risk:

The districts uninsured rate has gone from 20.4% to 14.0% since the ACA was implemented.
This 6.4% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

309,400 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

312,600 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

50,300 individuals in the district who have purchased high quality Marketplace coverage through
now stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

47,100 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

37,000 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

26,600 individuals in the district who could become eligible for Medicaid if the state expanded
Medicaid will now lose the opportunity to gain coverage if the Republican Congress eliminates
the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 20th Congressional District of
Florida
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 11 million Americans
who were newly eligible and enrolled in Medicaid since 2014. Additionally, Republican proposals to tax
employer-based health coverage could destabilize employer-based coverage and raise taxes on individuals
who have health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Hastingss (D) district.
Here is what is at risk:

The districts uninsured rate has gone from 21.6% to 17.5% since the ACA was implemented.
This 4.1% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

320,700 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

330,600 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

79,500 individuals in the district who have purchased high quality Marketplace coverage through
now stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

73,900 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

58,600 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

25,100 individuals in the district who could become eligible for Medicaid if the state expanded
Medicaid will now lose the opportunity to gain coverage if the Republican Congress eliminates
the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 21st Congressional District of
Florida
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 11 million Americans
who were newly eligible and enrolled in Medicaid since 2014. Additionally, Republican proposals to tax
employer-based health coverage could destabilize employer-based coverage and raise taxes on individuals
who have health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Frankels (D) district.
Here is what is at risk:

The districts uninsured rate has gone from 19.9% to 13.7% since the ACA was implemented.
This 6.2% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

327,300 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

335,200 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

69,100 individuals in the district who have purchased high quality Marketplace coverage through
now stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

64,200 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

50,400 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

24,200 individuals in the district who could become eligible for Medicaid if the state expanded
Medicaid will now lose the opportunity to gain coverage if the Republican Congress eliminates
the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 22nd Congressional District of
Florida
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 11 million Americans
who were newly eligible and enrolled in Medicaid since 2014. Additionally, Republican proposals to tax
employer-based health coverage could destabilize employer-based coverage and raise taxes on individuals
who have health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Deutchs (D) district.
Here is what is at risk:

The districts uninsured rate has gone from 22.0% to 13.8% since the ACA was implemented.
This 8.2% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

319,200 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

329,600 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

81,900 individuals in the district who have purchased high quality Marketplace coverage through
now stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

76,100 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

60,500 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

25,400 individuals in the district who could become eligible for Medicaid if the state expanded
Medicaid will now lose the opportunity to gain coverage if the Republican Congress eliminates
the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 23rd Congressional District of
Florida
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 11 million Americans
who were newly eligible and enrolled in Medicaid since 2014. Additionally, Republican proposals to tax
employer-based health coverage could destabilize employer-based coverage and raise taxes on individuals
who have health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Wasserman-Schultzs (D)
district.
Here is what is at risk:

The districts uninsured rate has gone from 23.1% to 11.3% since the ACA was implemented.
This 11.8% drop in the uninsured rate could be reversed if the ACA is entirely or partially
repealed.

316,100 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

326,400 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

85,800 individuals in the district who have purchased high quality Marketplace coverage through
now stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

80,100 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

63,800 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

26,800 individuals in the district who could become eligible for Medicaid if the state expanded
Medicaid will now lose the opportunity to gain coverage if the Republican Congress eliminates
the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 24th Congressional District of
Florida
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 11 million Americans
who were newly eligible and enrolled in Medicaid since 2014. Additionally, Republican proposals to tax
employer-based health coverage could destabilize employer-based coverage and raise taxes on individuals
who have health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Wilsons (D) district.
Here is what is at risk:

The districts uninsured rate has gone from 28.3% to 21.8% since the ACA was implemented.
This 6.5% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

277,600 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

282,400 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

94,900 individuals in the district who have purchased high quality Marketplace coverage through
now stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

91,500 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

72,800 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

33,200 individuals in the district who could become eligible for Medicaid if the state expanded
Medicaid will now lose the opportunity to gain coverage if the Republican Congress eliminates
the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 25th Congressional District of
Florida
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 11 million Americans
who were newly eligible and enrolled in Medicaid since 2014. Additionally, Republican proposals to tax
employer-based health coverage could destabilize employer-based coverage and raise taxes on individuals
who have health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Diaz-Balarts (R) district.
Here is what is at risk:

The districts uninsured rate has gone from 32.2% to 22.7% since the ACA was implemented.
This 4.7% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

83,100 individuals in the district who have purchased high quality Marketplace coverage through
now stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

79,800 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

63,800 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

32,200 individuals in the district who could become eligible for Medicaid if the state expanded
Medicaid will now lose the opportunity to gain coverage if the Republican Congress eliminates
the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 26th Congressional District of
Florida
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 11 million Americans
who were newly eligible and enrolled in Medicaid since 2014. Additionally, Republican proposals to tax
employer-based health coverage could destabilize employer-based coverage and raise taxes on individuals
who have health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Curbelos (R) district.
Here is what is at risk:

The districts uninsured rate has gone from 28.8% to 18.5% since the ACA was implemented.
This 10.3% drop in the uninsured rate could be reversed if the ACA is entirely or partially
repealed.

269,100 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

272,900 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

92,500 individuals in the district who have purchased high quality Marketplace coverage through
now stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

89,400 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

70,200 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

32,300 individuals in the district who could become eligible for Medicaid if the state expanded
Medicaid will now lose the opportunity to gain coverage if the Republican Congress eliminates
the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 27th Congressional District of
Florida
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 11 million Americans
who were newly eligible and enrolled in Medicaid since 2014. Additionally, Republican proposals to tax
employer-based health coverage could destabilize employer-based coverage and raise taxes on individuals
who have health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Ros-Lehtinens (R) district.
Here is what is at risk:

The districts uninsured rate has gone from 29.1% to 16.4% since the ACA was implemented.
This 12.7% drop in the uninsured rate could be reversed if the ACA is entirely or partially
repealed.

266,200 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

270,000 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

96,300 individuals in the district who have purchased high quality Marketplace coverage through
now stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

93,200 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

74,100 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

33,600 individuals in the district who could become eligible for Medicaid if the state expanded
Medicaid will now lose the opportunity to gain coverage if the Republican Congress eliminates
the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 1st Congressional District of
Georgia
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 11 million Americans
who were newly eligible and enrolled in Medicaid since 2014. Additionally, Republican proposals to tax
employer-based health coverage could destabilize employer-based coverage and raise taxes on individuals
who have health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Carters (R) district.
Here is what is at risk:

The districts uninsured rate has gone from 18.6% to 14.6% since the ACA was implemented.
This 4.0% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

299,900 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

313,000 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

32,100 individuals in the district who have purchased high quality Marketplace coverage through
now stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

28,100 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

21,300 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

31,200 individuals in the district who could become eligible for Medicaid if the state expanded
Medicaid will now lose the opportunity to gain coverage if the Republican Congress eliminates
the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 2nd Congressional District of
Georgia
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 11 million Americans
who were newly eligible and enrolled in Medicaid since 2014. Additionally, Republican proposals to tax
employer-based health coverage could destabilize employer-based coverage and raise taxes on individuals
who have health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Bishops (D) district.
Here is what is at risk:

The districts uninsured rate has gone from 19.9% to 15.2% since the ACA was implemented.
This 4.7% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

243,300 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

260,000 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

22,500 individuals in the district who have purchased high quality Marketplace coverage through
now stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

20,900 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

15,800 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

37,200 individuals in the district who could become eligible for Medicaid if the state expanded
Medicaid will now lose the opportunity to gain coverage if the Republican Congress eliminates
the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 3rd Congressional District of
Georgia
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 11 million Americans
who were newly eligible and enrolled in Medicaid since 2014. Additionally, Republican proposals to tax
employer-based health coverage could destabilize employer-based coverage and raise taxes on individuals
who have health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Fergusons (R) district.
Here is what is at risk:

The districts uninsured rate has gone from 15.9% to 12.1% since the ACA was implemented.
This 3.9% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

352,500 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

382,900 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

28,900 individuals in the district who have purchased high quality Marketplace coverage through
now stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

26,400 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

19,300 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

26,200 individuals in the district who could become eligible for Medicaid if the state expanded
Medicaid will now lose the opportunity to gain coverage if the Republican Congress eliminates
the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 4th Congressional District of
Georgia
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 11 million Americans
who were newly eligible and enrolled in Medicaid since 2014. Additionally, Republican proposals to tax
employer-based health coverage could destabilize employer-based coverage and raise taxes on individuals
who have health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Johnsons (D) district.
Here is what is at risk:

The districts uninsured rate has gone from 19.7% to 16.2% since the ACA was implemented.
This 3.5% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

340,000 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

379,100 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

45,700 individuals in the district who have purchased high quality Marketplace coverage through
now stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

40,900 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

31,800 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

31,000 individuals in the district who could become eligible for Medicaid if the state expanded
Medicaid will now lose the opportunity to gain coverage if the Republican Congress eliminates
the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 5th Congressional District of
Georgia
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 11 million Americans
who were newly eligible and enrolled in Medicaid since 2014. Additionally, Republican proposals to tax
employer-based health coverage could destabilize employer-based coverage and raise taxes on individuals
who have health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Lewiss (D) district.
Here is what is at risk:

The districts uninsured rate has gone from 20.8% to 13.7% since the ACA was implemented.
This 7.1% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

346,000 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

382,300 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

40,800 individuals in the district who have purchased high quality Marketplace coverage through
now stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

34,300 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

25,600 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

31,600 individuals in the district who could become eligible for Medicaid if the state expanded
Medicaid will now lose the opportunity to gain coverage if the Republican Congress eliminates
the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 6th Congressional District of
Georgia
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 11 million Americans
who were newly eligible and enrolled in Medicaid since 2014. Additionally, Republican proposals to tax
employer-based health coverage could destabilize employer-based coverage and raise taxes on individuals
who have health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Georgias 6th congressional
district.
Here is what is at risk:

The districts uninsured rate has gone from 15.8% to 10.7% since the ACA was implemented.
This 5.2% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

429,200 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

481,900 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

40,600 individuals in the district who have purchased high quality Marketplace coverage through
now stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

34,200 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

25,100 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

14,900 individuals in the district who could become eligible for Medicaid if the state expanded
Medicaid will now lose the opportunity to gain coverage if the Republican Congress eliminates
the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 7th Congressional District of
Georgia
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 11 million Americans
who were newly eligible and enrolled in Medicaid since 2014. Additionally, Republican proposals to tax
employer-based health coverage could destabilize employer-based coverage and raise taxes on individuals
who have health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Woodalls (R) district.
Here is what is at risk:

The districts uninsured rate has gone from 18.2% to 14.8% since the ACA was implemented.
This 3.4% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

410,000 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

446,800 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

53,600 individuals in the district who have purchased high quality Marketplace coverage through
now stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

48,800 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

38,000 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

21,800 individuals in the district who could become eligible for Medicaid if the state expanded
Medicaid will now lose the opportunity to gain coverage if the Republican Congress eliminates
the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 8th Congressional District of
Georgia
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 11 million Americans
who were newly eligible and enrolled in Medicaid since 2014. Additionally, Republican proposals to tax
employer-based health coverage could destabilize employer-based coverage and raise taxes on individuals
who have health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Austin Scotts (R) district.
Here is what is at risk:

The districts uninsured rate has gone from 17.7% to 14% since the ACA was implemented.
This 3.7% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

294,500 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

323,800 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

20,900 individuals in the district who have purchased high quality Marketplace coverage through
now stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

19,600 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

14,900 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

33,100 individuals in the district who could become eligible for Medicaid if the state expanded
Medicaid will now lose the opportunity to gain coverage if the Republican Congress eliminates
the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 9th Congressional District of
Georgia
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 11 million Americans
who were newly eligible and enrolled in Medicaid since 2014. Additionally, Republican proposals to tax
employer-based health coverage could destabilize employer-based coverage and raise taxes on individuals
who have health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Collinss (R) district.
Here is what is at risk:

The districts uninsured rate has gone from 19.1% to 15.4% since the ACA was implemented.
This 3.8% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

333,800 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

354,600 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

30,300 individuals in the district who have purchased high quality Marketplace coverage through
now stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

27,800 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

20,300 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

26,700 individuals in the district who could become eligible for Medicaid if the state expanded
Medicaid will now lose the opportunity to gain coverage if the Republican Congress eliminates
the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 10th Congressional District of
Georgia
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 11 million Americans
who were newly eligible and enrolled in Medicaid since 2014. Additionally, Republican proposals to tax
employer-based health coverage could destabilize employer-based coverage and raise taxes on individuals
who have health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Hices (R) district.
Here is what is at risk:

The districts uninsured rate has gone from 14.7% to 12.4% since the ACA was implemented.
This 2.3% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

357,600 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

394,800 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

29,200 individuals in the district who have purchased high quality Marketplace coverage through
now stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

26,300 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

20,100 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

28,400 individuals in the district who could become eligible for Medicaid if the state expanded
Medicaid will now lose the opportunity to gain coverage if the Republican Congress eliminates
the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 11th Congressional District of
Georgia
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 11 million Americans
who were newly eligible and enrolled in Medicaid since 2014. Additionally, Republican proposals to tax
employer-based health coverage could destabilize employer-based coverage and raise taxes on individuals
who have health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Loudermilks (R) district.
Here is what is at risk:

The districts uninsured rate has gone from 17.0% to 11.9% since the ACA was implemented.
This 5.1% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

404,600 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

450,800 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

38,400 individuals in the district who have purchased high quality Marketplace coverage through
now stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

33,700 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

24,200 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

19,400 individuals in the district who could become eligible for Medicaid if the state expanded
Medicaid will now lose the opportunity to gain coverage if the Republican Congress eliminates
the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 12th Congressional District of
Georgia
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 11 million Americans
who were newly eligible and enrolled in Medicaid since 2014. Additionally, Republican proposals to tax
employer-based health coverage could destabilize employer-based coverage and raise taxes on individuals
who have health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Allens (R) district.
Here is what is at risk:

The districts uninsured rate has gone from 18.1% to 14.7% since the ACA was implemented.
This 3.4% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

291,300 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

319,200 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

28,100 individuals in the district who have purchased high quality Marketplace coverage through
now stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

25,300 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

20,100 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

33,500 individuals in the district who could become eligible for Medicaid if the state expanded
Medicaid will now lose the opportunity to gain coverage if the Republican Congress eliminates
the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 13th Congressional District of
Georgia
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 11 million Americans
who were newly eligible and enrolled in Medicaid since 2014. Additionally, Republican proposals to tax
employer-based health coverage could destabilize employer-based coverage and raise taxes on individuals
who have health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. David Scotts (D) district.
Here is what is at risk:

The districts uninsured rate has gone from 22.8% to 15.5% since the ACA was implemented.
This 7.3% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

343,300 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

374,900 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

41,500 individuals in the district who have purchased high quality Marketplace coverage through
now stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

37,300 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

28,100 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

28,100 individuals in the district who could become eligible for Medicaid if the state expanded
Medicaid will now lose the opportunity to gain coverage if the Republican Congress eliminates
the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 14th Congressional District of
Georgia
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 11 million Americans
who were newly eligible and enrolled in Medicaid since 2014. Additionally, Republican proposals to tax
employer-based health coverage could destabilize employer-based coverage and raise taxes on individuals
who have health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Gravess (R) district.
Here is what is at risk:

The districts uninsured rate has gone from 19.7% to 12.8% since the ACA was implemented.
This 6.9% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

333,400 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

376,300 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

25,500 individuals in the district who have purchased high quality Marketplace coverage through
now stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

23,800 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

17,600 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

26,000 individuals in the district who could become eligible for Medicaid if the state expanded
Medicaid will now lose the opportunity to gain coverage if the Republican Congress eliminates
the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 1st Congressional District of
Hawaii
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Hanabusas (D) district.
Here is what is at risk:

The districts uninsured rate has gone from 5.9% to 3.6% since the ACA was implemented.
This 2.2% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

378,700 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

442,500 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

5,200 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

4,300 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

3,300 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

45,000 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 2nd Congressional District of
Hawaii
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Gabbards (D) district.
Here is what is at risk:

The districts uninsured rate has gone from 7.9% to 4.3% since the ACA was implemented.
This 3.6% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

364,800 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

424,800 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

8,100 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

6,700 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

4,700 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

62,500 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 1st Congressional District of
Idaho
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 11 million Americans
who were newly eligible and enrolled in Medicaid since 2014. Additionally, Republican proposals to tax
employer-based health coverage could destabilize employer-based coverage and raise taxes on individuals
who have health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Labradors (R) district.
Here is what is at risk:

The districts uninsured rate has gone from 15.9% to 10.3% since the ACA was implemented.
This 5.7% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

430,700 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

430,400 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

47,200 individuals in the district who have purchased high quality Marketplace coverage through
now stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

41,400 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

29,400 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

29,300 individuals in the district who could become eligible for Medicaid if the state expanded
Medicaid will now lose the opportunity to gain coverage if the Republican Congress eliminates
the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 2nd Congressional District of
Idaho
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 11 million Americans
who were newly eligible and enrolled in Medicaid since 2014. Additionally, Republican proposals to tax
employer-based health coverage could destabilize employer-based coverage and raise taxes on individuals
who have health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Simpsons (R) district.
Here is what is at risk:

The districts uninsured rate has gone from 16.4% to 11.9% since the ACA was implemented.
This 4.5% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

409,400 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

406,000 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

47,100 individuals in the district who have purchased high quality Marketplace coverage through
now stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

41,400 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

29,400 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

29,700 individuals in the district who could become eligible for Medicaid if the state expanded
Medicaid will now lose the opportunity to gain coverage if the Republican Congress eliminates
the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 1st Congressional District of
Illinois
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Rushs (D) district.
Here is what is at risk:

The districts uninsured rate has gone from 13.9% to 6.8% since the ACA was implemented.
This 7.2% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

337,500 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

387,300 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

19,400 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

13,900 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

9,200 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

48,900 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 2nd Congressional District of
Illinois
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Kellys (D) district.
Here is what is at risk:

The districts uninsured rate has gone from 15.4% to 8.4% since the ACA was implemented.
This 7.0% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

305,200 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

351,200 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

18,400 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

13,500 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

8,800 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

53,100 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 3rd Congressional District of
Illinois
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Lipinskis (D) district.
Here is what is at risk:

The districts uninsured rate has gone from 14.3% to 9.0% since the ACA was implemented.
This 5.3% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

362,200 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

413,200 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

19,400 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

13,900 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

9,200 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

35,600 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 4th Congressional District of
Illinois
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Gutirrezs (D) district.
Here is what is at risk:

The districts uninsured rate has gone from 26.7% to 18.2% since the ACA was implemented.
This 8.5% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

249,100 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

286,000 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

19,500 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

13,800 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

9,300 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

61,900 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 5th Congressional District of
Illinois
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Quigleys (D) district.
Here is what is at risk:

The districts uninsured rate has gone from 13.4% to 6.5% since the ACA was implemented.
This 6.9% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

424,500 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

479,600 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

19,900 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

14,300 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

9,500 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

26,500 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 6th Congressional District of
Illinois
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Roskams (R) district.
Here is what is at risk:

The districts uninsured rate has gone from 7.6% to 4.7% since the ACA was implemented.
This 3.0% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

453,500 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

497,800 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

22,600 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

17,800 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

10,600 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

16,900 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 7th Congressional District of
Illinois
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Danny Daviss (D) district.
Here is what is at risk:

The districts uninsured rate has gone from 16.1% to 8.1% since the ACA was implemented.
This 8.0% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

310,000 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

347,800 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

19,500 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

13,800 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

9,300 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

59,300 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 8th Congressional District of
Illinois
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Krishnamoorthis (D) district.
Here is what is at risk:

The districts uninsured rate has gone from 15.2% to 9.1% since the ACA was implemented.
This 6.0% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

375,700 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

419,400 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

21,100 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

15,900 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

10,000 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

27,200 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 9th Congressional District of
Illinois
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Schakowskys (D) district.
Here is what is at risk:

The districts uninsured rate has gone from 12.3% to 7.0% since the ACA was implemented.
This 5.3% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

396,200 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

425,400 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

19,500 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

13,800 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

9,300 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

35,700 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 10th Congressional District of
Illinois
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Schneiders (D) district.
Here is what is at risk:

The districts uninsured rate has gone from 12.8% to 8.8% since the ACA was implemented.
This 4.0% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

369,400 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

407,600 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

21,200 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

16,100 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

9,900 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

28,300 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 11th Congressional District of
Illinois
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Fosters (D) district.
Here is what is at risk:

The districts uninsured rate has gone from 12.6% to 8.0% since the ACA was implemented.
This 4.6% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

385,400 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

442,900 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

20,200 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

16,200 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

9,700 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

32,300 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 12th Congressional District of
Illinois
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Bosts (R) district.
Here is what is at risk:

The districts uninsured rate has gone from 11.8% to 5.4% since the ACA was implemented.
This 6.4% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

334,100 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

371,500 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

14,500 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

12,400 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

6,800 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

42,100 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 13th Congressional District of
Illinois
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Rodney Daviss (R) district.
Here is what is at risk:

The districts uninsured rate has gone from 9.9% to 4.6% since the ACA was implemented.
This 5.3% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

377,200 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

413,700 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

14,300 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

12,100 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

6,600 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

43,000 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 14th Congressional District of
Illinois
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Hultgrens (R) district.
Here is what is at risk:

The districts uninsured rate has gone from 8.0% to 4.3% since the ACA was implemented.
This 3.8% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

447,100 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

503,900 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

20,900 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

16,900 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

9,600 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

19,600 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 15th Congressional District of
Illinois
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Shimkuss (R) district.
Here is what is at risk:

The districts uninsured rate has gone from 10.3% to 4.9% since the ACA was implemented.
This 5.3% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

354,600 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

381,800 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

16,800 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

14,300 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

7,200 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

37,600 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 16th Congressional District of
Illinois
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Kinzingers (R) district.
Here is what is at risk:

The districts uninsured rate has gone from 10.3% to 5.0% since the ACA was implemented.
This 5.3% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

378,300 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

415,800 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

17,200 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

15,000 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

7,700 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

33,600 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 17th Congressional District of
Illinois
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Bustoss (D) district.
Here is what is at risk:

The districts uninsured rate has gone from 11.3% to 5.3% since the ACA was implemented.
This 6.0% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

330,700 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

361,500 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

16,300 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

14,000 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

7,300 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

42,200 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 18th Congressional District of
Illinois
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. LaHoods (R) district.
Here is what is at risk:

The districts uninsured rate has gone from 7.8% to 3.4% since the ACA was implemented.
This 4.3% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

408,200 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

452,400 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

14,400 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

12,200 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

6,500 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

27,500 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 1st Congressional District of
Indiana
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Viscloskys (D) district.
Here is what is at risk:

The districts uninsured rate has gone from 14.5% to 8.7% since the ACA was implemented.
This 5.9% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

363,000 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

417,700 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

17,500 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

14,600 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

8,900 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

41,000 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 2nd Congressional District of
Indiana
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Walorskis (R) district.
Here is what is at risk:

The districts uninsured rate has gone from 15.5% to 11.3% since the ACA was implemented.
This 4.2% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

359,900 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

392,200 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

18,900 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

15,600 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

8,500 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

42,100 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 3rd Congressional District of
Indiana
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Bankss (R) district.
Here is what is at risk:

The districts uninsured rate has gone from 16.8% to 11.8% since the ACA was implemented.
This 5.0% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

376,800 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

417,000 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

17,700 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

15,100 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

7,900 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

36,500 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 4th Congressional District of
Indiana
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Rokitas (R) district.
Here is what is at risk:

The districts uninsured rate has gone from 12.0% to 8.9% since the ACA was implemented.
This 3.1% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

413,000 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

462,900 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

17,800 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

14,500 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

7,900 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

33,800 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 5th Congressional District of
Indiana
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Brookss (R) district.
Here is what is at risk:

The districts uninsured rate has gone from 10.3% to 7.2% since the ACA was implemented.
This 3.1% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

443,000 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

496,500 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

22,100 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

17,100 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

9,000 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

27,300 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 6th Congressional District of
Indiana
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Messers (R) district.
Here is what is at risk:

The districts uninsured rate has gone from 13.7% to 8.6% since the ACA was implemented.
This 5.1% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

382,000 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

425,600 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

16,900 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

14,500 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

7,700 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

37,300 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 7th Congressional District of
Indiana
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Carsons (D) district.
Here is what is at risk:

The districts uninsured rate has gone from 18.8% to 13.0% since the ACA was implemented.
This 5.8% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

311,400 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

349,400 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

20,400 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

16,600 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

9,600 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

65,400 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 8th Congressional District of
Indiana
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Bucshons (R) district.
Here is what is at risk:

The districts uninsured rate has gone from 13.7% to 8.3% since the ACA was implemented.
This 5.4% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

372,500 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

412,600 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

18,700 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

16,100 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

8,700 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

41,400 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 9th Congressional District of
Indiana
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Hollingsworths (R) district.
Here is what is at risk:

The districts uninsured rate has gone from 13.2% to 8.9% since the ACA was implemented.
This 4.3% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

401,600 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

451,400 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

18,800 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

15,400 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

9,200 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

36,900 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 1st Congressional District of
Iowa
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Blums (R) district.
Here is what is at risk:

The districts uninsured rate has gone from 7.3% to 5.1% since the ACA was implemented.
This 2.2% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

440,600 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

464,400 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

11,900 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

11,300 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

6,600 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

33,000 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 2nd Congressional District of
Iowa
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Loebsacks (D) district.
Here is what is at risk:

The districts uninsured rate has gone from 9.0% to 5.3% since the ACA was implemented.
This 3.7% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

429,100 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

464,200 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

12,000 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

10,500 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

6,400 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

40,300 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 3rd Congressional District of
Iowa
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Youngs (R) district.
Here is what is at risk:

The districts uninsured rate has gone from 8.4% to 4.8% since the ACA was implemented.
This 3.6% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

455,700 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

503,600 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

13,700 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

11,000 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

6,600 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

35,300 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 4th Congressional District of
Iowa
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Kings (R) district.
Here is what is at risk:

The districts uninsured rate has gone from 8.9% to 4.9% since the ACA was implemented.
This 4.0% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

423,900 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

429,700 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

11,400 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

9,900 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

6,100 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

37,700 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 1st Congressional District of
Kansas
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 11 million Americans
who were newly eligible and enrolled in Medicaid since 2014. Additionally, Republican proposals to tax
employer-based health coverage could destabilize employer-based coverage and raise taxes on individuals
who have health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Marshalls (R) district.
Here is what is at risk:

The districts uninsured rate has gone from 12.8% to 9.3% since the ACA was implemented.
This 3.5% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

366,300 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

366,500 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

19,300 individuals in the district who have purchased high quality Marketplace coverage through
now stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

16,200 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

12,100 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

21,200 individuals in the district who could become eligible for Medicaid if the state expanded
Medicaid will now lose the opportunity to gain coverage if the Republican Congress eliminates
the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 2nd Congressional District of
Kansas
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 11 million Americans
who were newly eligible and enrolled in Medicaid since 2014. Additionally, Republican proposals to tax
employer-based health coverage could destabilize employer-based coverage and raise taxes on individuals
who have health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Jenkinss (R) district.
Here is what is at risk:

The districts uninsured rate has gone from 12.9% to 7.4% since the ACA was implemented.
This 5.4% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

387,600 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

405,900 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

20,800 individuals in the district who have purchased high quality Marketplace coverage through
now stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

17,600 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

12,700 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

21,600 individuals in the district who could become eligible for Medicaid if the state expanded
Medicaid will now lose the opportunity to gain coverage if the Republican Congress eliminates
the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 3rd Congressional District of
Kansas
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 11 million Americans
who were newly eligible and enrolled in Medicaid since 2014. Additionally, Republican proposals to tax
employer-based health coverage could destabilize employer-based coverage and raise taxes on individuals
who have health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Yoders (R) district.
Here is what is at risk:

The districts uninsured rate has gone from 11.1% to 7.7% since the ACA was implemented.
This 3.4% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

440,300 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

485,100 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

28,700 individuals in the district who have purchased high quality Marketplace coverage through
now stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

24,500 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

15,400 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

14,200 individuals in the district who could become eligible for Medicaid if the state expanded
Medicaid will now lose the opportunity to gain coverage if the Republican Congress eliminates
the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 4th Congressional District of
Kansas
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 11 million Americans
who were newly eligible and enrolled in Medicaid since 2014. Additionally, Republican proposals to tax
employer-based health coverage could destabilize employer-based coverage and raise taxes on individuals
who have health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Kansass 4th congressional
district.
Here is what is at risk:

The districts uninsured rate has gone from 13.7% to 12.2% since the ACA was implemented.
This 1.5% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

370,100 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

401,800 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

20,700 individuals in the district who have purchased high quality Marketplace coverage through
now stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

17,500 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

12,800 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

20,000 individuals in the district who could become eligible for Medicaid if the state expanded
Medicaid will now lose the opportunity to gain coverage if the Republican Congress eliminates
the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 1st Congressional District of
Kentucky
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance Marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA Marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Corners (R) district.
Here is what is at risk:

The districts uninsured rate has gone from 15.1% to 6.8% since the ACA was implemented.
This 8.3% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

314,000 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

337,500 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

12,200 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

9,200 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

5,300 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

76,000 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 2nd Congressional District of
Kentucky
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance Marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA Marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Guthries (R) district.
Here is what is at risk:

The districts uninsured rate has gone from 13.2% to 5.3% since the ACA was implemented.
This 7.9% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

357,600 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

395,600 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

12,600 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

9,500 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

5,400 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

68,200 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 3rd Congressional District of
Kentucky
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance Marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA Marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Yarmuths (D) district.
Here is what is at risk:

The districts uninsured rate has gone from 13.3% to 5.3% since the ACA was implemented.
This 7.9% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

382,000 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

426,800 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

12,400 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

9,400 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

5,300 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

62,200 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 4th Congressional District of
Kentucky
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance Marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA Marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Massies (R) district.
Here is what is at risk:

The districts uninsured rate has gone from 11.2% to 6.0% since the ACA was implemented.
This 5.2% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

391,200 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

453,900 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

12,700 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

9,600 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

5,500 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

53,000 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 5th Congressional District of
Kentucky
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance Marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA Marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Rogerss (R) district.
Here is what is at risk:

The districts uninsured rate has gone from 17.4% to 5.7% since the ACA was implemented.
This 11.8% drop in the uninsured rate could be reversed if the ACA is entirely or partially
repealed.

253,900 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

274,300 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

12,000 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

9,100 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

5,200 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

104,600 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 6th Congressional District of
Kentucky
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance Marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA Marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Barrs (R) district.
Here is what is at risk:

The districts uninsured rate has gone from 13.1% to 6.9% since the ACA was implemented.
This 6.2% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

380,200 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

427,600 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

12,700 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

9,600 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

5,500 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

75,100 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 1st Congressional District of
Louisiana
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Scalises (R) district.
Here is what is at risk:

The districts uninsured rate has gone from 15.5% to 11.4% since the ACA was implemented.
This 4.1% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

395,800 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

420,900 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

36,300 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

33,600 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

24,000 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

26,600 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 2nd Congressional District of
Louisiana
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Richmonds (D) district.
Here is what is at risk:

The districts uninsured rate has gone from 18.3% to 13.3% since the ACA was implemented.
This 5.0% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

313,000 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

341,400 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

39,300 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

35,500 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

25,800 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

40,100 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 3rd Congressional District of
Louisiana
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Higginss (R) district.
Here is what is at risk:

The districts uninsured rate has gone from 17.0% to 12.1% since the ACA was implemented.
This 4.9% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

363,000 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

392,500 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

26,900 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

24,900 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

17,100 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

31,500 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 4th Congressional District of
Louisiana
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Johnsons (R) district.
Here is what is at risk:

The districts uninsured rate has gone from 16.1% to 12.9% since the ACA was implemented.
This 3.3% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

308,600 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

332,400 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

24,900 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

23,500 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

15,800 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

34,500 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 5th Congressional District of
Louisiana
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Abrahams (R) district.
Here is what is at risk:

The districts uninsured rate has gone from 20.9% to 14.0% since the ACA was implemented.
This 6.9% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

298,200 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

332,400 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

28,000 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

26,200 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

17,000 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

37,100 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 6th Congressional District of
Louisiana
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Gravess (R) district.
Here is what is at risk:

The districts uninsured rate has gone from 13.7% to 8.3% since the ACA was implemented.
This 5.4% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

421,500 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

475,300 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

28,900 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

27,100 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

19,000 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

23,200 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 1st Congressional District of
Maine
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 11 million Americans
who were newly eligible and enrolled in Medicaid since 2014. Additionally, Republican proposals to tax
employer-based health coverage could destabilize employer-based coverage and raise taxes on individuals
who have health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Pingrees (D) district.
Here is what is at risk:

The districts uninsured rate has gone from 9.2% to 7.7% since the ACA was implemented.
This 1.5% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

361,500 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

389,300 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

39,200 individuals in the district who have purchased high quality Marketplace coverage through
now stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

31,700 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

21,000 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

15,800 individuals in the district who could become eligible for Medicaid if the state expanded
Medicaid will now lose the opportunity to gain coverage if the Republican Congress eliminates
the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 2nd Congressional District of
Maine
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 11 million Americans
who were newly eligible and enrolled in Medicaid since 2014. Additionally, Republican proposals to tax
employer-based health coverage could destabilize employer-based coverage and raise taxes on individuals
who have health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Poliquins (R) district.
Here is what is at risk:

The districts uninsured rate has gone from 11.2% to 9.1% since the ACA was implemented.
This 2.1% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

307,400 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

312,500 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

36,000 individuals in the district who have purchased high quality Marketplace coverage through
now stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

32,200 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

21,800 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

24,200 individuals in the district who could become eligible for Medicaid if the state expanded
Medicaid will now lose the opportunity to gain coverage if the Republican Congress eliminates
the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 1st Congressional District of
Maryland
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance Marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA Marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Harriss (R) district.
Here is what is at risk:

The districts uninsured rate has gone from 8.3% to 4.1% since the ACA was implemented.
This 4.2% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

401,400 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

445,400 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

15,800 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

11,800 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

8,400 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

32,900 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 2nd Congressional District of
Maryland
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance Marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA Marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Ruppersbergers (D) district.
Here is what is at risk:

The districts uninsured rate has gone from 10.7% to 6.6% since the ACA was implemented.
This 4.1% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

379,900 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

438,500 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

16,100 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

12,000 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

8,600 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

40,500 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 3rd Congressional District of
Maryland
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance Marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA Marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Sarbaness (D) district.
Here is what is at risk:

The districts uninsured rate has gone from 8.9% to 6.1% since the ACA was implemented.
This 2.8% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

420,900 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

485,900 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

16,700 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

12,400 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

8,900 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

28,000 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 4th Congressional District of
Maryland
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance Marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA Marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Browns (D) district.
Here is what is at risk:

The districts uninsured rate has gone from 15.1% to 10.4% since the ACA was implemented.
This 4.7% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

375,600 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

440,900 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

16,400 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

12,200 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

8,700 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

28,300 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 5th Congressional District of
Maryland
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance Marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA Marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Hoyers (D) district.
Here is what is at risk:

The districts uninsured rate has gone from 8.9% to 5.6% since the ACA was implemented.
This 3.4% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

432,700 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

513,500 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

13,800 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

10,300 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

7,400 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

21,900 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 6th Congressional District of
Maryland
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance Marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA Marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Delaneys (D) district.
Here is what is at risk:

The districts uninsured rate has gone from 10.7% to 6.8% since the ACA was implemented.
This 3.8% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

410,400 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

467,700 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

19,600 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

14,600 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

10,500 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

31,000 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 7th Congressional District of
Maryland
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance Marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA Marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Cummingss (D) district.
Here is what is at risk:

The districts uninsured rate has gone from 9.4% to 6.0% since the ACA was implemented.
This 3.3% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

355,200 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

404,900 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

15,500 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

11,600 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

8,300 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

50,200 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 8th Congressional District of
Maryland
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance Marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA Marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Raskins (D) district.
Here is what is at risk:

The districts uninsured rate has gone from 10.6% to 7.0% since the ACA was implemented.
This 3.6% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

444,600 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

503,700 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

21,400 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

16,000 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

11,400 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

27,400 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 1st Congressional District of
Massachusetts
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance Marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA Marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Neals (D) district.
Here is what is at risk:

The districts uninsured rate has gone from 3.6% to 3.1% since the ACA was implemented.
This 0.5% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

355,500 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

409,700 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

23,000 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

17,500 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

14,700 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

59,300 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 2nd Congressional District of
Massachusetts
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance Marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA Marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. McGoverns (D) district.
Here is what is at risk:

The districts uninsured rate has gone from 4.2% to 2.2% since the ACA was implemented.
This 2.0% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

406,600 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

463,600 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

23,000 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

17,500 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

14,700 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

49,600 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 3rd Congressional District of
Massachusetts
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance Marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA Marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Tsongass (D) district.
Here is what is at risk:

The districts uninsured rate has gone from 4.4% to 3.1% since the ACA was implemented.
This 1.3% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

394,800 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

457,000 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

23,000 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

17,500 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

14,700 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

45,600 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 4th Congressional District of
Massachusetts
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance Marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA Marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Kennedys (D) district.
Here is what is at risk:

The districts uninsured rate has gone from 2.8% to 2.1% since the ACA was implemented.
This 0.7% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

457,200 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

530,800 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

23,000 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

17,500 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

14,700 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

28,800 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 5th Congressional District of
Massachusetts
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance Marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA Marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Clarks (D) district.
Here is what is at risk:

The districts uninsured rate has gone from 3.1% to 2.8% since the ACA was implemented.
This 0.3% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

452,800 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

516,400 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

23,000 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

17,500 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

14,700 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

33,000 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 6th Congressional District of
Massachusetts
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance Marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA Marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Moultons (D) district.
Here is what is at risk:

The districts uninsured rate has gone from 3.1% to 2.3% since the ACA was implemented.
This 0.9% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

434,700 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

499,500 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

23,000 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

17,500 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

14,700 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

35,200 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 7th Congressional District of
Massachusetts
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance Marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA Marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Capuanos (D) district.
Here is what is at risk:

The districts uninsured rate has gone from 5.8% to 4.6% since the ACA was implemented.
This 1.2% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

361,900 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

419,800 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

23,000 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

17,500 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

14,700 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

74,900 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 8th Congressional District of
Massachusetts
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance Marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA Marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Lynchs (D) district.
Here is what is at risk:

The districts uninsured rate has gone from 3.6% to 1.9% since the ACA was implemented.
This 1.7% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

438,600 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

519,100 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

23,000 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

17,500 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

14,700 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

40,600 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 9th Congressional District of
Massachusetts
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance Marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA Marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Keatings (D) district.
Here is what is at risk:

The districts uninsured rate has gone from 4.1% to 3.2% since the ACA was implemented.
This 0.9% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

383,000 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

415,700 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

23,000 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

17,500 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

14,700 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

43,900 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 1st Congressional District of
Michigan
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Bergmans (R) district.
Here is what is at risk:

The districts uninsured rate has gone from 12.6% to 6.3% since the ACA was implemented.
This 6.2% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

358,600 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

371,800 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

30,900 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

29,200 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

14,700 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

40,400 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 2nd Congressional District of
Michigan
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Huizengas (R) district.
Here is what is at risk:

The districts uninsured rate has gone from 10.4% to 5.5% since the ACA was implemented.
This 4.9% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

390,400 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

443,000 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

21,900 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

19,800 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

11,300 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

40,100 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 3rd Congressional District of
Michigan
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Amashs (R) district.
Here is what is at risk:

The districts uninsured rate has gone from 10.0% to 5.8% since the ACA was implemented.
This 4.2% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

395,100 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

456,100 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

20,500 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

17,800 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

10,600 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

45,100 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 4th Congressional District of
Michigan
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Moolenaars (R) district.
Here is what is at risk:

The districts uninsured rate has gone from 11.6% to 6.7% since the ACA was implemented.
This 4.9% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

365,600 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

414,300 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

19,500 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

18,200 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

10,200 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

43,800 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 5th Congressional District of
Michigan
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Kildees (D) district.
Here is what is at risk:

The districts uninsured rate has gone from 11.0% to 5.6% since the ACA was implemented.
This 5.4% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

323,100 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

374,700 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

17,200 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

15,400 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

9,100 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

52,300 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 6th Congressional District of
Michigan
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Uptons (R) district.
Here is what is at risk:

The districts uninsured rate has gone from 11.6% to 6.3% since the ACA was implemented.
This 5.2% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

378,600 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

417,700 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

22,700 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

20,800 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

11,100 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

42,100 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 7th Congressional District of
Michigan
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Walbergs (R) district.
Here is what is at risk:

The districts uninsured rate has gone from 10.7% to 5.1% since the ACA was implemented.
This 5.5% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

376,700 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

438,200 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

19,600 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

17,800 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

9,900 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

35,000 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 8th Congressional District of
Michigan
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Bishops (R) district.
Here is what is at risk:

The districts uninsured rate has gone from 7.9% to 5.3% since the ACA was implemented.
This 2.6% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

434,700 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

499,100 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

24,000 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

20,200 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

11,900 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

32,300 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 9th Congressional District of
Michigan
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Levins (D) district.
Here is what is at risk:

The districts uninsured rate has gone from 13.1% to 5.8% since the ACA was implemented.
This 7.3% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

390,400 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

432,500 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

28,200 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

24,200 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

16,400 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

39,900 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 10th Congressional District of
Michigan
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Mitchells (R) district.
Here is what is at risk:

The districts uninsured rate has gone from 10.0% to 5.9% since the ACA was implemented.
This 4.1% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

405,900 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

456,600 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

26,700 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

24,100 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

14,900 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

32,200 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 11th Congressional District of
Michigan
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Trotts (R) district.
Here is what is at risk:

The districts uninsured rate has gone from 8.5% to 4.6% since the ACA was implemented.
This 3.9% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

451,900 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

514,400 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

24,300 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

19,800 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

13,000 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

20,200 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 12th Congressional District of
Michigan
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Dingells (D) district.
Here is what is at risk:

The districts uninsured rate has gone from 10.0% to 5.7% since the ACA was implemented.
This 4.3% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

386,700 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

441,600 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

19,500 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

16,200 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

10,300 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

43,900 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 13th Congressional District of
Michigan
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Conyerss (D) district.
Here is what is at risk:

The districts uninsured rate has gone from 17.4% to 8.8% since the ACA was implemented.
This 8.7% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

243,800 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

282,000 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

16,400 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

13,800 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

9,500 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

81,000 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 14th Congressional District of
Michigan
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Lawrences (D) district.
Here is what is at risk:

The districts uninsured rate has gone from 15.1% to 7.8% since the ACA was implemented.
This 7.3% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

298,100 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

333,500 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

21,700 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

17,800 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

11,800 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

65,800 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 1st Congressional District of
Minnesota
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance Marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA Marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Walzs (D) district.
Here is what is at risk:

The districts uninsured rate has gone from 7.9% to 4.3% since the ACA was implemented.
This 3.6% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

380,400 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

406,300 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

17,900 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

6,000 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

1,500 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

26,700 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 2nd Congressional District of
Minnesota
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance Marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA Marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Lewiss (R) district.
Here is what is at risk:

The districts uninsured rate has gone from 6.8% to 3.9% since the ACA was implemented.
This 2.9% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

423,500 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

469,400 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

17,300 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

5,800 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

1,500 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

17,300 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 3rd Congressional District of
Minnesota
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance Marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA Marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Paulsens (R) district.
Here is what is at risk:

The districts uninsured rate has gone from 5.6% to 3.7% since the ACA was implemented.
This 1.9% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

427,500 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

463,700 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

17,200 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

5,700 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

1,500 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

15,400 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 4th Congressional District of
Minnesota
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance Marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA Marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. McCollums (D) district.
Here is what is at risk:

The districts uninsured rate has gone from 9.0% to 5.1% since the ACA was implemented.
This 3.8% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

374,600 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

415,500 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

17,200 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

5,700 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

1,500 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

32,300 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 5th Congressional District of
Minnesota
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance Marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA Marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Ellisons (D) district.
Here is what is at risk:

The districts uninsured rate has gone from 10.9% to 6.6% since the ACA was implemented.
This 4.3% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

363,300 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

392,800 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

17,200 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

5,700 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

1,500 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

39,200 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 6th Congressional District of
Minnesota
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance Marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA Marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Emmers (R) district.
Here is what is at risk:

The districts uninsured rate has gone from 6.3% to 3.2% since the ACA was implemented.
This 3.1% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

413,800 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

460,100 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

17,200 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

5,700 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

1,500 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

19,600 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 7th Congressional District of
Minnesota
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance Marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA Marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Petersons (D) district.
Here is what is at risk:

The districts uninsured rate has gone from 9.0% to 5.1% since the ACA was implemented.
This 3.9% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

361,500 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

348,200 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

18,300 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

6,100 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

1,600 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

29,300 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 8th Congressional District of
Minnesota
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance Marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA Marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Nolans (D) district.
Here is what is at risk:

The districts uninsured rate has gone from 8.3% to 4.0% since the ACA was implemented.
This 4.3% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

352,000 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

363,200 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

19,200 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

6,400 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

1,600 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

28,700 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 1st Congressional District of
Mississippi
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 11 million Americans
who were newly eligible and enrolled in Medicaid since 2014. Additionally, Republican proposals to tax
employer-based health coverage could destabilize employer-based coverage and raise taxes on individuals
who have health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Kellys (R) district.
Here is what is at risk:

The districts uninsured rate has gone from 15.5% to 11.1% since the ACA was implemented.
This 4.4% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

350,600 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

368,300 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

17,100 individuals in the district who have purchased high quality Marketplace coverage through
now stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

15,900 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

13,200 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

30,400 individuals in the district who could become eligible for Medicaid if the state expanded
Medicaid will now lose the opportunity to gain coverage if the Republican Congress eliminates
the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 2nd Congressional District of
Mississippi
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 11 million Americans
who were newly eligible and enrolled in Medicaid since 2014. Additionally, Republican proposals to tax
employer-based health coverage could destabilize employer-based coverage and raise taxes on individuals
who have health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Thompsons (D) district.
Here is what is at risk:

The districts uninsured rate has gone from 19.3% to 13% since the ACA was implemented.
This 6.4% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

258,000 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

273,600 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

24,200 individuals in the district who have purchased high quality Marketplace coverage through
now stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

22,800 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

18,400 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

43,700 individuals in the district who could become eligible for Medicaid if the state expanded
Medicaid will now lose the opportunity to gain coverage if the Republican Congress eliminates
the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 3rd Congressional District of
Mississippi
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 11 million Americans
who were newly eligible and enrolled in Medicaid since 2014. Additionally, Republican proposals to tax
employer-based health coverage could destabilize employer-based coverage and raise taxes on individuals
who have health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Harpers (R) district.
Here is what is at risk:

The districts uninsured rate has gone from 14.2% to 11.8% since the ACA was implemented.
This 2.3% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

342,700 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

359,700 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

19,900 individuals in the district who have purchased high quality Marketplace coverage through
now stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

18,700 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

15,400 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

31,700 individuals in the district who could become eligible for Medicaid if the state expanded
Medicaid will now lose the opportunity to gain coverage if the Republican Congress eliminates
the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 4th Congressional District of
Mississippi
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 11 million Americans
who were newly eligible and enrolled in Medicaid since 2014. Additionally, Republican proposals to tax
employer-based health coverage could destabilize employer-based coverage and raise taxes on individuals
who have health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Palazzos (R) district.
Here is what is at risk:

The districts uninsured rate has gone from 19.2% to 14.9% since the ACA was implemented.
This 4.4% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

306,600 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

324,500 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

16,600 individuals in the district who have purchased high quality Marketplace coverage through
now stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

15,800 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

13,300 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

33,200 individuals in the district who could become eligible for Medicaid if the state expanded
Medicaid will now lose the opportunity to gain coverage if the Republican Congress eliminates
the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 1st Congressional District of
Missouri
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Clays (D) district.
Here is what is at risk:

The districts uninsured rate has gone from 16.4% to 10.5% since the ACA was implemented.
This 5.9% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

349,300 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

392,600 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

37,700 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

32,700 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

19,400 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

29,800 individuals in the district who could become eligible for Medicaid if the state expanded
Medicaid will now lose the opportunity to gain coverage if the Republican Congress eliminates
the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 2nd Congressional District of
Missouri
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Wagners (R) district.
Here is what is at risk:

The districts uninsured rate has gone from 6.3% to 4.6% since the ACA was implemented.
This 1.7% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

479,000 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

543,400 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

34,600 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

29,900 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

18,300 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

9,600 individuals in the district who could become eligible for Medicaid if the state expanded
Medicaid will now lose the opportunity to gain coverage if the Republican Congress eliminates
the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 3rd Congressional District of
Missouri
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Luetkemeyers (R) district.
Here is what is at risk:

The districts uninsured rate has gone from 11.4% to 8.3% since the ACA was implemented.
This 3.1% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

428,700 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

488,600 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

28,100 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

25,000 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

17,000 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

18,100 individuals in the district who could become eligible for Medicaid if the state expanded
Medicaid will now lose the opportunity to gain coverage if the Republican Congress eliminates
the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 4th Congressional District of
Missouri
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Hartzlers (R) district.
Here is what is at risk:

The districts uninsured rate has gone from 14.4% to 10.3% since the ACA was implemented.
This 4.1% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

370,400 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

378,700 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

29,200 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

27,000 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

18,200 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

26,900 individuals in the district who could become eligible for Medicaid if the state expanded
Medicaid will now lose the opportunity to gain coverage if the Republican Congress eliminates
the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 5th Congressional District of
Missouri
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Cleavers (D) district.
Here is what is at risk:

The districts uninsured rate has gone from 16.6% to 12.3% since the ACA was implemented.
This 4.4% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

376,500 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

399,200 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

32,200 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

27,700 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

17,900 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

27,700 individuals in the district who could become eligible for Medicaid if the state expanded
Medicaid will now lose the opportunity to gain coverage if the Republican Congress eliminates
the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 6th Congressional District of
Missouri
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Gravess (R) district.
Here is what is at risk:

The districts uninsured rate has gone from 12.4% to 8.9% since the ACA was implemented.
This 3.6% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

414,400 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

444,500 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

28,300 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

25,200 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

16,500 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

20,400 individuals in the district who could become eligible for Medicaid if the state expanded
Medicaid will now lose the opportunity to gain coverage if the Republican Congress eliminates
the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 7th Congressional District of
Missouri
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Longs (R) district.
Here is what is at risk:

The districts uninsured rate has gone from 16.8% to 12.4% since the ACA was implemented.
This 4.4% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

383,300 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

389,400 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

36,100 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

34,000 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

23,600 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

27,500 individuals in the district who could become eligible for Medicaid if the state expanded
Medicaid will now lose the opportunity to gain coverage if the Republican Congress eliminates
the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 8th Congressional District of
Missouri
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Smiths (R) district.
Here is what is at risk:

The districts uninsured rate has gone from 14.3% to 11.2% since the ACA was implemented.
This 3.1% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

335,300 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

352,100 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

25,800 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

24,300 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

17,300 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

31,000 individuals in the district who could become eligible for Medicaid if the state expanded
Medicaid will now lose the opportunity to gain coverage if the Republican Congress eliminates
the Medicaid expansion.
March 2017
Impact of ACA Repeal on Montanas Congressional District
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Montanas congressional district.
Here is what is at risk:

The districts uninsured rate has gone from 18.0% to 11.6% since the ACA was implemented.
This 6.4% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

522,400 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

509,500 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

51,800 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

44,100 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

23,500 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

32,000 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 1st Congressional District of
Nebraska
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 11 million Americans
who were newly eligible and enrolled in Medicaid since 2014. Additionally, Republican proposals to tax
employer-based health coverage could destabilize employer-based coverage and raise taxes on individuals
who have health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Fortenberrys (R) district.
Here is what is at risk:

The districts uninsured rate has gone from 10.5% to 8.2% since the ACA was implemented.
This 2.3% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

358,200 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

374,400 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

24,500 individuals in the district who have purchased high quality Marketplace coverage through
now stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

22,400 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

12,700 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

14,000 individuals in the district who could become eligible for Medicaid if the state expanded
Medicaid will now lose the opportunity to gain coverage if the Republican Congress eliminates
the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 2nd Congressional District of
Nebraska
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 11 million Americans
who were newly eligible and enrolled in Medicaid since 2014. Additionally, Republican proposals to tax
employer-based health coverage could destabilize employer-based coverage and raise taxes on individuals
who have health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Bacons (R) district.
Here is what is at risk:

The districts uninsured rate has gone from 11.5% to 7.5% since the ACA was implemented.
This 4.0% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

363,500 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

400,800 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

22,600 individuals in the district who have purchased high quality Marketplace coverage through
now stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

19,800 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

11,500 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

13,900 individuals in the district who could become eligible for Medicaid if the state expanded
Medicaid will now lose the opportunity to gain coverage if the Republican Congress eliminates
the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 3rd Congressional District of
Nebraska
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 11 million Americans
who were newly eligible and enrolled in Medicaid since 2014. Additionally, Republican proposals to tax
employer-based health coverage could destabilize employer-based coverage and raise taxes on individuals
who have health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Smiths (R) district.
Here is what is at risk:

The districts uninsured rate has gone from 11.7% to 9.1% since the ACA was implemented.
This 2.7% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

329,800 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

324,500 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

33,000 individuals in the district who have purchased high quality Marketplace coverage through
now stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

29,800 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

17,700 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

14,100 individuals in the district who could become eligible for Medicaid if the state expanded
Medicaid will now lose the opportunity to gain coverage if the Republican Congress eliminates
the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 1st Congressional District of
Nevada
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Tituss (D) district.
Here is what is at risk:

The districts uninsured rate has gone from 30.3% to 19.8% since the ACA was implemented.
This 10.5% drop in the uninsured rate could be reversed if the ACA is entirely or partially
repealed.

264,300 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

295,500 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

19,300 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

17,200 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

12,400 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

68,600 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 2nd Congressional District of
Nevada
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Amodeis (R) district.
Here is what is at risk:

The districts uninsured rate has gone from 20.2% to 9.8% since the ACA was implemented.
This 10.4% drop in the uninsured rate could be reversed if the ACA is entirely or partially
repealed.

349,100 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

383,000 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

22,500 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

20,600 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

12,100 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

43,100 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 3rd Congressional District of
Nevada
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Rosens (D) district.
Here is what is at risk:

The districts uninsured rate has gone from 16.6% to 8.0% since the ACA was implemented.
This 8.6% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

422,400 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

469,400 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

19,300 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

17,200 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

12,400 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

30,900 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 4th Congressional District of
Nevada
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Kihuens (D) district.
Here is what is at risk:

The districts uninsured rate has gone from 21.9% to 11.9% since the ACA was implemented.
This 10.0% drop in the uninsured rate could be reversed if the ACA is entirely or partially
repealed.

322,100 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

357,600 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

18,700 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

16,600 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

11,900 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

44,600 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 1st Congressional District of
New Hampshire
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Shea-Porters (D) district.
Here is what is at risk:

The districts uninsured rate has gone from 10.7% to 6.9% since the ACA was implemented.
This 3.8% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

381,500 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

429,300 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

25,900 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

16,200 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

9,200 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

25,300 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 2nd Congressional District of
New Hampshire
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Kusters (D) district.
Here is what is at risk:

The districts uninsured rate has gone from 10.5% to 5.8% since the ACA was implemented.
This 4.8% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

374,900 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

424,100 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

23,300 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

15,000 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

8,200 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

23,700 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 1st Congressional District of
New Jersey
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Norcrosss (D) district.
Here is what is at risk:

The districts uninsured rate has gone from 11.2% to 6.7% since the ACA was implemented.
This 4.5% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

393,500 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

454,600 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

19,300 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

16,100 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

10,100 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

45,900 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 2nd Congressional District of
New Jersey
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. LoBiondos (R) district.
Here is what is at risk:

The districts uninsured rate has gone from 12.1% to 8.2% since the ACA was implemented.
This 3.9% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

359,200 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

401,800 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

20,100 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

17,400 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

10,900 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

48,700 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 3rd Congressional District of
New Jersey
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. MacArthurs (R) district.
Here is what is at risk:

The districts uninsured rate has gone from 8.5% to 5.1% since the ACA was implemented.
This 3.4% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

413,200 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

464,900 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

19,100 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

15,800 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

9,700 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

32,600 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 4th Congressional District of
New Jersey
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Smiths (R) district.
Here is what is at risk:

The districts uninsured rate has gone from 8.6% to 6.9% since the ACA was implemented.
This 1.7% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

404,600 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

463,200 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

20,600 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

16,800 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

10,100 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

40,300 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 5th Congressional District of
New Jersey
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Gottheimers (D) district.
Here is what is at risk:

The districts uninsured rate has gone from 9.0% to 5.5% since the ACA was implemented.
This 3.5% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

451,300 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

511,600 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

24,400 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

20,100 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

12,500 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

23,700 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 6th Congressional District of
New Jersey
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Pallones (D) district.
Here is what is at risk:

The districts uninsured rate has gone from 14.5% to 8.9% since the ACA was implemented.
This 5.6% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

411,200 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

483,400 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

21,800 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

17,600 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

11,000 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

41,400 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 7th Congressional District of
New Jersey
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Lances (R) district.
Here is what is at risk:

The districts uninsured rate has gone from 8.0% to 5.1% since the ACA was implemented.
This 2.9% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

460,600 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

545,900 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

20,600 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

16,500 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

9,900 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

20,500 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 8th Congressional District of
New Jersey
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Siress (D) district.
Here is what is at risk:

The districts uninsured rate has gone from 24.5% to 17.3% since the ACA was implemented.
This 7.1% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

308,300 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

361,300 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

20,900 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

17,300 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

11,700 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

75,600 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 9th Congressional District of
New Jersey
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Pascrells (D) district.
Here is what is at risk:

The districts uninsured rate has gone from 18.9% to 12.7% since the ACA was implemented.
This 6.1% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

328,400 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

378,000 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

23,600 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

19,800 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

12,800 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

66,400 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 10th Congressional District of
New Jersey
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Paynes (D) district.
Here is what is at risk:

The districts uninsured rate has gone from 18.3% to 14.3% since the ACA was implemented.
This 4.0% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

311,700 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

366,700 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

19,400 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

16,100 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

10,700 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

79,400 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 11th Congressional District of
New Jersey
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Frelinghuysens (R) district.
Here is what is at risk:

The districts uninsured rate has gone from 7.5% to 4.4% since the ACA was implemented.
This 3.1% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

459,300 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

536,100 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

20,000 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

16,300 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

10,000 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

17,900 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 12th Congressional District of
New Jersey
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Watson Colemans (D)
district.
Here is what is at risk:

The districts uninsured rate has gone from 11.1% to 8.6% since the ACA was implemented.
This 2.5% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

408,500 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

482,400 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

19,600 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

15,500 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

9,800 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

40,600 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 1st Congressional District of
New Mexico
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Lujan Grishams (D) district.
Here is what is at risk:

The districts uninsured rate has gone from 16.4% to 10.4% since the ACA was implemented.
This 6.0% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

283,100 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

310,500 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

16,300 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

10,600 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

7,600 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

77,300 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 2nd Congressional District of
New Mexico
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Pearces (R) district.
Here is what is at risk:

The districts uninsured rate has gone from 18.8% to 10.4% since the ACA was implemented.
This 8.3% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

255,700 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

274,400 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

15,100 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

11,300 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

7,900 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

85,900 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 3rd Congressional District of
New Mexico
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Lujans (D) district.
Here is what is at risk:

The districts uninsured rate has gone from 20.1% to 12.0% since the ACA was implemented.
This 8.2% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

276,800 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

299,400 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

16,100 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

10,800 individuals in the district who received financial assistance to purchase Marketplace
coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress
eliminates the premium tax credits.

7,100 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket
costs such as deductibles, co-pays, and coinsurance, are now at risk of health care becoming
unaffordable if the Republican Congress eliminates cost-sharing reductions.

72,300 individuals in the district who are covered by the ACAs Medicaid expansion now stand
to lose coverage if the Republican Congress eliminates the Medicaid expansion.
March 2017
Impact of ACA Repeal on the 1st Congressional District of
New York
Committee on Energy and Commerce, Democratic Staff
Committee on Oversight and Government Reform, Democratic Staff

Roughly 20 million Americans have gained access to health care through the coverage provisions of the
Affordable Care Act (ACA), including subsidized coverage through the insurance Marketplaces and the
ACAs historic Medicaid expansion. President Trump and congressional Republicans plan to repeal the
ACA will have devastating effects for all Americans. Eliminating premium tax credits and cost-sharing
reductions will likely make coverage unaffordable for the 10.4 million Americans enrolled nationwide
through the ACA Marketplaces as of October 2016. Similarly, eliminating the Medicaid expansion will
likely result in coverage becoming unattainable or unaffordable to the more than 14 million Americans
who enrolled in the Medicaid expansion since 2014. Additionally, Republican proposals to tax employer-
based health coverage could destabilize employer-based coverage and raise taxes on individuals who have
health insurance through their employer.
This fact sheet summarizes what is at stake as Republicans in Congress consider eliminating many of the
ACAs provisions through a process known as budget reconciliation. Repeal of the law could endanger
the health and welfare of thousands of individuals and their families in Rep. Zeldins (R) district.
Here is what is at risk:

The districts uninsured rate has gone from 9.5% to 5.6% since the ACA was implemented.
This 4.0% drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

423,300 individuals in the district who now have health insurance that covers preventive services
like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose
this access if the Republican Congress eliminates ACA provisions requiring health insurers to
cover important preventive services without cost-sharing.

482,000 individuals in the district with employer-sponsored health insurance are at risk of losing
important consumer protections like the prohibition on annual and lifetime limits, protection
against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is
entirely or partially repealed.

23,100 individuals in the district who have purchased high quality Marketplace coverage now
stand to lose their coverage if the Republ