House GOP

There are 29 House districts where Republicans won by 12 points or less.

Below I've posted district-wide enrollment in ACA exchange-based Qualified Health Plans (QHPs), ACA Basic Health Plans (BHPs) and Medicaid via ACA expansion.

Across these 29 districts alone, a total of nearly 2.7 million Americans are at risk of either losing healthcare coverage entirely or, if they don't, having to deal with MASSIVE premium hikes and/or a MOUNTAIN of paperwork on a regular basis to keep it due to a combination of H.R. 1 (the "One Big Beautiful Bill Act") being implemented, the GOP allowing the IRA subsidies to expire at the end of this year, and the Trump Administration implementing CMS's recent "Integrity Rule" starting this fall.

That's around 12% of the total populations of these districts.

UPDATED 5/22/25: Welp. House Republicans did indeed follow through with passing their horrific (and disgustingly-titled) "One Big Beautiful Bill" Act which will effectively repeal the bulk of the ACA without officially repealing it, and that's just for starters.

The final vote was 215 - 214, with every Republican except a handful voting for it (and the two who voted against it openly admitted to the NY Times that they would have voted for it if their votes had been needed), and every Democrat voting against it. There were 2 Republican "no" votes...but both of those were only because they wanted the final bill to be even more draconian.

The Congressional Budget Office projected the bill, if enacted, will result in at least 13.7 million more Americans losing healthcare coverage (and that was based on a prior version of the bill; the new version is considered even more extreme).

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