¶ Overview
In 2025, Biggs voted for a bill that is estimated to kick 17 million Americans off their health insurance, including nearly 12 million Americans who rely on Medicaid. More than 342,000 Arizonans could lose their health insurance as a result of Biggs’ vote.
Biggs called for the repeal of the Affordable Care Act, and pushed for “reforms,” including the elimination of subsidies. More than 423,000 Arizonans were enrolled in Affordable Care Act Marketplace health insurance plans. Biggs called Medicaid expansion “our biggest growing financial danger,” even though Medicaid expansion enabled coverage for more Arizonans. By 2034, 193,981 Medicaid recipients in Arizona were expected to lose their coverage due to Biggs’ support for Trump’s tax bill.
¶ Biggs Voted To Take Health Insurance Away From Millions Of Americans Who Relied On Medicaid
¶ Biggs Voted For The “One Big Beautiful Bill,” Which Included Devastating Health Care Cuts To Fund Tax Cuts For The Wealthy
¶ July 2025: Biggs Voted For The Final Version Of The “One Big Beautiful Bill,” Which Would Cause 17 Million Americans To Lose Their Health Care
July 2025: Biggs Voted For The Senate FY 2025 Budget Reconciliation Bill, The “One Big Beautiful Bill,” Which Extended $4 Trillion In Expiring Tax Cuts, Added New Tax Breaks, Appropriated $448 Billion In Defense, Border, And Immigration Enforcement Funding, Increased The SALT Deduction To $40,000, And Cut Medicaid And Other Social Programs To Offset The Costs. In July 2025, Biggs voted for, according to Congressional Quarterly, the “motion to concur in the Senate amendment to the bill that would permanently extend nearly $4 trillion in expiring individual and business tax cuts, create several new tax breaks and fund border and immigration enforcement and air traffic control upgrades. It would cut Medicaid and other safety net programs to partly offset the cost. Among other provisions, it would raise the statutory debt ceiling by $5 trillion and appropriate more than $448 billion in mandatory funding for Trump administration priorities and other needs, including $153 billion for defense, $89 billion for immigration enforcement, and $89.5 billion for border control and security. It also would increase the state and local tax deduction cap to $40,000 annually for five years for households making up to $500,000 a year until 2030, when it would permanently revert to $10,000.” The House passed the bill by a vote of 218 to 214. The bill was ultimately signed into law. [House Vote 190, 7/3/25; Congressional Quarterly, 7/3/25; Congressional Actions, H.R. 1]
- HEADLINE: "At Least 17 Million Americans Would Lose Insurance Under Trump Plan" [Washington Post, 7/1/25]
- HEADLINE: “By The Numbers: Harmful Republican Megabill Favors The Wealthy And Leaves Millions Of Working Families Behind” [Center On Budget And Policy Priorities, 8/1/25]
- The Congressional Budget Office Estimated That 11.8 Million People Would Become Uninsured As A Result Of The Medicaid Cuts In Republicans’ Reconciliation Bill. According to the Washington Post, "The bill, which narrowly passed the Senate on Tuesday and now heads back to the House, would effectively accomplish what Republicans have long failed to do: unwind many of the key components of the ACA, President Barack Obama’s signature domestic achievement, which dramatically increased the number of Americans with access to health insurance. To start, the Congressional Budget Office estimated that the Senate version of the bill would result in 11.8 million more uninsured in 2034, mostly because of Medicaid cuts, compared with 10.9 million if the House version became law." [Washington Post, 7/1/25]
- The Bill’s $50 Billion In Rural Hospital Relief Funding Would Not Come Close To The Gap Created By Medicaid Cuts, With 300 Rural Hospitals At “Immediate Risk” Of Closure. According to the Center For American Progress, “The OBBBA includes $50 billion in relief funding for rural hospitals over a five-year period to help reduce the disastrous impacts of the bill’s roughly $1 trillion in Medicaid cuts. As of May 2025, there were approximately 2,086 rural hospitals receiving $12.2 billion a year in net revenue from Medicaid. At the median, rural hospitals’ revenue from Medicaid is $3.9 million a year. Rural hospitals have some of the lowest operating margins in the nation, especially compared with urban hospitals, meaning that any reductions in revenue could lead to closures. The average operating margin for rural hospitals was 3.1 percent in 2023, with 44 percent of rural hospitals operating with negative margins. As a result, more than 300 rural hospitals are currently at ‘immediate risk’ of closure, especially now that the OBBBA is projected to cut Medicaid spending by $1.02 trillion. The relief fund designed to blunt the negative impacts caused by the bill would not come close to filling that gap. If every rural hospital in the country received an even share of the $50 billion in relief support, it would amount to only $4.5 million every year for five years. At the close of those five years, that funding would disappear altogether.” [Center For American Progress, 7/3/25]
¶ More Than 342,000 Arizonans Were Expected To Lose Health Care Coverage Under Trump’s “One Big Beautiful Bill,” Including 29,563 Arizonans In Biggs’ Congressional District (AZ-5)
Under The “One Big Beautiful Bill,” 342,481 Arizonans Were Expected To Lose Their Health Care By 2034, Including 148,500 ACA Enrollees And 193,981 Medicaid Recipients. According to the Joint Economic Committee Minority,
| District | State |
Est. # Losing ACA Coverage |
Est. # Losing Medicaid Coverage |
Est. Total # Losing Insurance |
|
AZ-01 |
Arizona |
18,800 |
12,601 |
31,401 |
|
AZ-02 |
Arizona |
15,800 |
26,014 |
41,814 |
|
AZ-03 |
Arizona |
18,000 |
35,083 |
53,083 |
|
AZ-04 |
Arizona |
15,800 |
18,538 |
34,338 |
|
AZ-05 |
Arizona |
16,300 |
13,263 |
29,563 |
|
AZ-06 |
Arizona |
15,000 |
16,925 |
31,925 |
|
AZ-07 |
Arizona |
15,400 |
32,035 |
47,435 |
|
AZ-08 |
Arizona |
16,300 |
16,701 |
33,001 |
|
AZ-09 |
Arizona |
17,100 |
22,821 |
39,921 |
|
All |
Totals |
148,500 |
193,981 |
342,481 |
[Joint Economic Committee Minority, 6/25]
- Under The “One Big Beautiful Bill,” 29,563 Arizonans Were Expected To Lose Their Health Care In Biggs’ Congressional District (AZ-5) By 2034, Including 16,300 ACA Enrollees And 13,263 Medicaid Recipients. [Joint Economic Committee Minority, 6/25]
- 300,000 Arizonans Were Expected To Lose Health Care Coverage Under Trump’s “One Big Beautiful Bill.” According to the Arizona Monitor, “The alarming picture painted by a panel of health care leaders is a direct result of Trump’s ‘Big, Beautiful Bill Act,’ which was backed by all of Arizona’s Republican congressmen. Medicaid provides insurance to 80 million Americans and around two million Arizonans — more than 25% of the state’s residents — with low incomes or disabilities. The new spending law means an estimated 300,000 Arizonans are expected to lose coverage through the Arizona Health Care Cost Containment System, or AHCCCS, the state’s Medicaid program.” [Arizona Monitor, 8/14/25]
¶ May 2025: Biggs Voted For The House FY 2025 Budget Reconciliation Bill, Which Was Estimated To Increase The Uninsured Population By 8.6 Million By 2034
May 2025: Biggs Voted For The House FY 2025 Budget Reconciliation Bill, Which Included $3.8 Trillion In Tax Cuts Offset By $1.5 Trillion In Spending Reductions To Programs Like Medicaid And The Supplemental Nutrition Assistance Program. In May 2025, Biggs voted for, according to Congressional Quarterly, “the bill that would provide for approximately $3.8 trillion in net tax cuts and $321 billion in military, border enforcement, and judiciary spending, offset by $1.5 trillion in spending reductions, as instructed in the fiscal 2025 budget resolution. It would raise the statutory debt limit by $4 trillion and provide for increased spending on defense and border security, spending cuts on social safety net programs, such as Medicaid and the Supplemental Nutrition Assistance Program. It also includes a mix of tax breaks for businesses and individuals; tax increases on universities and foundations; and a phase-down of clean energy tax credits. […] It would reduce federal spending on the Supplemental Nutrition Assistance Program by requiring states to shoulder more of the cost, expand work requirements for SNAP, extend programs authorized under the 2018 farm bill, and prohibit the U.S. Department of Agriculture from increasing the cost of the Thrifty Food Program. As amended, it would cap state and local tax deductions at $40,000 for households with incomes below $500,000.” The House passed the bill by a vote of 215 to 214. [House Vote 145, 5/22/25; Congressional Quarterly, 5/22/25; Congressional Actions, H.R. 1]
- The House GOP Budget Bill Was Estimated To Increase The Uninsured Population By 8.6 Million By 2034. According to CNN, “The Medicaid and Affordable Care Act provisions in the package could result in 8.6 million more people being uninsured in 2034, according to an early CBO estimate released by Democratic lawmakers. That number is expected to grow with the latest changes.” [CNN, 5/28/25]
- The House GOP Budget Bill Codified A Trump Administration Proposal That Restricted Access To The Affordable Care Act. According to CNN, “The bill also calls for codifying a Trump administration proposal that would make changes to the Affordable Care Act enrollment process, including shortening the open enrollment period and eliminating the ability of low-income Americans to sign up year-round.” [CNN, 5/28/25]
- The House GOP Budget Bill Made The 2017 Income Tax Breaks Permanent And Added An Estimated $3.8 Trillion To The National Debt Over 10 Years. According to CNN, “The package includes several controversial measures that would deeply cut into two of the nation’s key safety net programs – Medicaid and food stamps – while making permanent essentially all of the trillions of dollars of individual income tax breaks contained in the GOP’s 2017 Tax Cuts and Jobs Act. What’s more, it would fulfill Trump’s campaign promises to cut taxes on tips and overtime, albeit temporarily. The magnitude of the measures is evident in the estimates of the cost they would incur or the savings they would produce. […] The tax changes in the package would add $3.8 trillion to the nation’s debt over a decade, according to a Congressional Budget Office analysis released before last-minute changes were made to the bill.” [CNN, 5/28/25]
¶ February 2025: Biggs voted for a budget resolution that set up future medicaid cuts
February 2025: Biggs Voted For The FY 2025 Budget Framework That Included $2 Trillion In Cuts, Raised The Statutory Debt Limit By $4 Trillion, And Required House Committees To Recommend Legislation That Would Implement Trump’s Agenda. In February 2025, Biggs voted for, according to Congressional Quarterly, “the concurrent resolution that would recommend a budget for fiscal 2025 and budget levels through fiscal 2034. The resolution would assume minimum savings of $1.5 trillion over 10 years and 2.6 percent economic growth over the same period. It would also require the statutory debt limit to be raised by $4 trillion. It would also authorize the House Ways and Means Committee to increase deficits by $4.5 trillion over 10 years to extend the 2017 tax cuts and implement new tax cuts proposed by the White House. It would also provide instructions for the budget reconciliation process through which separate legislation could be considered and passed in the Senate via a simple majority vote. The measure would deliver instructions to 11 House committees to report legislation that would implement President Donald Trump’s agenda, such as expanding tax cuts and bolstering border security and immigration enforcement. The committees would be required to report their legislative recommendations to the House Budget Committee by March 27, 2025. It would also set a $2 trillion target for the spending cuts to be submitted to the House Budget Committee. The resolution also would stipulate that if the committees don't reach that target, the Ways and Means’ reconciliation instructions to increase the deficit by a maximum of $4.5 trillion would be decreased by the amount the other committees come in below the target. Similarly, it would stipulate that Ways and Means could increase the deficit above the $4.5 trillion level by the amount of savings the committees achieve above the $2 trillion target.” The vote was on passage. The House passed the resolution by a vote of 217 to 215. [House Vote 50, 2/25/25; Congressional Quarterly, 2/25/25; Congressional Actions, H. Con. Res. 14]
- HEADLINE: "House Republican Budget Takes Away Health Care, Food Aid To Pay For Expanded Tax Cuts For Wealthy" [Center on Budget and Policy Priorities, 2/21/25]
- New York Times Reported The $880 Billion In Cuts Required By The Republican Budget Proposal Would Have To Come From Medicaid, Medicare, Or CHIP. According to the New York Times, "The budget resolution itself is silent on whether Congress cuts Medicaid, which provides health coverage to 72 million poor and disabled Americans. But it instructs the House Energy and Commerce Committee, which has jurisdiction over the program, to cut spending by $880 billion over the next decade. If the committee can’t save at least that much, the entire effort could be imperiled because of the special process Congress is using to avoid a Senate filibuster. Ten other committees have their own instructions to follow, though none have been assigned with cutting nearly as much. It’s not so simple as finding the cuts elsewhere. The special process, known as budget reconciliation, means Republicans will have to find all $880 billion from within the Energy and Commerce Committee’s jurisdiction. That leaves them with fewer options than one might think. […] If Republicans want to avoid major cuts to Medicaid, the largest pot of available money is in the other big government health insurance program: Medicare. […] Even if the committee cuts everything that’s not health care to $0, it will still be more than $600 billion short. The committee could also save around $200 billion by eliminating the Children’s Health Insurance Program, but that option has not been raised by the budget committee or anyone in House leadership. […] Even if all of these cuts, revenues, and rule cancellations from outside health care can pass muster, the committee will still be left with hundreds of billions of dollars to cut to hit its goal. Mathematically, the budget committee’s instructions mean the committee would need to make major cuts to either Medicare, Medicaid or both." [New York Times, 2/25/25]
¶ Biggs Opposed The Affordable Care Act And Subsidies, And Called Medicaid Expansion “Our Biggest Growing Financial Danger”
¶ Biggs Called For The Repeal Of The Affordable Care Act And Supported Eliminating Subsidies
¶ Biggs Called For The Repeal Of The Affordable Care Act, Calling The Law A “Failure”
2025: Biggs Called The Affordable Care Act A “Failure” And Introduced Legislation To Repeal The Law. According to U.S. Representative Biggs’ Twitter, “The reality is that Obamacare is only affordable when it is heavily subsidized. The complete failure of the ‘Affordable’ Care Act is why health insurance premiums have skyrocketed. That’s why I introduced a bill to completely—and responsibly—repeal Obamacare.”
[Twitter, @RepAndyBiggsAZ, 10/7/25]
2025: Biggs Alleged There Were $30 Billion In Fraudulent Payments Annually Under The Affordable Care Act. According to Newsmax, “Fraud and mismanagement also remain pressing concerns, Biggs said. ‘Don't forget, you've got $30 billion a year going out in fraudulent payments under Obamacare,’ he said, referring to data showing millions of individuals automatically re-enrolled without realizing it. ‘A lot of reform has to take place there.’” [Newsmax, 11/21/25]
¶ Biggs Called For “Reforming” The Affordable Care Act, Including Eliminating Subsidies For People Above The Poverty Level After Falsely Claiming Wealthy Families Were Not Paying Premiums
2025: Biggs Said The Affordable Care Act Was Not Affordable Anymore, And Called For “Reforms,” Including Eliminating Subsidies For People Above The Poverty Level. According to Newsmax, “‘The Affordable Care Act isn't affordable anymore,’ he said, pointing to the ‘multi-tiered approach’ that Senate Republicans are proposing to reform the law. ‘What it's based on is the fact that insurance profits have gone way up,’ he said, noting that millions of Americans have seen premiums double since 2013. One proposed reform would target subsidies distributed to higher-income households. ‘Think of it this way: You're going to probably get rid of subsidies for the people who make more than 400% of poverty level,’ Biggs said, emphasizing that tightening eligibility would redirect resources more efficiently.” [Newsmax, 11/21/25]
¶ Biggs Falsely Claimed Wealthy Families Were Not Paying Premiums Under Affordable Care Act Subsidies
October 2025: Biggs Falsely Claimed That People Earning Up To $600,000 A Year Were “Not Paying Any Premiums At All” Under The Affordable Care Act Subsidies. According to AZ Family, “Rep. Andy Biggs’ claim that people making up to $600,000 a year receive free health care through the Affordable Care Act sparked a flood of viewer responses after his appearance on ‘Good Morning Arizona’ Friday morning. The Arizona congressman’s statement about Obamacare subsidies had viewers asking the newsroom to investigate. What the facts reveal tells a different story from what Biggs described. ‘So you have people who are not paying any premiums at all who might be making up to $600,000 who don’t have to pay any premium at all for their health care if they’re on the exchange,’ Biggs said during his studio appearance. While there is no income cap on who can apply for Affordable Care Act subsidies, the nonpartisan Joint Committee on Taxation checked the numbers last month and found that no one making more than half a million dollars a year receives those benefits.” [AZ Family, 10/9/25]
- The Arizona Public Health Association Found The Monthly Premium Of A 60-Year-Old Couple Earning $80,000 A Year Would Increase From $567 To $2,026 Without Affordable Care Act Subsidies. According to AZ Family, “The Arizona Public Health Association ran its own numbers. A 60-year-old couple making $80,000 a year currently pays about $567 a month for health insurance under Obamacare. If the subsidies disappear, that cost would jump to $2,026 a month — more than $17,000 a year just to stay insured.” [AZ Family, 10/9/25]
¶ The “One Big Beautiful Bill” And The Expiring Affordable Care Act Tax Credits Would Result In 422,000 Uninsured Arizonans By 2034
The “One Big Beautiful Bill” And The Expiring Affordable Care Act Tax Credits Would Result In 422,000 Uninsured Arizonans By 2034. According to the Center For American Progress, “The One Big Beautiful Bill Act will increase the number of Americans without health coverage in every state Estimated increase in the uninsured population due to the OBBBA and the expiration of the ACA’s enhanced premium tax credits, 2034”
[Center For American Progress, 9/5/25]
¶ November 2025: There Were 423,025 Arizonans Enrolled In An Affordable Care Act Marketplace Plan
As Of November 2025, There Were 423,025 Individuals Enrolled In An Affordable Care Act Marketplace Plan In Arizona. According to KFF, in 2025, there were 423,025 individuals enrolled in affordable care act marketplace plan in Arizona.
[KFF, Accessed 11/21/25]
¶ Biggs Claimed “Obamacare Destroyed Medicaid,” Called It “Our Biggest Growing Financial Danger,” And Said Arizona Had “Some Cleanup To Do” In SNAP And Medicaid Benefits
¶ Biggs: “Obamacare Destroyed Medicaid” And Was “Our Biggest Growing Financial Danger”
2025: Biggs: “Obamacare Destroyed Medicaid. Medicaid Shouldn’t Be America’s Fastest Growing Program—But Able-Bodied Americans Are Taking Advantage.” According to U.S. Representative Biggs’ Twitter, “Obamacare destroyed Medicaid. Medicaid shouldn’t be America’s fastest growing program—but able-bodied Americans are taking advantage.”
[Twitter, @RepAndyBiggsAZ, 5/13/25]
- 2025: Biggs Called Medicaid Expansion Under The Affordable Care Act “Our Biggest Growing Financial Danger” Because Of The Growing Number Of “Able-Bodied” Medicaid Recipients. According to Biggs on Real America’s Voice, “Medicaid’s really important because you have two basic fundamental groups. You have the original Medicaid, which is to care of the disabled, the elderly, pregnant women, and children, right. Then you have the Obamacare side of it, which is the expansion population, which is the able-bodied adults. And then you have the matching rates that are very different, you don’t have work requirements. This bill has very modest work requirements – 20 hours a week. C’mon Steve, I mean that’s just crazy to get all of your medical care if you’re an able-bodied adult. There are some states that are reimbursing at Medicaid rates that are multiple times the Medicare reimbursement rates. Why are those different? Well, the number one growing area is the Medicaid, and that is our biggest growing program and our biggest growing financial danger that we have.” [Andy Biggs Interview – Real America’s Voice, 5/13/25] (VIDEO)
¶ Biggs Said Arizona Had “Some Cleanup To Do” In SNAP And Medicaid Benefits
October 2025: Biggs Said Arizona Had “Some Cleanup To Do” In SNAP And Medicaid Benefits, And Suggested The State “Might Have As Much As $6 Billion Of Fraud And Waste And Abuse On An Annual Basis.” According to Biggs on The Afternoon Addiction with Garret Lewis, “HOST: That'll be great. I mean, look at right? There's about 7 million people in Arizona and they're saying there's about 950,000 people that are on these food stamps, SNAP benefits. We have way too much dependency. BIGGS: Yeah. I mean, it's reportedly 12% of our entire state population is on SNAP benefits, which is puts us in a pretty, pretty, you know, a high, high rate compared to other states. And we know that I'm going to leave our snap here, but we do know, like in Medicaid, there's been studies indicating that we might have as much as $6 billion of fraud and waste and abuse on an annual basis out of a $22 billion net. So, yeah, we've got some cleanup to do here.” [Andy Biggs – Afternoon Addiction With Garret Lewis, 10/28/25] (AUDIO)
¶ Under The “One Big Beautiful Bill,” 193,981 Medicaid Recipients In Arizona Were Expected To Lose Their Health Care By 2034
Under The “One Big Beautiful Bill,” 342,481 Arizonans Were Expected To Lose Their Health Care By 2034, Including 148,500 ACA Enrollees And 193,981 Medicaid Recipients. [Joint Economic Committee Minority, 6/25]
¶ The Affordable Care Act Allowed States To Expand Medicaid, Which Dramatically Lowered The Uninsured Rate Among Low-Income Workers
The Affordable Care Act Allowed States To Expand Medicaid, And States That Expanded Medicaid Dramatically Lowered The Number Of People Without Health Insurance. According to the Center on Budget and Policy Priorities, "The Affordable Care Act (ACA) permits states to expand Medicaid coverage to adults with incomes up to 138 percent of the poverty level (about $20,780 annually for an individual or $35,630 for a family of three). States that have adopted the expansion have dramatically lowered their uninsured rates. Extensive research finds that the people who gained coverage have grown healthier and more financially secure, while long-standing racial inequities in health outcomes, coverage, and access to care have shrunk." [Center On Budget And Policy Priorities, 6/14/24]
- The Uninsured Rate Among Low-Income Workers Fell From 38 Percent In 2013 To 17 Percent In 2022, Which Coincided With Implementation Of Medicaid Expansion. According to the Center on Budget and Policy Priorities, "Millions of workers have gained coverage through Medicaid expansion, including people working in industries that provide critical goods and services such as health care, transportation, grocery stores, food manufacturers, and child care. Many have no access to health coverage through their jobs. In expansion states, the uninsured rate among low-income workers fell from 38 percent in 2013 to 17 percent in 2022; this sharp decline coincided with a large increase in the share of low-income workers enrolled in Medicaid.[16] In non-expansion states, the uninsured rate among low-income workers fell much less, from 46 percent to 31 percent. (See Figure 3.)" [Center On Budget And Policy Priorities, 6/14/24]