¶ Overview
In 2025, Perry Johnson supported Trump’s “One Big Beautiful Bill,” which was estimated to kick 17 million Americans off their health insurance, including nearly 12 million Americans who rely on Medicaid. More than 424,000 Michiganders could lose their health insurance and hundreds of rural hospitals could close, including at least three hospitals in Michigan as a result of Trump’s tax bill. By 2034, 237,708 Medicaid recipients in Michigan were expected to lose their coverage under the “One Big Beautiful Bill.”
In 2025, Trump’s “One Big Beautiful Bill” also failed to extend enhanced Affordable Care Act subsidies that were set to expire after 2025, contributing to rising premiums and fewer Michiganders enrolling in Marketplace coverage. As of January 2026, 40,000 fewer Michiganders signed up for Affordable Care Act Marketplace plans compared to the previous year amid rising premiums and expiring subsidies.
¶ Perry Johnson Supported Stripping Health Insurance Away From Millions Of Americans Who Relied On Medicaid
¶ Perry Johnson Supported Trump’s “One Big Beautiful Bill” And Claimed It Was A Big Win For Michigan
2025: Perry Johnson Supported Trump’s “One Big Beautiful Bill” And Claimed It Was A “Big Win For Michigan Jobs, Families, And Freedoms.” According to Johnson’s Twitter, “The ‘One Big Beautiful Bill’ is more than legislation—it’s a mandate from voters to get results. From cutting taxes to securing the border, this is a win for America and a big win for Michigan jobs, families, and freedoms! 🇺🇸”
[Twitter, @PJQualityGuru, 5/19/25]
¶ Trump’s “One Big Beautiful Bill” Would Strip At Least 17 Million Americans Of Their Health Insurance To Fund Tax Cuts For The Wealthy
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]
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]
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 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]
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]
¶ More Than 424,000 Michiganders Were Expected To Lose Health Care Coverage Under Trump’s “One Big Beautiful Bill”
Under The “One Big Beautiful Bill,” 424,308 People In Michigan Were Expected To Lose Their Health Care By 2034, Including 186,600 ACA Enrollees And 237,708 Medicaid Recipients. According to the Joint Economic Committee Minority,
| District | State |
Est. # Losing ACA Coverage |
Est. # Losing Medicaid Coverage |
Est. Total # Losing Insurance |
|
MI-01 |
Michigan |
17,400 |
17,875 |
35,275 |
|
MI-02 |
Michigan |
12,500 |
19,021 |
31,521 |
|
MI-03 |
Michigan |
13,800 |
16,080 |
29,880 |
|
MI-04 |
Michigan |
14,300 |
16,187 |
30,487 |
|
MI-05 |
Michigan |
12,500 |
17,920 |
30,420 |
|
MI-06 |
Michigan |
12,900 |
10,507 |
23,407 |
|
MI-07 |
Michigan |
11,600 |
13,145 |
24,745 |
|
MI-08 |
Michigan |
11,600 |
22,524 |
34,124 |
|
MI-09 |
Michigan |
15,200 |
13,664 |
28,864 |
|
MI-10 |
Michigan |
17,000 |
18,318 |
35,318 |
|
MI-11 |
Michigan |
16,500 |
12,983 |
29,483 |
|
MI-12 |
Michigan |
16,100 |
25,959 |
42,059 |
|
MI-13 |
Michigan |
15,200 |
33,525 |
48,725 |
|
All |
Totals |
186,600 |
237,708 |
424,308 |
[Joint Economic Committee Minority, 6/25]
- 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]
¶ Under The “One Big Beautiful Bill,” More Than 237,700 Medicaid recipients In Michigan Were Expected To Lose Coverage, And At Least Three Rural Hospitals In Michigan Were At Risk Of CLosure
Under The “One Big Beautiful Bill,” 237,708 Medicaid Recipients In Michigan Were Expected To Lose Their Coverage By 2034. [Joint Economic Committee Minority, 6/25]
July 2025: Trump’s “One Big Beautiful Bill” Threatened To Shut Down Three Michigan Rural Hospitals And 300 More Nationwide. According to Michigan Public, “Federal lawmakers have released findings from University of North Carolina researchers indicating that President Donald Trump’s ‘Big Beautiful Bill’ could place over 300 rural hospitals across the U.S., including three in Michigan, at risk of closure and service reductions. The three Michigan hospitals are McLaren Central Michigan in Mount Pleasant, University of Michigan Health-Sparrow Carson City Hospital, and Ascension Borgess-Lee Hospital in Dowagiac.” [Michigan Public, 7/15/25]
- 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]
¶ The “One Big Beautiful Bill” And The Expiring Affordable Care Act Tax Credits Would Result In 392,000 Uninsured Michiganders By 2034
The “One Big Beautiful Bill” And The Expiring Affordable Care Act Tax Credits Would Result In 392,000 Uninsured Michiganders 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]
¶ Trump’s “One Big Beautiful Bill” Failed To Extend ACA Subsidies, Driving Premium Increases And Threatening Health Coverage For Hundreds Of Thousands Of Michiganders
¶ Trump’s “One Big Beautiful Bill” Failed To Extend Enhanced Aca Subsidies, Driving Premium Hikes And Pushing 40,000 Michiganders Off Affordable Care Act Marketplace Coverage In 2026
2026 ACA Open Enrollment: Centers For Medicare & Medicaid Services: Rising Premiums And Expiring Subsidies Led To About 40,000 Fewer Michiganders Signing Up For Affordable Care Act Marketplace Plans Than In 2025. According to Bridge Michigan, “About 40,000 fewer Michiganders are signing up for Affordable Care Act health insurance plans this year, according to new federal data, following a national trend in people dropping coverage amid rising premiums and expiring subsidies. The Centers for Medicare & Medicaid Services reports 491,565 Michigan residents signed up through HealthCare.gov or have been automatically renewed in plans since the start of the 2026 marketplace open enrollment period in November. The agency reported 531,083 people in the state had selected plans at the same time last year.” [Bridge Michigan, 1/14/26]
February 2026: Trump’s “One Big Beautiful Bill” Left Enhanced ACA Tax Credits Set To Expire After 2025. According to the American Medical Association, “Access to health insurance coverage through the Affordable Care Act (ACA) marketplaces. OBBBA imposes verification requirements for patients receiving premium tax credits, including pre-enrollment verification requirements that will effectively end automatic re-enrollment for these patients. OBBBA does not address the scheduled expiration of enhanced tax credits at the end of 2025.” [American Medical Association, 2/9/26]
¶ Citizens Research Council Of Michigan: The Expired Enhanced ACA Credits Would Increase Premiums By About 70%, Or More Than $800 Annually And Could Impact The 350,000 Michiganders Who Relied On ACA Tax Credits
Citizens Research Council Of Michigan: More Than 350,000 Michiganders Used ACA Tax Credits And Estimates Suggested That The Expired Enhanced ACA Credits Would Increase Premiums By About 70%, Or More Than $800 Annually. According to Citizens Research Council of Michigan, “The second category of change is that Congress did not extend the enhanced ACA tax credits as part of the OBBBA, leaving them set to expire at the end of 2025. Allowing the enhanced tax credits to expire would lead to premiums increasing for a large number of potential enrollees, likely leading many to decline to renew their coverage. In 2025, the enhanced tax credits reduced premiums for individuals nationwide by $705 per year on average, although the amount was much larger for some enrollees. Over 350,000 residents in Michigan are covered by a tax credit supported plan purchased on the marketplace, accounting for over $300 million in annual federal support. Estimates suggest premium would increase in Michigan by about 70 percent on the marketplace, or over $800 per year, if the credits expire.” [Citizens Research Council Of Michigan, 9/15/25]
¶ In 2025, More Than 531,000 Michiganders Relied On The Affordable Care Act For Health Insurance
2025: 531,083 Michiganders Were Enrolled In Affordable Care Act Marketplace Health Insurance Plans. According to KFF, in 2025, there were 531,083 people in Michigan who were enrolled in Affordable Care Act Marketplace health insurance plans.
[KFF, Accessed 3/5/26]