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Will Washington Roll Back Georgia’s Coverage Gains?

What the House Budget Bill Could Mean for Georgia Access

Background

On May 22, the U.S. House passed a sweeping budget bill, known as the “One Big Beautiful Bill” Act. The budget bill proposes significant changes to the Affordable Care Act (ACA) Health Insurance Marketplace, which is known as Georgia Access in our state. Proponents say these changes will cut costs, but they would also make it harder for many Georgians to enroll in or keep their health coverage.

The Senate is now making its changes to the bill, but what those changes will look like is unclear. As currently written, projections from the non-partisan Congressional Budget Office (CBO) show the House’s changes would reduce overall Marketplace enrollment and increase the uninsured rate nationally and in Georgia. If the budget bill passes as currently written, the combination of Marketplace (including allowing the expiration of the enhanced premium tax credits) and Medicaid changes could lead to an estimated 560,000-940,000 Georgians becoming uninsured.[1] (Notably, some of the marketplace changes presently in the bill are also under consideration by the Centers for Medicare & Medicaid Services (CMS), meaning they could be authorized through federal regulation even without new legislation.)

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Cracks in the foundation: How the U.S. House budget bill threatens every Georgian’s health care.

New federal proposals could dismantle key parts of Georgia’s health care system.

Early this morning, the U.S. House passed a budget proposal that would make the largest cuts to Medicaid in the program’s 60-year history and the most sweeping change to U.S. health policy since the Affordable Care Act. Although framed as “program integrity” and cost-saving measures, these provisions would restrict health coverage, squeeze state funding, and narrow benefits in ways that disproportionately harm Georgia’s most vulnerable communities. Georgia already has one of the nation’s highest uninsured rates (11.4% vs. 8% nationally), and about 2 million Georgians rely on Medicaid/CHIP. The current budget proposal is likely to result in 120,000 – 200,000 more uninsured Georgians, as they lose Medicaid coverage or private insurance through Georgia Access. 

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Aug 14, 2025
Ossoff, health care advocates ratchet up calls to renew tax credits set to expire this year
Maya Homan

Georgia residents could see as much as a 40% increase in their health insurance premiums if Congress does not act to extend the Affordable Care Act’s enhanced premium tax credits, U.S.…

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