With Trump returning to the White House and the Republican Party taking full control of Congress in 2025, the Affordable Care Act’s Medicaid expansion may be in trouble again.

According to the Kaiser Family Foundation (KFF), a non-profit medical research group, nine states in the United States will lose more than 3 million adults if Republicans reduce the additional White Card subsidies that allow states to expand beneficiaries. Direct Risk to Medicare. This is mainly because states have so-called “trigger laws”. Once federal funds are reduced, these laws will immediately end the expanded subsidies for white cards. Researchers estimate that in six of the nine states with trigger laws, 3.1 million to 3.7 million people will soon lose their health insurance; the difference depends on how states treat people who signed up for Medicaid before the expansion of the Affordable Care Act. Even if expanded subsidies end, they may continue to be eligible for health insurance.