Trump Action Archive

Supporting reports

• New York ended health coverage for 450,000 residents — Coverage ended July 1 for nearly 450,000 New Yorkers enrolled in the state's Essential Plan, a consequence of federal Medicaid cuts in last year's budget law and the expiration of subsidies that made Affordable Care Act plans affordable. The Essential Plan served people earning too much for Medicaid but too little for private insurance, leaving them without coverage options.
• Nearly 500,000 New Yorkers lose health insurance due to HR 1 cuts — On 1 July 2026, nearly 500,000 moderate-income New Yorkers were removed from health insurance coverage as a direct result of the One Big Beautiful Bill Act (HR 1), signed into law in 2025. The law slashed $911 billion in federal health spending nationally, including elimination of New York's "essential plan" that covered residents earning 200–250% of the federal poverty level with zero-premium, low-cost coverage. State lawmakers failed to secure replacement funding in June 2026. Nationally, the law is projected to cause 10 million additional uninsured Americans over the next decade, with New York City alone expecting over 250,000 residents to lose coverage.