Tennessee risks significant health insurance coverage losses and premium increases without extension of enhanced premium tax credits established by the American Rescue Plan, impacting over 265,000 residents and rural healthcare providers.

Ground ambulance rides are excluded from the No Surprises Act, leaving many patients exposed to surprise bills. State laws vary, and insurer concerns about premium impacts slow federal progress.

The Congressional Budget Office projects that House Republican healthcare proposals could reduce federal spending by $912 billion but result in 8.6 million people losing insurance coverage over a decade. This analysis underscores the fiscal and coverage impacts of proposed Medicaid and ACA cuts.

The Trump administration's new rule aims to reduce fraud and improper payments on Obamacare exchanges, potentially saving $150 billion and lowering premiums by over 5%.