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Top 5 Things You Need to Know About the ACA “Unwinding” Disaster
The “Paperwork Tsunami” is Causing the Largest Coverage Loss in U.S. History.
400,000+ People Dropped Per Week: States are now restarting eligibility checks after a 3-year pandemic pause. The speed of disenrollment is staggering—more than 10 million people have already lost coverage, and we’re only halfway through the process.
The Silent “Glitch” is the Real Culprit: Most people aren’t being kicked off because they suddenly make too much money. They are being procedurally terminated for failing to return a renewal form—often buried in an online portal or lost in a stack of junk mail. If you don’t reply, you’re out.
Children are the Hidden Victims: An estimated 3 in 10 children who lose Medicaid still qualify for coverage. A “systems glitch” in many states is automatically dropping entire families—including kids who are fully eligible—simply because the parent’s paperwork was late.
The “Welcome Mat” Effect is Reversed: During the pandemic, people could sign up easily. Now, states are using aggressive tactics to verify income, leading to “churn”—where people lose insurance for a few months, get sick, and spend all their savings before re-enrolling.
Your State Decides Your Fate: If you live in a state like Texas or Florida (which have not expanded Medicaid), your eligibility is extremely strict. If you live in a state like New York or California, the process is slower and more forgiving. If you hear “Your case is closed,” appeal immediately—even if you missed the deadline. The system is overwhelmed, and many legitimate errors