https://www.axios.com/newsletters/axios-vitals-09a8b360-4152-11f0-99d5-2332a38ef2e5.html?utm_source=newsletter&utm_medium=email&utm_campaign=newsletter_axiosvitals&stream=top

The CBO projects that 10.9 million more people would be uninsured under President Trump’s sweeping budget bill — mostly from the way it would overhaul Medicaid, including new work requirements.

Why it matters: 

That would amount to major coverage losses that are certain to fuel Democratic attacks on the measure, and put new pressure on vulnerable Republicans heading into the midterm election cycle, Peter Sullivan wrote first on Pro.

By the numbers: 

The CBO on Wednesday projected that 7.8 million more people would be uninsured due to the Medicaid changes, with the rest likely due to Affordable Care Act marketplace changes, including new barriers to signing up that are aimed at fighting fraud.

• The estimate includes 1.4 million people without verified citizenship “or satisfactory immigration status,” a reference to undocumented immigrants that some states opt to cover with non-federal dollars in their Medicaid programs.
• The CBO was responding to a request from congressional Democrats about the number of uninsured people stemming from the package the House passed last month.

Republicans say the changes would ensure that Medicaid is targeted at beneficiaries deserving of coverage, and that taxpayer money should not be spent on healthy adults who are choosing not to work.

• Opponents say people who are working will be caught up in the red tape from the changes and could still lose coverage.

The CBO also said another 5.1 million would become uninsured if Congress opts to let Affordable Care Act premium tax credit subsidies expire next year.