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CBO Estimates 3-5 Million Could Lose Employer Insurance Under ACA | The Congressional Budget Office’s best estimate, subject to “tremendous amount of uncertainty,” is that 3 to 5 million fewer people would have insurance through their employer under the Affordable Care Act. In that estimate, 11 million workers would lose their employer coverage, while 3 million would choose to drop their coverage and go into the state health exchanges or on Medicaid. Another 9 million workers would gain coverage through their employer, for a net total of 5 million in 2019. Republicans argued business surveys showed that a larger number of employers would drop coverage, but the CBO said employer surveys “have uncertain value and offer conflicting findings.”

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