A bill passed by the U.S. House would put the health of thousands of Alabamians — and the state’s fragile health care system — at serious risk.

Here is what’s at stake for Alabama:

190,000 Alabamians could lose coverage

The bill would make cuts to Medicaid and would raise premiums through the Health Insurance Marketplace. As a result, thousands of Alabamians may lose their health insurance, and many would be forced to skip medications, delay care or go to the ER in crisis.

$1.14 billion hit to Alabama’s economy

Raising premiums by letting enhanced Affordable Care Act (ACA) premium subsidies expire would shrink Alabama’s economy by $1.14 billion and cost the state 10,000 jobs in 2026.

Blocks Medicaid expansion funding

The bill would eliminate $619 million in federal funds set aside to help Alabama expand Medicaid. This would deny Alabama the chance to cover at least 200,000 more residents – including veterans, college students, caregivers and more.

Pushes Alabama’s health care system closer to collapse

Alabama’s health care infrastructure is already stretched thin – with at least 20 rural hospitals already at risk of closing. This bill would put more than $400 million per year in state Medicaid provider taxes at risk. As a result, our state lawmakers could be forced to cut coverage or raise new taxes to fill the gap.

Raises health care costs for everyone

When people lose coverage, hospitals and providers still deliver care — but with no reimbursement. That means higher health care costs for everyone — no matter what type of coverage you have.