Welcome to Health Minute. Today, we’re looking at a new Congressional Budget Office report on the Republican bill that tweaks key parts of Obamacare. At first glance, these aren’t giant overhauls—they’re shorter enrollment windows, extra paperwork, formula tweaks—but together they would push about four million people off their plans over the next decade. As Audrey Morse Gasteier, director of Massachusetts’s state marketplace, puts it, “In many ways, it’s sort of repeal by paper cut.”

And that’s not all. Unless Congress extends existing funding by year’s end, the report warns another 4.2 million Americans could lose coverage. Specific provisions include cutting subsidies for many legal immigrants, ending automatic renewals, shortening enrollment periods and requiring additional documents at sign-up. Each change chips away at affordability and access, threatening the stability of markets that now cover 24 million people nationwide.

Stay tuned for more updates on health policy and what it means for you.
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