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Affordable Care Act: Funding Cuts and Racial Health Disparities in Ohio

Funding cuts and policy changes related to the Affordable Care Act are worsening health disparities in Ohio, particularly among racial minorities.
newsroom 04.05.2026
affordable care act — US news

“Racial disparities are among the most persistent and well documented in the U.S. health care system,” according to a recent Commonwealth Fund report. This stark observation highlights the challenges faced by many communities in Ohio as funding cuts and policy changes threaten to exacerbate existing health disparities.

Ohio ranks 33rd overall for health system performance for white individuals, but the numbers worsen significantly for minorities. The state ranks 16th-worst for health system performance for Hispanics and an alarming 10th-worst for Black individuals. These rankings illustrate a troubling trend that many fear will worsen with recent developments.

The expiration of enhanced marketplace credits from the Affordable Care Act is expected to worsen these disparities. Nearly 15 million Americans could lose access to healthcare coverage due to cuts associated with the One Big Beautiful Bill Act proposed by the Trump administration. This includes approximately 4 million people who are set to lose expiring tax credits that subsidized their coverage.

Joseph Betancourt, a leading voice on health equity, remarked, “We know you cannot fix what you cannot measure.” This sentiment resonates deeply as communities across Ohio grapple with the implications of reduced healthcare access. The Congressional Budget Office projects that by 2034, 10 million people could be newly uninsured due to this legislation, raising alarms among advocates for equitable healthcare.

Senator Bernie Sanders voiced his concerns, stating, “As a result of the ‘Big Beautiful Bill,’ 15 million Americans have been thrown off the healthcare that they need.” These words ring true for many families who rely on Medicaid and other forms of assistance to access necessary medical services.

The Affordable Care Act was signed into law on March 23, 2010, by President Barack Obama, aiming to reduce the number of uninsured Americans significantly. In its early years, it succeeded; in 2010, there were 47 million uninsured people in America; by 2016, this number dropped to 27 million due to the ACA.

Yet now, as funding gets slashed and policies shift under different administrations, many fear a return to higher uninsured rates. The ramifications of these changes extend beyond statistics; they impact real lives in communities across Ohio.

As we look ahead, advocacy groups continue their fight for equitable healthcare access and better support systems for those affected by these cuts. The struggle against systemic health disparities remains ongoing—and increasingly urgent.

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