Yes.
More than 300,000 Arizonans could lose access to federally subsidized health insurance under the One Big Beautiful Bill Act, according to projections from the U.S. Congress Joint Economic Committee. The law, signed by President Trump in July 2025, targets both Medicaid and Affordable Care Act coverage, introducing stricter eligibility rules for each.
Among the more significant changes are new Medicaid work requirements, which mandate that recipients prove they work at least 80 hours per month. In Arizona, the Medicaid system —known as the Arizona Health Care Cost Containment System, or AHCCCS — primarily serves low-income individuals, including children, rural residents and people with multiple chronic conditions. About 1.9 million Arizonans were enrolled in AHCCCS as of July 2025.
Though some changes take effect as early as next year, it could take nearly a decade to see their full impact.
This fact brief is responsive to conversations such as this one.
The Arizona Center for Investigative Reporting partners with Gigafact to produce fact briefs, or quick-response fact checks, about trending claims relating to Arizona.
Sources
- State Data, U.S. Congress Joint Economic Committee
- Medicaid in Arizona, KFF
- Trump bill's health effects won't be felt until after midterms, Axios
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The Arizona Center for Investigative Reporting is partnering with Gigafact to produce timely fact briefs, or quick-response fact checks, about trending claims relating to Arizona.
