A new report and ongoing policy debate have raised concerns that hundreds of thousands of Americans could lose health coverage under proposed funding and healthcare policy changes linked to President Donald Trump’s administration.

Some estimates suggest that around 300,000 Americans could lose health insurance depending on how funding changes and Medicaid policies are implemented in the coming years. The projections are tied to changes involving Medicaid eligibility, work requirements, and Affordable Care Act marketplace subsidies.

Healthcare analysts say policy changes could reduce enrollment in Medicaid and ACA marketplace plans, which could result in fewer people qualifying for government-supported health insurance.

Other projections suggest the number of Americans losing coverage could reach into the millions over several years if certain healthcare subsidies and Medicaid expansions are reduced or allowed to expire.

Supporters of the policy changes say they are intended to reduce government spending and encourage employment, while critics argue the changes could make healthcare less accessible for low-income families.

The debate over healthcare funding comes as lawmakers continue negotiating federal spending and budget priorities, including military funding, tax policies, and social programs.

Experts say the final impact will depend on what policies are ultimately passed and how states implement Medicaid eligibility rules.

For now, the issue remains part of a larger political and economic debate over government spending and healthcare access in the United States.