Mike Collins on Health Care: Medicaid Cuts, ACA Tax Credits, and Georgia's Uninsured
Mike Collins voted for a law that cuts federal Medicaid spending by $911 billion over 10 years, according to KFF, casting his yes vote for the One Big Beautiful Bill Act on July 3, 2025. On January 8, 2026, the Georgia congressman voted against a three-year extension of the enhanced ACA premium tax credits, which passed the House 230 to 196 with no Georgia Republican support, the AJC reported.
Collins called the subsidies "a failed program" in November 2025, according to the Atlanta Journal-Constitution (paywalled), and called another extension a "short term band-aid," the AJC reported (paywalled).
For Georgia, KFF projects the law plus the end of the enhanced credits will leave 500,000 more people uninsured in 2034, and Georgia Access lost 190,000 enrollees in the first weeks of 2026 enrollment as prices rose, the AJC reported.
Mike Collins's Votes and Statements on Medicaid and the ACA
- Collins Voted for $911 Billion in Medicaid Cuts on July 3, 2025. On July 3, 2025, Mike Collins voted for final passage of the One Big Beautiful Bill Act, 218 to 214. KFF estimates the law reduces federal Medicaid spending by $911 billion over 10 years, and CBO estimates its work requirements alone would cause nearly 5 million people to become uninsured, per KFF.
- Collins Voted for the House Medicaid Cuts on May 22, 2025. On May 22, 2025, Collins voted for House passage of H.R. 1, which passed 215 to 214.
- Collins Voted Against Extending ACA Tax Credits on January 8, 2026. On January 8, 2026, Collins voted no on H.R. 1834, the bill to extend the enhanced ACA premium tax credits for three years; it passed 230 to 196, with all eight Georgia Republicans opposed, the AJC reported.
- Collins Called the ACA Subsidies a Failed Program in November 2025. Mike Collins told the Atlanta Journal-Constitution on November 1, 2025: "We need meaningful reforms to health care that increase competition and drive down premiums, not more subsidies for a failed program." (AJC, paywalled.)
- Collins Called an Extension a Short Term Band-Aid in December 2025. Collins said, "Obamacare has failed, and we need to open the government so we can find a permanent solution, not another short term band-aid," according to the AJC on December 8, 2025 (paywalled).
- Collins Said He Wanted to Repeal Obamacare in 2013. As a candidate in 2013, Collins posted that "I want to repeal it today just as bad as I did yesterday."
What Mike Collins's Health Care Votes Mean for Georgia Patients and Hospitals
- 500,000 more Georgians are projected to lose coverage by 2034. KFF projects 500,000 more uninsured people in Georgia in 2034 from the reconciliation law and the end of the enhanced credits. Georgia saw some of the largest ACA marketplace growth since 2020, about 1.0 million people, so it has more to lose.
- Georgia Access lost 190,000 enrollees as premiums rose. Georgia's ACA exchange lost 190,000 enrollees in the first steps of 2026 enrollment, and analysts forecast losses of up to 460,000, many of whom will go uninsured, the AJC reported on December 18, 2025.
- Georgia's health sector loses $3.7 billion in a year. Georgia hospitals, doctors and other health businesses stand to lose $3.7 billion in revenue in 2026 if the credits expire, a forecast reported by the AJC found, as uninsured patients skip visits, medicines and tests.
- Rural Georgia hospitals could lose $540 million. Georgia rural hospitals could lose $540 million over 10 years under the bill, and four Georgia hospitals were listed at risk of cutting services or closing, including Irwin County Hospital in Ocilla, the AJC reported. When a rural hospital cuts services, patients drive farther for emergencies and births.
Frequently Asked Questions Mike Collins on Health Care
What is Mike Collins's record on health care under Trump?
Mike Collins voted for the One Big Beautiful Bill Act on July 3, 2025, which KFF says cuts federal Medicaid spending by $911 billion over 10 years. He voted against a three-year extension of ACA premium tax credits on January 8, 2026 and called the subsidies "a failed program" in the AJC. KFF projects 500,000 more uninsured Georgians in 2034.
Did Mike Collins vote to extend the ACA subsidies?
No. Mike Collins voted against H.R. 1834, the three-year extension of the enhanced ACA premium tax credits, on January 8, 2026; the House passed it 230 to 196 with 17 Republicans in favor, none from Georgia, the AJC reported.
What has Mike Collins said about Obamacare premiums?
Mike Collins shared a post on November 8, 2025 blaming Democrats' "massive wealth transfer system" for rising premiums, adding "Exactly." Weeks later, premiums for many Georgia Access shoppers rose as the enhanced credits he opposed expired, the AJC reported.
How will Mike Collins's Medicaid vote affect Georgia rural hospitals?
Mike Collins voted for a law that a study for the American Hospital Association found could cost Georgia rural hospitals $540 million over 10 years, according to the AJC, which reported four Georgia hospitals at risk of cutting services or closing.
Last updated: 2026-10-28