More than 20 million people are expected to lose their health insurance coverage within a year following President Donald Trump’s executive order to repeal the Affordable Care Act Jan. 20. According to a report conducted by the U.S. Department of Health and Human Services , the uninsured rate had fallen to the lowest level on record since the ACA was passed in 2010. In addition, millions of Americans with employer, Medicaid, Medicare or individual market coverage benefited from the protections of the act.