But experts told us the enrollment declines seen to date are largely due to other factors — including other Trump administration policies. The nonpartisan Congressional Budget Office has projected that the law’s Medicaid provisions will result in 7.5 million more people without health insurance by 2034. “Millions more have seen their health insurance premiums go up by hundreds and thousands of dollars. But because Medicaid enrollment has continued to decline, the total estimate of 8 million remains basically accurate. Those three issues are what he tends to hear about from groups that help people sign up for health coverage, he said.