Cook County hospitals, led by Stroger Hospital, anticipate a surge in uninsured patients as ACA subsidies expire, increasing demand on emergency departments.

Public polling shows broad support for continuing ACA tax credits, while some Republicans in Congress oppose extending the subsidies over concerns about fraud and misuse.

Hospitals plan to pursue efficiency measures and expand outpatient services rather than hire more staff, with some nursing reassignment and limited cross-coverage by physicians.

Analysts estimate approximately 100,000 Illinois residents could lose coverage, and about 500,000 statewide could face higher insurance costs in 2026.

Stroger Hospital’s Chief Medical Officer says the anticipated strain will affect all area hospitals, not just Stroger.

Officials warn that many individuals may lose coverage or be priced out of insurance, potentially driving up emergency room visits for basic care.

Cook County Board President Toni Preckwinkle commits to treating every patient in need, regardless of insurance status or ability to pay.