Millions of Americans who gained Medicaid health insurance during the COVID-19 pandemic could lose coverage this year or next year when generous federal subsidies end, a new analysis has found.

Kaiser Family Foundation estimates 5 to 14 million Americans could lose Medicaid when states begin to unwind coverage after the Biden administration declares the COVID-19 public health emergency is over.

The federal government provided billions in federal aid to states on the condition that they would not remove people from Medicaid until the public health emergency ends. The temporary measure to ensure Americans didn't lost coverage during the pandemic has extended more than two years. Kaiser projects sign-ups for full and partial Medicaid coverage will have swollen by 25% to 110 million by September's end.