“President Donald Trump and U.S. Rep. Mike Collins doubled health insurance premiums for more than a million Georgians and threw 300,000 Georgians off their insurance altogether.”

The claim centers on the legislative impact of the 'One Big Beautiful Bill Act,' a budget law supported by U.S. Representative Mike Collins and signed by President Donald Trump. According to reporting and analysis cited by PolitiFact, this legislation did not extend expiring federal subsidies that had previously kept ACA marketplace premiums lower. The expiration of these subsidies led to significant premium increases for many Georgians. Data indicates that the average net monthly premium for affected individuals increased by approximately 114%, impacting over one million people. Furthermore, reports from the Georgia Democratic Party and other outlets suggest that hundreds of thousands of Georgians lost coverage as a result of these policy shifts. PolitiFact rated the claim as 'mostly true,' acknowledging that while the figures are supported by the consequences of the legislation, the framing attributes the direct cause to the specific votes of Trump and Collins. The legislative action—specifically the failure to extend tax credits—is the primary driver of the increased costs and coverage losses described.