One day before the Trump administration and Republican Attorneys General will file their brief to the Supreme Court arguing for the Affordable Care Act to be struck down, a new analysis shows that 23.3 million Americans could lose insurance if the effort is successful.

According to a study from the Center for American Progress, 3 million more people would likely lose their insurance since the pandemic began if the Republicans are victorious. The analysis showed that more than 600,000 people in North Carolina alone would lose their health insurance.

Currently more than 4 million people in the Tar Heel State now have coverage for pre-existing conditions through the ACA and over 1 million seniors have had drug costs lowered because of it. The law has also helped more than 500,000 North Carolinians purchase affordable insurance.

Medicaid enrollment has been surging in recent months as more workers in North Carolina have lost their jobs and health insurance benefits.

“There is simply no logic behind this reckless effort to rip away health coverage from millions of people during a pandemic — this is mean-spirited partisanship and nothing else,” said NCDP Communications Director Austin Cook. “The millions of North Carolinians benefiting from this law should be outraged by the Trump administration’s actions and its laser focus on dismantling the ACA from day one. If President Trump had any real interest in helping working families navigate this public health crisis, he would direct his special-interest henchmen to drop this lawsuit immediately.”