As the government shutdown continues, extending the Affordable Care Act’s enhanced premium tax credits has become a central issue for debate. KFF has the latest data and analysis on the potential implications, including who would be affected and how, if the enhanced credits expire. Notably, KFF research shows that enrollees’ premiums would rise by 114%, on average.
More Than Half of ACA Marketplace Enrollees Live in Republican Congressional Districts
Since the enhanced premium tax credits became available in 2021, ACA Marketplace enrollment has increased significantly in some red states, and 57% of enrollees now live in Republican congressional districts. Read more.
If Enhanced ACA Tax Credits Expire, Older Marketplace Enrollees Face Steepest Premium Hikes
The ACA enhanced premium tax credits expanded financial assistance to more Marketplace enrollees, an expansion that was especially helpful to older middle-income enrollees, who would see the largest increases in out-of-pocket premiums if the enhanced credits expire. Read more.
More Than 3 in 4 ACA Marketplace Enrollees Live in States Won by President Trump in 2024
New data from KFF show the extent to which states won by Trump in 2024 have come to rely on the ACA Marketplaces and the tax credits, which make health care coverage more affordable for low- and middle-income Marketplace enrollees. Read more.
Why Might Republicans Consider Extending Obamacare Tax Credits?
A look at how the expiring enhanced tax credits lower health costs for many traditionally Republican constituencies, such as people in southern states, small business owners and employees, farmers and ranchers, older adults, and rural Americans. Read more.
Additional resources:
- Analysis: ACA Marketplace Premium Payments Would More than Double on Average Next Year if Enhanced Premium Tax Credits Expire
- Poll: Despite Budget Concerns, Three-Quarters of Public Say Congress Should Extend the Enhanced ACA Tax Credits Set to Expire Next Year, Including Most Republicans and MAGA Supporters
- From Drew Altman: How an ACA Premium Spike Will Affect Family Budgets, and Voters
- Calculator: How Much More Would People Pay in Premiums if the ACA’s Enhanced Premium Tax Credits Expire?
- KFF Health News: Why Democrats Are Casting the Government Shutdown as a Health Care Showdown
CONTACT:
Tammie Smith | 202.654.1410 | TammieS@kff.org
KFF should be cited as a nonprofit health policy research, polling, and news organization.
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