MedCity News October 28, 2025
Marissa Plescia

The expiration of ACA tax credits could drive up premiums across marketplace and commercial insurance plans, a Cigna executive warned.

The government shutdown is still underway, and a key sticking point of this shutdown is the expiration of the Affordable Care Act’s enhanced premium tax credits at the end of the year.

These were introduced in 2021 and lowered monthly premiums for those who buy coverage on the marketplaces. Democratic lawmakers are calling for an extension of the tax credits, while Republicans have been more reluctant. It’s estimated that if the tax credits expire, ACA Marketplace premiums will more than double on average next year.

But it’s not just those receiving coverage on the marketplaces that will be affected...

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