Commonwealth Fund September 25, 2024
Rachel Swindle, Justin Giovannelli

TOPLINES

If expanded federal tax credits for Affordable Care Act marketplace coverage expire, as planned, in 2025, all states will experience significant coverage losses and premium increases

Although states play an important role in making health care coverage affordable in the individual market, ongoing federal support is required to prevent widespread coverage losses

Abstract

  • Issue: The uninsured rate reached a new low in 2023, in part because of record enrollment in the Affordable Care Act marketplaces. The 2021 expansion of federal premium tax credits drove these gains, but this financial assistance will expire after 2025 unless Congress acts. Meanwhile, states have invested in programs that build on the expanded federal subsidies to make coverage even more affordable.
  • Goal: Identify...

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Topics: ACA (Affordable Care Act), CMS, Govt Agencies, Insurance, States
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