Commonwealth Fund March 3, 2025
Economic, Employment, and Tax Consequences
Toplines
Eliminating enhanced premium tax credits would make health insurance unaffordable for millions, leading to coverage losses, job cuts, and billions in lost state and local revenue
States that haven’t expanded Medicaid would suffer the greatest economic, job, and tax revenue losses if enhanced marketplace premium tax credits expire at the end of 2025
Introduction
To help people afford plans sold in the health insurance marketplaces, the Affordable Care Act (ACA, also sometimes called Obamacare) provides low- and middle-income individuals with premium tax credits (PTCs). In 2021, Congress enhanced the generosity of these tax credits and made them available to more people. Authorized originally by the American Rescue Plan Act, the enhanced PTCs were later...
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