Becker's Healthcare March 4, 2025
Jakob Emerson

Texas will see the biggest economic hit if ACA premium tax credits expire at the end of 2025, according to a March 3 brief from the Commonwealth Fund.

The ACA provides low- and middle-income individuals with premium tax credits to purchase health coverage on the exchange. Originally authorized by the American Rescue Plan Act in 2021, enhanced PTCs were later extended by the Inflation Reduction Act. Without another congressional extension, the PTCs will expire at the end of 2025.

As of January 2025, 24 million people are enrolled in an exchange plan. Without a PTC extension, an estimated 4 million people will become uninsured, creating a ripple effect across the healthcare industry and wider economy.

Without an extension, total state...

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