KFF November 21, 2025
If enhanced premium tax credits under the Affordable Care Act (ACA) are allowed to expire at the end of the year, out-pocket premiums for 22 million enrollees that receive premium assistance will increase by an average of 114%, or $1,016 per person.
Democrats have pushed for the enhanced tax credits to be extended, and a vote is expected on their proposal in December. There have also been some bipartisan negotiations and proposals to extend the tax credits for up to two years, with changes like a cap on who is eligible by income and efforts to address any fraudulent signups by insurance brokers.
Meanwhile, proposals have emerged from some Republicans in Congress to effectively repeal some or all of the...







