Premiums under the Senate Better Care Reconciliation Act

Issue Brief

1. If the premium for the benchmark plan is lower than the share of income a person is responsible for, the person is not eligible for a premium tax credit.

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2. Because premium tax credits are calculated based on the premium for the benchmark plan, the change in age rating from 3:1 to 5:1, taken by itself, would reduce premium tax credits for younger adults and increase them for older adults. The changes to the income percentages shown in table XX, however, generally move in the opposite direction.

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3. https://www.cdc.gov/nchs/data/nhis/earlyrelease/insur201705.pdf

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4. https://www.cms.gov/Newsroom/MediaReleaseDatabase/Fact-sheets/2016-Fact-sheets-items/2016-06-30.html

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5. https://aspe.hhs.gov/system/files/pdf/208306/OffMarketplaceSubsidyeligible.pdf

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6. https://www.cms.gov/Newsroom/MediaReleaseDatabase/Fact-sheets/2016-Fact-sheets-items/2016-06-30.html

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7. https://www.cbo.gov/sites/default/files/recurringdata/51135-2017-01-economicprojections.xlsx

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8. https://www.cms.gov/research-statistics-data-and-systems/statistics-trends-and-reports/nationalhealthexpenddata/nationalhealthaccountsprojected.html

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