Taxes - Research and Data from KFF

Most of the Public Say Congress Should Extend ACA Enhanced Tax Credits Set to Expire Next Year, Including Most Republicans and MAGA Supporters

KFF Health Tracking Poll: Public Weighs Political Consequences of Health Policy Legislation

Oct 3, 2025

Poll Finding

KFF's Health Tracking Poll finds that more than three-quarters of the public say they want Congress to extend the ACA enhanced premium tax credits that are set to expire at the end of this year. If the credits do expire and the average premium more than doubles, seven in 10 of those who purchase their own insurance say they would not be able to afford premiums without significantly disrupting their household finances.

Despite Budget Concerns, Three-Quarters of Public Say Congress Should Extend the Enhanced ACA Tax Credits Set to Expire Next Year, Including Most Republicans and MAGA Supporters

Oct 3, 2025

News Release

A new KFF Health Tracking Poll finds more than three-quarters (78%) of the public say they want Congress to extend the enhanced tax credits available to people with low and moderate incomes to make the health coverage purchased through the Affordable Care Act’s Marketplace more affordable.

KFF graphic featuring a quote from Emma Wager, KFF Senior Policy Analyst, Program on the ACA. It says, "Nationwide, 93% of ACA Marketplace enrollees received premium tax credits in 2025, but enrollees living in states won by President Trump in 2024 were even more likely to have subsidized coverage... Additionally, 80% of all premium tax credits ($115 billion) went to ACA Marketplace enrollees in Trump-won states."

More Than 3 in 4 ACA Marketplace Enrollees Live in States Won by President Trump in 2024

Oct 3, 2025

Quick Take

As Democrats push for an extension of the ACA’s enhanced premium tax credits, new data from KFF show the extent to which states won by Trump in 2024 have come to rely on the ACA Marketplaces and the tax credits, which make health care coverage more affordable for low- and middle-income Marketplace enrollees.

If Enhanced ACA Tax Credits Expire, Older Marketplace Enrollees Face Steepest Premium Hikes

Oct 6, 2025

Quick Take

The ACA enhanced premium tax credits expanded financial assistance to more Marketplace enrollees, an expansion that was especially helpful to older middle-income enrollees, who would see the largest increases in out-of-pocket premiums if the enhanced credits expire.

Is it Too Late for ACA Insurers to Change Their Premiums?

Oct 8, 2025

Quick Take

Affordable Care Act Marketplace insurers are raising premiums by an average of 18% next year, due in part to the expiring enhanced premium tax credits. Even if the credits are extended in shutdown negotiations, it is unlikely that insurers will have time to revise premiums, though the credits would still offer enrollees relief from them.

Medicaid and Upcoming State Budget Debates

Jan 23, 2026

Issue Brief

This brief describes current state fiscal conditions as states begin fiscal year 2027 budget debates and highlights key areas to watch for Medicaid policy changes as states respond to fiscal challenges and the 2025 reconciliation law.