Affordable Care Act

Enhanced Premium tax credits

2025 KFF Marketplace Enrollees Survey

If the amount they pay in premiums doubled, about one in three enrollees in Affordable Care Act Marketplace health plans say they would be “very likely” to look for a lower-premium Marketplace plan.

The New ACA Repeal and Replace: Health Savings Accounts

Proposals from some Republicans in Congress would effectively repeal some or all of the ACA premium tax credits and replace them with contributions to Health Savings Accounts (HSAs) or something similar.

An image of text is an excerpt form Larry Levitt's quick take which reads, "While the enhanced ACA premium tax credits expire at the end of this year, there is no absolute drop-dead date for extending them. ACA enrollees would welcome premium relief whenever it comes."

There is No Drop-Dead Date for an ACA Tax Credit Extension, But Coverage Losses Will Mount as the Clock Ticks

A discharge petition in the House paves the way for a vote on a three-year extension of the tax credits, which would provide ACA enrollees premium relief whenever it comes. While there is still time to extend the enhanced tax credits, with each passing day, more and more ACA Marketplace enrollees are going to drop their health insurance when faced with eye-popping increases in their premium payments, writes KFF’s Larry Levitt.

ACA Premium Payments Would More than Double on Average If Enhanced Tax Credits Expire

Calculate How Much More You’d Pay Without the Enhanced ACA Credit

Timely insights and analysis from KFF staff

Jan 15, 2025

ACA Preventive Services at the Supreme Court

Laurie Sobel

If the Court rules in favor of Braidwood, private health insurers would no longer be required to cover, without cost sharing, certain preventive services recommended by USPTF after 2010 when the ACA was enacted. ... more
Nov 14, 2024

What Trump’s 2024 Victory Means for Medicaid

Robin Rudowitz

While Medicaid did not receive a lot of attention during the campaign, if cuts to Social Security and Medicare are largely off the table, Medicaid is the likely source of funding to extend expiring tax cuts. ... more
Nov 7, 2024

Voters Chose Republicans This Year in Spite of Differences on Health Care

Liz Hamel

Despite [Republicans’] victories, there are signs in the polling that voters are not necessarily aligned with some of the policies Republicans may pursue when it comes to health care. ... more