Health Costs

Health Care Affordability

Affordable Care Act

Updated Larry QT on ePTCs

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

While the Affordable Care Act’s enhanced premium tax credits expired at the end of 2025, there is no absolute drop-dead date for extending them. An extension could happen even after the deadline to sign up for coverage and be made retroactive to January 1. Open enrollment could also be extended to allow people time to change their plans or allow new people to sign up. ACA enrollees would welcome premium relief whenever it comes, explains KFF's Larry Levitt.

ACA Signups Are Down, But Still an Incomplete Picture

Data currently being released represent Open Enrollment ACA Marketplace plan selections, or how many people have signed up for or been automatically renewed into 2026 coverage. These data do not necessarily translate to enrollments. That is because people who have selected a plan or been automatically renewed may not ultimately choose to pay for their coverage, thus “effectuating” their enrollment.

KEY RESOURCES
  • Health Policy 101: Costs and Affordability

    This Health Policy 101 chapter explores trends in health care costs in the U.S. and the factors that contribute to this spending. It also examines how health care spending varies and the impact on affordability and people's overall financial vulnerability.  


  • Americans’ Challenges with Health Care Costs

    This data note reviews our recent polling data that finds that Americans struggle to afford many aspects of health care, including disproportionate shares of uninsured adults, Black and Hispanic adults and those with lower incomes.

  • National Health Spending Explorer

    This interactive Peterson-KFF Health System Tracker tool allows users to examine five decades worth of data on health expenditures by federal and local governments, private insurers, and individuals.

  • Polling on Prescription Drugs and Their Prices

    This chart collection draws on recent KFF poll findings to provide an in-depth look at the public’s attitudes toward prescription drugs and their prices. Results include Americans’ opinions on drug affordability, pharmaceutical companies, and various potential measures that could lower prices.

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  • Summary: National Survey of Enrollees in Consumer-Directed Health Plans

    Poll Finding

    This survey summary provides an in-depth analysis of the National Survey of Enrollees in Consumer-Directed Health Plans conducted between June 21 and July 10, 2006. The survey looks at the views and experiences of people enrolled in consumer-directed health plans as compared to people with traditional health insurance. Survey Summary (.

  • Toplines: National Survey of Households Affected by Cancer

    Poll Finding

        These toplines provide the complete survey questions and findings from the National Survey of Households Affected by Cancer conducted jointly by USA Today, the Kaiser Family Foundation and the Harvard School of Public Health by telephone between Aug. 1 and Sept. 14, 2006.

  • Why Did the Number of Uninsured Continue to Increase in 2005?

    Issue Brief

    This paper examines health coverage trends in 2005 and places them in the context of trends occurring since 2000. The paper concludes that despite the improving economy, the percentage of the population with employer-sponsored insurance continued to decline while the number of the uninsured continued to increase. Issue Brief (.

  • Summary and Chartpack: Health Care in America 2006 Survey

    Poll Finding

    These charts highlight data from the 2006 survey on Health Care in America conducted jointly by ABC News, the Kaiser Family Foundation and USA Today between Sept. 7 and 12, 2006. The survey examines Americans’ views and experiences related to health care costs and quality, as well as their attitudes toward possible policy solutions.

  • ABC News/Kaiser Family Foundation/USA Today Health Care in America 2006 Survey

    Poll Finding

    This poll examines Americans' views and experiences related to health care costs and quality, as well as their attitudes toward possible policy solutions. The results are featured in a series of reports on ABC News programs, ABCNews.com, and in USA Today during the week of Oct. 15, 2006.

  • Changes in Employees’ Health Insurance Coverage, 2001-2005

    Issue Brief

    This paper examines the underlying reasons behind the decline in employer coverage among employees from 2001 to 2005. The paper finds that almost half of the decline in employer-sponsored coverage was due to a loss of employer sponsorship.

  • Toplines: Health Care in America 2006 Survey

    Poll Finding

    These toplines provide the complete survey questions and findings from the 2006 survey on Health Care in America conducted jointly by ABC News, the Kaiser Family Foundation and USA Today between Sept. 7 and 12, 2006.