Overview
- Roughly 22 million Affordable Care Act enrollees lose enhanced tax credits as of Jan. 1, with KFF estimating out-of-pocket premiums will rise about 114% on average this year.
- Analysts warn several million could become uninsured without a fix, with projections generally clustering around 3 to 5 million people losing coverage.
- House Democrats, joined by a handful of Republicans via a discharge petition, plan an early January vote on a three-year extension after a similar measure failed in the Senate.
- Republican leaders and President Donald Trump have pushed alternative approaches, such as routing funds directly to consumers or expanding health savings accounts, which face policy and political hurdles.
- Some states are moving to blunt the impact—New Mexico is cited as covering all expiring aid—while providers warn of strain, including an estimate of more than $32 billion in lost revenue without restored assistance.