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1h ago

Shutdown Standoff Over ACA Subsidies Intensifies Ahead of Rate Deadlines

A new KFF survey finds 78% of Americans, including most Republicans, want the enhanced tax credits extended.

Most Adults Have Heard Little or Nothing About the Enhanced Subsidies for Those Who Purchase Coverage on ACA Marketplaces
lianna_s / Depositphotos.com
Republican Sen. Lisa Murkowski of Alaska, shown Sept. 15 in Washington, is among the Republicans who have offered an extension for the Affordable Care Act’s enhanced tax credits.
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Overview

  • The government remains closed after negotiators failed to agree on a funding bill that includes the expiring enhanced premium tax credits, which end Dec. 31 without congressional action.
  • A KFF survey conducted Sept. 23–29 finds 78% support extending the credits, including 59% of Republicans and 57% of MAGA supporters, with more saying they would blame President Trump or congressional Republicans if they lapse.
  • KFF estimates subsidized enrollees’ average annual premiums would jump 114% in 2026, and the CBO projects roughly 4 million people could lose coverage next year.
  • Insurers’ 2026 rate proposals reflect the uncertainty, with Ohio filings ranging from 2.5% to 42% and companies such as Centene seeking 25%–28% and CareSource about 17%.
  • State regulators face an Oct. 15 deadline to finalize rates before ACA open enrollment begins Nov. 1, and extending the credits is estimated to cost about $350 billion over a decade.