Marketplace premiums more than doubled for subsidized enrollees
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Since 2021, larger premium tax credits meant nobody paid more than 8.5% of income for a benchmark plan and people just above the poverty line paid nothing. This law, which rewrote much of the tax code, did not extend them, so they expired. A House-passed extension died in the Senate in January 2026.
KFF estimated the average subsidized enrollee's premium payment rises 114%, about $1,016 a year. The jumps are far larger for people in their 50s and 60s, and anyone earning just over four times the poverty line loses the subsidy entirely. Marketplace enrollment fell from about 22 million in 2025 to about 19 million in early 2026, and CBO expects roughly 4 million more uninsured from the expiration on top of the law's other effects.
- Re-shop every open enrollment; the cheapest plan in your area changes year to year.
- If your income is near 400% of the poverty line, contributions to a traditional IRA, HSA or 401(k) lower the income the subsidy is based on.
Not a section: the law omitted an extension of the enhanced premium tax credits, which expired December 31, 2025
Passed by Congress and signed. Opens the primary source.
- Nonpartisan Marketplace premium payments would more than double if enhanced credits expire (KFF)
- Nonpartisan What we know so far about 2026 marketplace enrollment, premiums and deductibles (KFF)
- Nonpartisan ACA marketplace enrollment drops after subsidy lapse (The Hill)
- Nonpartisan Enhanced premium tax credits: legislative developments in 2025 and 2026 (Association of State and Territorial Health Officials)
- Nonpartisan Senate fails to extend enhanced ACA subsidies (Health Affairs)
- Conservative Marjorie Taylor Greene breaks with GOP on Obamacare premium hikes (NBC News)