Summary
Millions of Americans might face higher health insurance costs next year because enhanced subsidies under the Affordable Care Act (ACA) are set to expire. States that voted mainly for President Donald Trump in the 2024 election are expected to experience the largest increases in these costs. Lawmakers have not yet agreed on a plan to extend these subsidies, which could lead to significant premium hikes.
Key Facts
- Enhanced ACA subsidies, which help reduce insurance costs, are due to end this year unless Congress extends them.
- States that supported President Trump in 2024 might see the highest health insurance cost increases.
- If subsidies expire, premiums may more than double for many, potentially leaving about 2 million more people uninsured.
- Wyoming and West Virginia are listed as having the highest forecasted premium increases.
- In contrast, states like New York and Massachusetts are expected to have smaller cost rises due to long-standing market regulations.
- The top 10 states with anticipated highest premium hikes include seven that voted for Trump.
- Reasons for high premiums include fewer insurance options, older populations, and higher healthcare provider costs.
- Congress has not reached a decision to continue the enhanced ACA subsidies.
