Expiration of Enhanced ACA Subsidies Could Hammer Personal, State Economies

Mar 14
Mar 14, 2025

If the enhanced subsidies of Affordable Care Act plans expire at the end of this year, multiple new studies have found that states could see millions of their residents lose health care coverage and jobs, leading to billions in lost state and local revenue.

The enhanced subsidies increased the level of advance premium tax credits (APTCs) available to lower-income individuals (making $0-premium plans widely available to that group) and extended APTC eligibility to people with incomes at or above 400% of the federal poverty level (FPL). Without a permanent extension of the enhanced subsidies, subsidized ACA enrollees would see their premium payments rise sharply starting Jan. 1, 2026.
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