No Result
View All Result
SUBMIT YOUR ARTICLES
  • Login
Friday, October 31, 2025
TheAdviserMagazine.com
  • Home
  • Financial Planning
    • Financial Planning
    • Personal Finance
  • Market Research
    • Business
    • Investing
    • Money
    • Economy
    • Markets
    • Stocks
    • Trading
  • 401k Plans
  • College
  • IRS & Taxes
  • Estate Plans
  • Social Security
  • Medicare
  • Legal
  • Home
  • Financial Planning
    • Financial Planning
    • Personal Finance
  • Market Research
    • Business
    • Investing
    • Money
    • Economy
    • Markets
    • Stocks
    • Trading
  • 401k Plans
  • College
  • IRS & Taxes
  • Estate Plans
  • Social Security
  • Medicare
  • Legal
No Result
View All Result
TheAdviserMagazine.com
No Result
View All Result
Home Medicare

Congress Must Preserve Access to Affordable Marketplace Coverage

by TheAdviserMagazine
2 months ago
in Medicare
Reading Time: 4 mins read
A A
Congress Must Preserve Access to Affordable Marketplace Coverage
Share on FacebookShare on TwitterShare on LInkedIn


Unless Congress acts soon, critical tax credits that help over 22 million people buy Affordable Care Act (ACA) Marketplace plans will expire at the end of this year, causing premiums and coverage losses to skyrocket.

The Role of Premium Tax Credits

Since 2012, ACA premium tax credits (PTCs) have helped people with low and middle incomes pay their Marketplace premiums. In 2021, The American Rescue Plan Act (ARPA) increased the amount and availability of the credits and the Inflation Reduction Act (IRA) in 2022 delayed their expiration, but only until the end of 2025. Notably, while the July 2025 reconciliation bill continued many other tax policies sunsetting this year, it excluded these enhancements.

While the July 2025 reconciliation bill continued many other tax policies sunsetting this year, it excluded PTC enhancements.

The PTCs, including the enhancements, are effective and widely used. They help nearly 93% of Marketplace enrollees afford insurance, reducing enrollee premiums from $619 to $113 per month, on average. 

The PTC Enhancements Have Improved Access, Affordability

The PTC enhancements currently in place—and at risk—have had a significant impact. Thanks to these improvements, an estimated seven million more people will be able to afford a Marketplace plan this year and four million fewer people will be uninsured. Overall, they helped Marketplace enrollment grow from 12 million in 2021 to a record 24.2 million in 2025.

The enhanced subsidies have especially benefited low-income people.

As the Commonwealth Fund notes, the enhanced subsidies have especially benefited low-income people, increasing enrollment among those with incomes below 250% of poverty from 8.2 million in 2021 to 15.9 million in 2024.

Similarly, the Urban Institute predicted they would help the lowest income groups see a 50 to 100% reduction in their premium amounts this year, while people at the higher end of income eligibility would see a 25% reduction. These projections align with documented successes: In 2023 and 2024, 80% of Marketplace enrollees could find a plan for $10 or less per month. In 2020, before the tax credits were increased, only 36% of PTC-eligible enrollees could find such a plan.

Enhanced Credits Critical for Older Adults

A new report from AARP explains how many older adults who are not yet eligible for Medicare rely on Marketplace coverage and premium tax credits, and that the enhanced subsidies have been vital to improving enrollment and coverage among this population. In part, the PTCs have helped millions of adults aged 50 to 64 buy coverage through the Marketplace—spurring a 50% reduction in the uninsured rate among this cohort.

The PTCs have helped millions of adults aged 50 to 64 buy coverage through the Marketplace.

In 2024, nearly five million of the 5.2 million Marketplace enrollees aged 50 to 64 received PTCs. A previous Avalere analysis estimated the credits saved these enrollees at least $600 a year, while some saw savings of nearly $5,000. Heightened affordability is especially important to this population, since ACA premiums for older adults can be up to three times higher than those for younger adults.

What Is At Risk

If the enhancements expire at the end of the year, analysts agree that rising costs will push many people, including older adults, out of their health insurance coverage. KFF projects enrollee premium payments would increase by over 75% on average, while people in rural areas could see a 90% increase and some enrollees could end up paying more than double.

Of the 5.2 million adults ages 50 to 64 with Marketplace coverage, AARP expects most—92%, or 4.8 million of them—will see higher premiums in 2026. Middle-income midlife enrollees could see hikes of over $4,000, likely causing many to drop their coverage and become uninsured.

Middle-income midlife enrollees could see hikes of over $4,000, likely causing many to drop their coverage and become uninsured.

The Congressional Budget Office (CBO) reached similar conclusions, estimating that unless the credits are extended, ACA enrollment will drop from nearly 23 million in 2025 to 15 million in 2030. Other analysis is even more stark. KFF notes actuaries at Wakely have warned of a 50% decline in Marketplace enrollment, when combined with the other changes to the ACA made in the reconciliation bill.

Some who lose subsidized Marketplace plans may be able to find other insurance, but others—at least 4.2 million people, according to CBO—will become uninsured. These coverage losses will not only mean reduced access to care and worse individual health outcomes, but also higher Medicare costs, because more people will enter the program in poorer health and needing more expensive interventions than they would have otherwise.

Congress Must Act Quickly

At Medicare Rights, we will continue to work to protect the ACA’s coverage gains. People must have access to high-quality, affordable health care and coverage. Allowing the enhanced PTCs to expire would have the opposite effect. It would effectively raise taxes on low- and middle-income Americans, pricing millions out of health coverage.

Medicare Rights urges lawmakers to extend the enhanced PTCs without delay.

To that end, we urge lawmakers to extend the enhanced PTCs without delay. Although the credits do not expire until the end of December, their availability must be guaranteed before open enrollment begins on November 1. Otherwise, people may have no choice but to drop coverage this fall in the face of sky-high premiums, setting in motion harmful coverage losses that undermine individual health and economic security as well as Medicare sustainability.

Read the AARP fact sheet, Premium Tax Credits Protect Affordability of Marketplace Health Coverage for Adults Ages 50 to 64.



Source link

Tags: accessAffordablecongresscoveragemarketplacepreserve
ShareTweetShare
Previous Post

Important Medicare Plan Finder Improvements Planned This Fall, More Work Needed

Next Post

The music industry is broken: OpenWav’s new app aims to change that

Related Posts

edit post
2026 ACA open enrollment period preview

2026 ACA open enrollment period preview

by TheAdviserMagazine
October 28, 2025
0

As we approach the start of the annual open enrollment for 2026 individual and family health coverage, there are numerous...

edit post
Reporters Cover the Shutdown and the Use of AI in Health Care

Reporters Cover the Shutdown and the Use of AI in Health Care

by TheAdviserMagazine
October 25, 2025
0

Thank you for your interest in supporting KFF Health News, the nation’s leading nonprofit newsroom focused on health and health...

edit post
Health Literacy Month: Making Care Understandable, Equitable, and Accessible

Health Literacy Month: Making Care Understandable, Equitable, and Accessible

by TheAdviserMagazine
October 24, 2025
0

Health literacy is the ability of people to understand and use health information and services, and it is the foundation...

edit post
You May Be Eligible for a Tax Credit/Health Insurance Subsidy

You May Be Eligible for a Tax Credit/Health Insurance Subsidy

by TheAdviserMagazine
October 24, 2025
0

If you’re shopping for an individual or family health plan on Pennie, the Health Insurance Marketplace for Pennsylvania, you may...

edit post
Listen: Amid Shutdown Stalemate, Families Brace for SNAP Cuts and Paycheck Limbo

Listen: Amid Shutdown Stalemate, Families Brace for SNAP Cuts and Paycheck Limbo

by TheAdviserMagazine
October 24, 2025
0

Listen: Health care has been at the heart of the federal government’s shutdown. KFF Health News chief Washington correspondent Julie...

edit post
Reconciliation Bill More Harmful and Costly Than Previously Thought

Reconciliation Bill More Harmful and Costly Than Previously Thought

by TheAdviserMagazine
October 23, 2025
0

This week, the nonpartisan Congressional Budget Office (CBO) said a provision in the reconciliation bill that widens exemptions from Medicare’s...

Next Post
edit post
The music industry is broken: OpenWav’s new app aims to change that

The music industry is broken: OpenWav's new app aims to change that

edit post
OBBBA impact on charitable donation strategies

OBBBA impact on charitable donation strategies

  • Trending
  • Comments
  • Latest
edit post
77-year-old popular furniture retailer closes store locations

77-year-old popular furniture retailer closes store locations

October 18, 2025
edit post
Pennsylvania House of Representatives Rejects Update to Child Custody Laws

Pennsylvania House of Representatives Rejects Update to Child Custody Laws

October 7, 2025
edit post
What to Do When a Loved One Dies in North Carolina

What to Do When a Loved One Dies in North Carolina

October 8, 2025
edit post
Another Violent Outburst – Democrats Inciting Civil Unrest

Another Violent Outburst – Democrats Inciting Civil Unrest

October 24, 2025
edit post
Probate vs. Non-Probate Assets: What’s the Difference?

Probate vs. Non-Probate Assets: What’s the Difference?

October 17, 2025
edit post
California Attorney Pleads Guilty For Role In 2M Ponzi Scheme

California Attorney Pleads Guilty For Role In $912M Ponzi Scheme

October 15, 2025
edit post
The 2026 Social Security Bump Will Cost Some Retirees. Are Your Benefits at Risk of Taxation?

The 2026 Social Security Bump Will Cost Some Retirees. Are Your Benefits at Risk of Taxation?

0
edit post
Meat and Potato Crust Quiche with Flax Muffins ( Family Dinner Idea)

Meat and Potato Crust Quiche with Flax Muffins ($10 Family Dinner Idea)

0
edit post
Clerq Raises M to Capture Share of T High-Ticket Payment Market – AlleyWatch

Clerq Raises $12M to Capture Share of $3T High-Ticket Payment Market – AlleyWatch

0
edit post
Global Trends and Growth Outlook

Global Trends and Growth Outlook

0
edit post
Six missing AI capabilities holding financial advisors back

Six missing AI capabilities holding financial advisors back

0
edit post
Getting Started: Inventory Types and Conditions

Getting Started: Inventory Types and Conditions

0
edit post
Getting Started: Inventory Types and Conditions

Getting Started: Inventory Types and Conditions

October 31, 2025
edit post
Biogen outlines 67% launch product growth and signals expanded pipeline momentum amid strong Q3 results (NASDAQ:BIIB)

Biogen outlines 67% launch product growth and signals expanded pipeline momentum amid strong Q3 results (NASDAQ:BIIB)

October 30, 2025
edit post
Asian shares rise: Asian shares, US futures rise on tech results, gold holds gain

Asian shares rise: Asian shares, US futures rise on tech results, gold holds gain

October 30, 2025
edit post
XRP Could Drive the ‘Biggest Economic Shift’ in Decades: Crypto Expert

XRP Could Drive the ‘Biggest Economic Shift’ in Decades: Crypto Expert

October 30, 2025
edit post
Commonwealth advisors leave for Cetera, Osaic, Raymond James

Commonwealth advisors leave for Cetera, Osaic, Raymond James

October 30, 2025
edit post
8 Medigap “Gaps” You Only Notice After a Hospital Transfer

8 Medigap “Gaps” You Only Notice After a Hospital Transfer

October 30, 2025
The Adviser Magazine

The first and only national digital and print magazine that connects individuals, families, and businesses to Fee-Only financial advisers, accountants, attorneys and college guidance counselors.

CATEGORIES

  • 401k Plans
  • Business
  • College
  • Cryptocurrency
  • Economy
  • Estate Plans
  • Financial Planning
  • Investing
  • IRS & Taxes
  • Legal
  • Market Analysis
  • Markets
  • Medicare
  • Money
  • Personal Finance
  • Social Security
  • Startups
  • Stock Market
  • Trading

LATEST UPDATES

  • Getting Started: Inventory Types and Conditions
  • Biogen outlines 67% launch product growth and signals expanded pipeline momentum amid strong Q3 results (NASDAQ:BIIB)
  • Asian shares rise: Asian shares, US futures rise on tech results, gold holds gain
  • Our Great Privacy Policy
  • Terms of Use, Legal Notices & Disclosures
  • Contact us
  • About Us

© Copyright 2024 All Rights Reserved
See articles for original source and related links to external sites.

Welcome Back!

Login to your account below

Forgotten Password?

Retrieve your password

Please enter your username or email address to reset your password.

Log In
No Result
View All Result
  • Home
  • Financial Planning
    • Financial Planning
    • Personal Finance
  • Market Research
    • Business
    • Investing
    • Money
    • Economy
    • Markets
    • Stocks
    • Trading
  • 401k Plans
  • College
  • IRS & Taxes
  • Estate Plans
  • Social Security
  • Medicare
  • Legal

© Copyright 2024 All Rights Reserved
See articles for original source and related links to external sites.