The House Republicans’ response to expiring premium tax credit enhancements simply doesn’t respond to expiring PTC enhancements. Instead, they recycle old Republican policy priorities and do nothing to address the impending marketplace affordability crisis.

With marketplace premium spikes on the verge of hitting 20M+ people Jan. 1, House Speaker Johnson is reportedly considering a bill from Rep.Fitzpatrick with a 2-year extension of PTC enhancements. But the bill raises big concerns. www.politico.com/live-updates...

This week is critical for health coverage affordability. CBPP’s @jenniferlsullivan.bsky.social breaks down what’s at stake as Congress votes on extending premium tax credit enhancements & the 3 key dates marketplace enrollees need to know when choosing 2026 coverage: www.youtube.com/watch?v=6QY5...

A recent WSJ op-ed reaches the wrong conclusion about a GAO report on #ACA marketplaces. The report details vulnerabilities that call for targeted action – it doesn’t show widespread fraud, and it shouldn’t be used as an excuse to raise ppl’s premiums. tinyurl.com/4rnrpkt2

The Cassidy-Crapo proposal allows PTC enhancements to expire while pushing ppl into skimpier plans with higher deductibles...hard to see how this is a solution to the problem at hand.

HHS just released data covering the first month of ACA marketplace enrollment for 2026. My colleague @jenniferlsullivan.bsky.social puts the numbers in context:

Proposals to address expiring PTC enhancements should be evaluated based on the extent to which they: 1. avoid making more people uninsured; 2. ensure people keep access to affordable, comprehensive coverage; and 3. can take effect quickly. More here: www.cbpp.org/blog/how-to-...

Instead of a clean extension of PTC enhancements (which makes silver plans more affordable), some Republicans have proposed encouraging people to buy down to less generous bronze plans. Don’t be fooled: While bronze plans often have lower premiums, people face much higher costs when they get care.

ACA marketplace plans w/ $0 premiums help ppl get & stay covered. Recent Republican proposals would require minimum premiums or fail to extend premium tax credit enhancements based on the false claim that ppl who don’t use medical care are “phantom enrollees.” 🧵https://tinyurl.com/4uc68zbf

Reports that the White House is working on a proposal to extend premium tax credit enhancements shows the Administration is acknowledging the urgent need to address premium spikes for millions of marketplace enrollees. But big questions remain.🧵

The GAO released a report last week on health savings accounts (HSAs) reaffirming that HSAs do little to help people with low and moderate incomes – who would be hurt the most if Congress lets premium tax credit enhancements expire.

Some recent Republican responses to the marketplace premium tax credit issue would shift more people to bronze plans with Health Savings Accounts as an alternative to silver plans with PTC enhancements and cost sharing reductions. So how do these plans stack up in real terms?

Here they go again: Republicans in Congress are reviving the ACA repeal debate. After enacting unprecedented cuts to Medicaid, they are looking for ways to eliminate federal premium tax credits that some help about 20M people afford marketplace plans.

We now have congressional district level estimates showing rising out-of-pocket premiums due to expiring premium tax credit enhancements. A 60-yr-old couple making $85k would pay $6.7k to $50k more annually. Explore our interactive map w/ downloadable data: tinyurl.com/5e826bvp

HSAs are tax shelters masquerading as health policy. They don't help people who are struggling to afford health coverage. Read more from @nicolerapfogel.bsky.social: tinyurl.com/fh5rabhx

#OpenEnrollment for 2026 marketplace plans started Nov 1 in most states. B/c Congressional Rs haven’t extended PTC enhancements, ppl are seeing higher costs as they review their options. If you’re in need of marketplace coverage, here are some key dates to keep in mind during this uncertain time:

Open enrollment for #ACA marketplace plans has begun, and without congressional action to extend premium tax credit enhancements, millions are facing steep premium increases for 2026.

We now have downloadable graphics like this one for all 50 states plus DC, showing how expiring premium tax credit enhancements are leading to dramatic out-of-pocket premium increases. Find your state here: tinyurl.com/5x89ds7x

How concerned are people about rising health insurance premiums? With premium tax credit enhancements about to expire and ACA marketplace open enrollment underway, search volumes for terms like “health premium increase” are (almost) off the charts.

Wyoming, West Virginia, and Alaska are the states with the largest $$ increases in out-of-pocket premiums for people with moderate incomes who will lose premium tax credits entirely if the enhancements expire.

Window shopping for 2026 ACA marketplace plans is open for almost all states, and open enrollment is only days away. Millions of marketplace enrollees are seeing 2026 premiums spike due to expiring premium tax credits. See our paper with state-level estimates: tinyurl.com/zndd97k7

Huge premium spikes in Connecticut, which opened window shopping for 2026 ACA marketplace plans. Because of expiring tax credit enhancements, a typical 60-year-old couple making $85,000 is facing an additional $37,100 annually for benchmark coverage. (1/4)

In Illinois, window shopping for 2026 ACA marketplace plans is now open. Because of expiring premium tax credit enhancements, a typical 60-year-old couple making $85,000 will have to pay an additional $23,700 annually for benchmark coverage. (1/4)

New Jersey’s window shopping for 2026 ACA marketplace plans is open, with large premium spikes because of expiring premium tax credit enhancements. A typical 60-year-old couple making $85,000 will have to pay an additional $20,600 annually for benchmark coverage. (1/4)

Punchbowl reports “White House officials determined they do not have the authority” to use contingency reserves —billions of $ that Congress provided for use when SNAP funding is inadequate— to fund Nov. SNAP benefits. But, that’s not what USDA’s now-deleted shutdown plan says:

Rhode Island opened window shopping today for 2026 ACA marketplace plans. Because of expiring premium tax credit enhancements, a typical 60-year-old couple making $85,000 will have to pay an additional $18,600 annually for benchmark coverage. (1/4)

Nearly 1 million people with low incomes would become uninsured if marketplace enrollees lose access to $0 premium plans, as some in Congress have proposed. Coverage loss would mostly occur due to additional red tape. From @[email protected]: tinyurl.com/2wkzmexn

Yesterday, Washington state opened 2026 window shopping for its ACA marketplace. Because of expiring premium tax credit enhancements, a typical 60-year-old couple making $85,000 and purchasing benchmark coverage is facing a $23,900 annual cost increase. (1/4)

Washington, DC opened its 2026 ACA marketplace window shopping. As in other locations, enrollees are seeing big premium spikes because of expiring tax credit enhancements. A typical 60-year-old couple making $85,000 is facing a $24,100 annual increase. (1/4)

Oregon and Vermont are also seeing premium spikes due to expiring tax credit enhancements, as their window shopping is underway for 2026 ACA marketplace plans. A typical 60-year-old Oregonian couple making $85,000 will face a $20,700 increase in annual premiums. (1/4)

Kentucky opened its 2026 ACA marketplace window shopping this week – and again, residents are seeing big premium spikes because of expiring tax credit enhancements. A typical 60-year-old couple making $85,000 is facing a $23,700 increase in annual premiums. (1/4)

Huge premium spikes in Maine, where 2026 ACA marketplace window shopping is now underway. Because of expiring tax credit enhancements, a typical 60-year-old couple making $85,000 in Maine is looking at a $28,900 increase in annual premiums. (1/4)

3 in 4 people with individual market coverage and low incomes work, and most who don’t are caregivers, in school, or have disabilities. If premium tax credit enhancements expire, many will become uninsured as they lose access to $0-premium plans and face additional red tape. (1/2)

California’s opened their 2026 ACA marketplace window shopping today, meaning people are seeing their premiums spike because of expiring tax credit enhancements. Premium costs in CA are roughly doubling on average, with larger increases for people in rural areas. tinyurl.com/2uewkpr6

Minnesota and Maryland also opened window shopping for 2026 ACA marketplace plans, and people are seeing their premiums spike due to expiring tax credit enhancements. A typical 60-year-old Minnesotan couple making $85,000 will face a $15,500 increase in annual premiums. (1/4)

If premium tax credit enhancements expire, millions of people with the lowest incomes would lose $0 premium plans and be at risk of becoming uninsured. Gains in coverage, especially in states that haven’t expanded #Medicaid, would be at risk. www.cbpp.org/blog/people-...

Nevada’s 2026 ACA marketplace window shopping is in full swing, meaning people are already seeing next year’s premiums spike because of expiring tax credit enhancements. A typical 60-year-old couple making $85,000 in Nevada will face a $18,100 increase in annual premiums. (1/4)

New York’s 2026 ACA marketplace window shopping is underway, meaning people are already seeing next year’s premiums spike because of expiring tax credit enhancements. A typical 60-year-old couple making $85,000 in New York will face a $12,700 increase in annual premiums. (1/4)

Virginia’s 2026 ACA marketplace window shopping is underway, meaning people are already seeing next year’s premiums spike because of expiring tax credit enhancements. A typical 60-year-old couple making $85,000 in Virginia will face a $18,000 increase in annual premiums. (1/4)

Idaho’s 2026 ACA marketplace open enrollment begins Oct 15. People are already window shopping, seeing next year’s premiums spike due to expiring tax credit enhancements. A typical 60-year-old couple making $85,000 in Idaho will face a $17,900 increase in annual premiums. (1/4)

Georgia’s 2026 ACA marketplace window shopping began October 1, meaning people are already seeing next year’s premiums spike because of expiring tax credit enhancements. A typical 60-year-old couple making $85,000 in Georgia will face a $24,900 increase in annual premiums. (1/4)

Some policymakers say that that Congress can delay extending the Premium Tax Credit (PTC) enhancements until later this year but the problem is more urgent than that. thehill.com/policy/healt...

If premium tax credit enhancements expire, uninsurance will increase 21% overall, with the biggest increases in southern states that haven’t enacted ACA Medicaid expansions. (1/3) tinyurl.com/yhv9jxm3

Since 2021, ACA marketplace enrollment more than doubled for people with low incomes and for Black and Latino enrollees after premium tax credit enhancements. (1/4)

Premium tax credit enhancements help tipped workers, veterans, small business workers, farmers, and older people afford health coverage. Their premiums will soon spike and millions of them will lose coverage if the enhancements expire. (1/5)

NEW from @centeronbudget.bsky.social: Without Congressional action, premium tax credit enhancements will expire, raising costs for nearly all marketplace enrollees and putting millions of those with the lowest incomes at risk of becoming uninsured when they lose $0 premium plans.

More than 2 in 5 veterans enrolled in the ACA marketplace will lose their coverage if premium tax credit enhancements expire, out of the 623,000 veterans who would otherwise have marketplace coverage in 2026. New Urban Institute estimates here: tinyurl.com/2bs4aj2j

NEW from @jenniferlsullivan.bsky.social and me for @centeronbudget.bsky.social: With Congress poised to take away premium tax credit enhancements soon, ~4M people will lose coverage and costs will rise for nearly all ACA marketplace enrollees unless Congress acts.🧵

The Administration acknowledged that it will stop the survey that measures food insecurity, just as tariffs push up food prices and the deep cuts to food assistance enacted in July start to take effect. Congress must intervene to save these vital data. www.wsj.com/economy/trum...

Despite claims to the contrary, premium tax credits are well targeted to people with low & moderate incomes who need the most help with health costs. Three-quarters of people getting the credits have incomes below 300% FPL (~$47K for an individual). >90% have incomes below 400% FPL (~$63K)