"As more than 20M people face imminent spikes in their health care premiums, House Republicans passed a bill today that does nothing to address this health care affordability crisis." - @sharonparrott.bsky.social Full statement on House Republican health care bill: www.cbpp.org/press/statem...

While they are very different bills, the points below also apply to the health bill the House Republicans will offer for a vote tomorrow. In the meantime, 20 million people face skyrocketing premiums in less than three weeks if the premium tax credit enhancements are allowed to expire.

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.

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...

21 days stand between real people and devastating premium increases for the ACA marketplace coverage. People like Tracy are facing impossible choices. Congress still has time to pass a clean extension that would solve this problem.

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

It’s back to the future as Trump and congressional Republicans push for more health accounts and high deductibles. https://kffhealthnews.org/news/article/trump-health-accounts-hsa-cash-patient-debt-high-deductible-insurance/

Sens Cassidy and Crapo are circulating a health proposal that would do little to address the premium spikes millions of ACA marketplace enrollees will face starting Jan 1, and would further increase many people’s out of pocket costs for health care over time. www.axios.com/2025/12/08/s...

Sweeping federal policy changes are threatening people's access to affordable health coverage and care — but state insurance regulators and other state leaders can help stem the damage. A new report from NAIC consumer representatives explains how:

New HHS data on ACA marketplace enrollment for 2026 so far suggest a similar number of ppl have selected a plan compared to last year even as they see higher premium costs that reflect expiration of PTC enhancements. But don't make too much if it.

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.🧵

My colleague @nicolerapfogel.bsky.social summarizes the latest GAO report on health savings accounts. HSAs simply aren't a good fit for people with low incomes or serious health conditions.

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.

My colleague @nicolerapfogel.bsky.social talked with CQ this week about why Republican HSA and cash account proposals are no substitute for extending the soon-to-expire PTC enhancements that more than 20 million ACA marketplace enrollees rely on to keep coverage affordable.

Making decisions about ACA marketplace coverage for 2026 is complicated, since the PTC enhancements that expire in Dec haven't yet been extended. We created a running list of FAQs to answer ?s about deadlines, automatic re-enrollment, and more. www.healthreformbeyondthebasics.org/marketplace-...

#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:

Check out this new paper from my colleagues @gidlukens.bsky.social and Elizabeth w/data on massive premium hikes for ACA marketplace coverage in 2026. Reminder: this is avoidable! Congress can extend the PTC enhancements and ensure millions of people can keep affordable health coverage next year.

2026 premiums are posted on HealthCare.gov. I checked out my hometown zip code in Lansing, MI. Someone w/an income less than $2,000/mo who paid $0 for a plan this year would pay $82/mo in 2026. That’s not affordable. Congress needs to act now to extend the PTC enhancements!

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)

It's imperative that Congress take action to extend the premium tax credit enhancements for the 20 million+ ACA marketplace enrollees who rely on them. In the meantime, enrollees may have concerns. Here are some tips to help navigate this complicated time.

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

More dispatches from states that have posted 2026 premiums: There will be huge increases in Minnesota and Maryland if the PTC enhancements aren't extended.

Here's another state snapshot from my colleague @gidlukens.bsky.social. Nevada marketplace enrollees' premiums will skyrocket if the PTC enhancements are not extended.

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)

Poll finds that the majority of people in the U.S. support #ACA subsidy extension: “According to the Center on Budget and Policy Priorities, 93% of ACA enrollees receive the tax credit to help reduce costs”. Read more: spectrumlocalnews.com/us/snplus/he...

There is no time to delay. No one can afford premium hikes like this, and the solution--extending the premium tax credit enhancements--is clear.

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...

States that will see the largest spikes in their uninsured rates if PTC enhancements expire? Mississippi, South Carolina, Tennessee, Texas, Georgia, West Virginia, Alabama, and Louisiana. Thread from my colleague @gidlukens.bsky.social below:

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)

What do tipped workers, veterans, small business workers, farmers, and older people have in common? All stand to see massive premium hikes if the ACA marketplace premium tax credit enhancements aren't extended. My colleague @gidlukens.bsky.social explains more ⬇️

The mic-drop in a critical thread from my colleague @shelbytgonzales.bsky.social on false claims around health coverage for people who are immigrants. 🎤⬇️⬇️

Why are #ACA marketplace plans with $0 premiums important? My colleague @nicolerapfogel.bsky.social explains:

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.🧵

More than 22M people rely on #ACA marketplaces for their health coverage. But unless Congress acts, enhanced premium tax credits will expire this year, driving premiums up nearly 20% & leaving about 7M people uninsured. Here are five key changes to watch: www.cbpp.org/research/hea...

My colleague @nicolerapfogel.bsky.social and I write about five key changes coming to #ACA marketplaces this fall. TLDR? Nearly all enrollees will face higher costs unless Congress extends the Premium Tax Credit enhancements.

Coming soon to an ACA marketplace near you: vastly higher premiums if Congress doesn't extend enhanced premium tax credits. Thread from my colleague @gidlukens.bsky.social below.

More on the Senate bill health provisions here: www.cbpp.org/blog/trackin...

New analysis from my colleague @gidlukens.bsky.social that shows how many small business owners and self-employed people rely on #ACA marketplaces for health coverage. Cuts being contemplated by Republicans in Congress would cause millions of enrollees to lose coverage. www.cbpp.org/research/hea...

16 million people would lose health coverage under the House Republicans' bill, and those who keep Medicaid or #ACA marketplace coverage would be ensnared in red tape and face higher costs. www.cbpp.org/research/fed...

The Republican House bill would take away health coverage and raise health care costs for millions of people who rely on Medicaid or #ACA marketplaces for coverage. Read more about the harmful policies in this bill in our summary here: www.cbpp.org/research/hea...

The bill House Republicans passed early this morning would strip coverage from roughly 15 million people to help fund tax cuts for the wealthy. Read more about the bill's harmful health agenda in our new @centeronbudget.bsky.social paper: www.cbpp.org/research/hea...

Changes to House Republicans’ budget reconciliation bill announced tonight increase #ACA marketplace enrollees’ costs *even more.* Quick take from my colleague @sarahl202.bsky.social:

My colleague @brendanvduke.bsky.social unpacks what’s in the GOP tax bill and what’s conspicuously missing: extending tax credits that make #ACA marketplace coverage more affordable. Millions will lose coverage as a result.

House Republicans are proposing cuts that will cause millions to lose Medicaid and #ACA marketplace coverage while proposing to spend more than $40 billion on HSAs that won't help people afford care. My colleague @gidlukens.bsky.social explains more ⬇️

The Ways & Means budget proposal would prevent people granted asylum, refugee status, victims of trafficking, and more from buying affordable coverage on the #ACA marketplaces. Important thread from my colleague @shelbytgonzales.bsky.social:

13.7M people would become uninsured under the proposals in the House E&C bill, and marketplace premiums would spike for many of those who stay enrolled. My colleague @sarahl202.bsky.social explains more below.