Overview
- Average marketplace premium payments are projected to jump about 114% after the enhanced tax credits expired on January 1, according to KFF.
- Ohio reports at least a 21% enrollment drop versus last year, while Colorado saw a 2% decline but an 83% spike in cancellations and a 24% fall in new sign-ups.
- A West Virginia enrollee told House lawmakers her monthly premium rose 323% after the enhanced credits ended, underscoring the affordability shock.
- The House approved a three-year extension of the lapsed subsidies, but prospects in the Senate remain uncertain as bipartisan talks continue and committees press insurers.
- Beyond subsidies, higher care use, a growing burden of chronic disease, hospital consolidation and costly drugs, including GLP-1 medications, are pushing premiums higher across markets.