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KFF @kff.org · 32m

⚡ KFF’s Jared Ortaliza explains how much premium payments would go up if an income cap on ACA enhanced premium tax credits is reintroduced. #QuickTake https://on.kff.org/4nHnQ27

KFF graphic featuring a quote from Jared Ortaliza, KFF policy analyst for the program on the ACA. It says, “Setting an income cap may not have much effect on the federal budget, but it could have a big effect on some household budgets, particularly for older enrollees.”

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KFF @kff.org · 1h

Compared to the CDC, KFF polling finds more people say they trust the American Academy of Pediatrics (69% of parents) and the American Medical Association (64% of all adults) to provide reliable information about vaccines. https://on.kff.org/4mX1Fnw

Graphic featuring a quote from KFF President and CEO Drew Altman. It says, “It’s encouraging if far from ideal that as trust in our nation’s scientific agencies crumbles, the public does trust the professional associations who have stepped forward.”

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KFF @kff.org · 20h

This week’s The Monitor covers:

📢 False narratives about autism rates.
⚖️ Supreme Court cases about conversion therapy and school vaccine mandates.
🤖 The limitations of AI chatbots as primary sources of health information.

Read the issue & subscribe: https://on.kff.org/4h73ay8

Debunked Autism Claims Resurface After Press Conference, And Supreme Court to Hear Cases on Conversion Therapy and School Vaccine Mandates -- The Monitor | KFF

This volume analyzes false narratives about autism rates in Cuba and among Amish people in the U.S.; health-related cases before the Supreme Court, including challenges to bans on conversion therapy for LGBTQ+ minors and school vaccine mandates; and the...

on.kff.org

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KFF @kff.org · 20h

⚡ KFF’s @ashleykirzinger.bsky.social breaks down KFF polling showing broad public support for extending the enhanced ACA premium tax credits — and what’s likely driving that rare agreement across party lines. #QuickTake https://on.kff.org/4n3Gjox

KFF graphic featuring a quote from Ashley Kirzinger, KFF’s Director of Survey Methodology; Associate Director for Public Opinion and Survey Research. It says, “The debate over these enhanced tax credits can be seen as a proxy for the broader public’s concerns about health care affordability which may be why the public is largely in favor of extending these subsidies – even as overall views of the ACA are still very polarized.”

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KFF @kff.org · 21h

Many people/families making above 400% FPL will experience a “double whammy” — losing all financial help available via the enhanced tax credits and paying higher premium.

They’ll have to pay the full Marketplace plan cost, which will vary by age, family size and where they live.

A 45-year-old in Cheyenne, Wyoming, making $65,000 (415% FPL)

With enhanced tax credits: $5,525

Without enhanced tax credits: $11,129

Increase: $5,604 (101%)

If premiums rise by 29% — the proposed median increase in Wyoming— and the enhanced tax credits expire, this person can expect their out-of-pocket premium payments to increase by $8,831 (160%) — from $5,525 to $14,356 annually for the same plan.

Note: FPL stands for Federal Poverty Level. These scenarios all use estimated annual premium payments for an ACA Marketplace benchmark plan.

A 50-year-old couple with a 20-year-old child in Seattle, Washington, making $110,000 combined (413% FPL)

With enhanced tax credits: $9,350

Without enhanced tax credits: $18,836

Increase $9,486 (101%)

If premiums rise by 19% — the proposed median increase in Washington — and the enhanced tax credits expire, this family can expect their out-of-pocket premium payments to increase by $13,065 (140%) — from $9,350 to $22,415 annually for the same plan.

Note: FPL stands for Federal Poverty Level. These scenarios all use estimated annual premium payments for an ACA Marketplace benchmark plan.

A 40-year-old couple in Boston, Massachusetts, making $90,000 combined (426% FPL)

With enhanced tax credits: $7,650

Without enhanced tax credits: $10,715

Increase $3,065 (40%)

If premiums rise by 12% — the proposed median increase in Massachusetts — and the enhanced tax credits expire, this couple can expect their out-of-pocket premium payments to increase by $4,351 (57%) — from $7,650 to $12,001 annually for the same plan.

Note: FPL stands for Federal Poverty Level. These scenarios all use estimated annual premium payments for an ACA Marketplace benchmark plan.

A 60-year-old couple in Jacksonville, Florida, making $85,000 combined (402% FPL)

With enhanced tax credits: $7,225

Without enhanced tax credits: $24,207

Increase $16,982 (235%)

If premiums rise by 26% — the proposed median increase in Florida — and the enhanced tax credits expire, this couple can expect their out-of-pocket premium payments to increase by $23,276 (322%) — from $7,225 to $30,501 annually for the same plan.

Note: FPL stands for Federal Poverty Level. These scenarios all use estimated annual premium payments for an ACA Marketplace benchmark plan.

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KFF @kff.org · 21h

What could the loss of ACA enhanced premium tax credits mean for different households?

If the enhanced tax credits expire, people/families making below 400% FPL can expect their out-of-pocket premium payments to increase, regardless of how much premiums increase.

A 27-year old individual making $35,000 (224% FPL)

With enhanced tax credits: $1,033

Without enhanced tax credits: $2,615

Increase: $1,582 (153%)

If the enhanced tax credits expire, this person can expect their out-of-pocket premium payments to increase, regardless of how much premiums increase.

Note: FPL stands for Federal Poverty Level. These scenarios all use estimated annual premium payments for an ACA Marketplace benchmark plan.

A 35-year old couple making $30,000 (142% FPL)

With enhanced tax credits: $0

Without enhanced tax credits: $1,107

Increase: $1,107

If the enhanced tax credits expire, this couple can expect their out-of-pocket premium payments to increase, regardless of how much premiums increase.

Note: FPL stands for Federal Poverty Level. These scenarios all use estimated annual premium payments for an ACA Marketplace benchmark plan.

A 49-year old couple with a 19-year old child making $90,000 (338% FPL)

With enhanced tax credits: $6,246

Without enhanced tax credits: $8,964

Increase: $2,718 (44%)

If the enhanced tax credits expire, this family can expect their out-of-pocket premium payments to increase, regardless of how much premiums increase.

Note: FPL stands for Federal Poverty Level. These scenarios all use estimated annual premium payments for an ACA Marketplace benchmark plan.

A 40-year-old individual making $23,000 (147% FPL)

With enhanced tax credits: $0

Without enhanced tax credits: $920

Increase: $920

If the enhanced tax credits expire, this person can expect their out-of-pocket premium payments to increase, regardless of how much premiums increase.

Note: FPL stands for Federal Poverty Level. These scenarios all use estimated annual premium payments for an ACA Marketplace benchmark plan.

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Reposted by KFF

KFF Health News @kffhealthnews.org · 1d

On the “Today, Explained” podcast, KFF Health News’ @julierovner.bsky.social recaps the TrumpRx announcement and why the direct-to-consumer initiative may not save you money on prescription drugs if you have insurance through your employer or the government. kffhealthnews.org/news/article...

Listen: Why “TrumpRx” Might Not Save You Money - KFF Health News

On the "Today, Explained" podcast, KFF Health News' Julie Rovner recaps the TrumpRx announcement and why the direct-to-consumer initiative may not save you money on prescription drugs if you have insu...

kffhealthnews.org

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KFF @kff.org · 22h

KFF polling finds 4 in 10 adults consider themselves supporters of the “Make America Healthy Again” movement, championed by President Trump and Secretary Kennedy.

Most supporters are Republicans, including MAGA supporters: https://on.kff.org/4mX1Fnw

KFF graphic titled “KFF poll finds partisanship plays role in public’s support of ’Make America Healthy Again’ movement. The graphic shows that about 4 in 10 adults (43%) consider themselves “MAHA” supporters. Among those who support the “MAHA” movement, 20% are Democrats, 13% are independents, 7% are non-MAGA Republicans, and 59% are MAGA Republicans (and 1% are undefined).

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KFF @kff.org · 23h

⚡ KFF’s @lynnemargalit.bsky.social explores how ACA premium payments would change at the Congressional district level — with two specific examples — if the enhanced premium tax credits expire. #QuickTake https://on.kff.org/478vImu

KFF graphic titled "Congressional Districts in the Continental U.S. with the Greatest and Smallest Premium Increases for a 60-year-old couple Making $85,000."
It shows the 5 districts with the greatest increases:
WY: 693% ($602 to $4,777)
WV01: 654% ($602 to $4,540)
WV02: 599% ($602 to $4,210)
CT04: 537% ($602 to $3,833)
IL12: 535% ($602 to $3,823)
And the congressional districts with the smallest increases (happen to all be in New York, which uses community rated premiums):
NY26: 110% ($602 to $1,265)
NY23: 119% ($602 to $1,317)
NY24: 142% ($602 to $1,457)
NY22: 143% ($602 to $1,461)
NY20: 150% ($602 to $1,505)

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KFF @kff.org · 23h

In our new brief, we examine the impact of expiring tax credits on individuals and the Ryan White HIV/AIDS Program, a federal safety net program for those with low-to-moderate incomes, reaching over half of people with HIV in the U.S.
https://on.kff.org/47f0yuB

How Might Expiring Premium Tax Credits Impact People with HIV? | KFF

This issue brief provides an overview of the potential impact not extending enhanced ACA premium tax credits could have on people with HIV and the Ryan White HIV/AIDS Program. Enhanced credits have im...

on.kff.org

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KFF @kff.org · 1d

Our latest poll shows the public’s trust in the CDC continues to slide — and is now at its lowest level since March 2020.

Share who trust the CDC a great deal or a fair amount to provide reliable information on vaccines:
September 2023: 63%
July 2025: 57%
September 2025: 50%

KFF line chart showing rates of U.S. adult trust in the CDC for information on vaccines spanning from September 2023 to September 2025. The chart shows, as of September 2025, the percent of total adults (50%), Democrats (64%), Independents (47%), and Republicans (39%) who have a great deal or fair amount of trust in the CDC to provide reliable information about vaccines.

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KFF @kff.org · 1d

Partisanship plays a major role in public perception of this claim.

Explore the findings:

KFF Tracking Poll on Health Information and Trust: Tylenol-Autism Link and Vaccine Policies | KFF

Following the Trump administration’s warning last month that using acetaminophen – the active ingredient in Tylenol – during pregnancy can increase the risk of autism in children, very few adults say ...

www.kff.org

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KFF @kff.org · 1d

Following the Trump administration’s recent warning that using acetaminophen — the active ingredient in Tylenol — during pregnancy can increase the risk of autism in children, KFF’s latest poll finds that many people are uncertain what to believe.

KFF stacked bar chart showing the level of belief that U.S. adults, parents, and by partisanship, have in the false claim that Tylenol during pregnancy increases the risk of the child developing autism. The chart shows that many are uncertain if Tylenol use during pregnancy increases the risk of autism; and that most Republicans say it’s probably or definitely true.

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KFF @kff.org · 1d

People with HIV may be particularly vulnerable to substantial health care costs, treatment interruption, and declining health if Congress doesn’t extend ACA enhanced premium tax credits by the end of this year, according to our new brief. https://on.kff.org/47f0yuB

How Might Expiring Premium Tax Credits Impact People with HIV? | KFF

This issue brief provides an overview of the potential impact not extending enhanced ACA premium tax credits could have on people with HIV and the Ryan White HIV/AIDS Program. Enhanced credits have im...

www.kff.org

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KFF @kff.org · 1d

⚡ KFF’s Shameek Rakshit that double whammy of expiring tax credits and exposure to rising premiums under the subsidy cliff may render Marketplace coverage unaffordable for many. #QuickTake https://on.kff.org/438vE4E

KFF graphic featuring a quote from Shameek Rakshit, KFF Research Associate, Program on the ACA. It says, “While virtually all subsidized enrollees will pay more next year to keep the same plan, older middle-income ACA enrollees will see the largest dollar increases in premium payments due to the return of the ‘subsidy cliff.’”

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KFF @kff.org · 1d

💡 We’ve updated our Health Policy 101 chapters to reflect health policy changes stemming from the new tax-and-spending law; restructuring of health agencies; Supreme Court decisions on access to reproductive health care; and more.

Dive in: https://on.kff.org/4n11NT5

Promotional image for KFF displaying updated "Health Policy 101" documents with text "We've updated Health Policy 101" on a stylized blue background.

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KFF @kff.org · 2d

⚡ KFF’s @cynthiaccox.bsky.social explains how Congress can still prevent the vast majority of ACA enrollees from facing higher premium costs — even if insurer premiums are already locked in. #QuickTake https://on.kff.org/46V968K

KFF graphic featuring a quote from Cynthia Cox, KFF Vice President and Director of the Program on the ACA. It says, “The enhanced premium tax credits lower the percent of income people have to pay across the board. For subsidized enrollees, what they pay each month is not up to insurers, it’s up to Congress... In other words, when we say premium payments will go up 114%, most of that increase is just based on a formula set by Congress.”

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KFF @kff.org · 2d

What could the loss of ACA enhanced premium tax credits mean for different households? And how much more could people pay if the tax credits expire?

Our analysis explores the potential financial impact for both middle- and low-income households: https://on.kff.org/4nzRd5X

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KFF @kff.org · 2d

KFF analysis finds 27% of farmers, ranchers, and agricultural managers got health insurance through the individual market in 2023, which is mostly (over 90%) made up of the ACA Marketplaces.

🔗: https://on.kff.org/46A1Crt

KFF graphic showing about a quarter (27%) of farmers, ranchers, and agricultural managers got health insurance through the individual market in 2023.

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KFF @kff.org · 3d

Since most individual market coverage is bought via the ACA Marketplaces, changes to the ACA — including the expiration of the enhanced premium tax credits — would have significant implications for small business owners’ and workers’ health care costs: https://on.kff.org/3HSj0jb

About Half of Adults with ACA Marketplace Coverage are Small Business Owners, Employees, or Self-Employed | KFF

This analysis estimates that 48% of adults under age 65 with individual market coverage are either employed by a small business with fewer than 25 workers, self-employed entrepreneurs, or small business owners. Because the vast majority of this coverage...

on.kff.org

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KFF @kff.org · 3d

Enhanced tax credits for enrollees in Affordable Care Act Marketplace plans are set to expire at the end of this year.

Our updated calculator shows how much out-of-pocket premiums would increase in 2026 if Congress doesn’t extend the tax credits: https://on.kff.org/4fX4Fxc

How Much More Would People Pay in Premiums if the ACA's Enhanced Premium Tax Credits Expire? | KFF

The ACA's enhanced premium tax credits arre set to expire at the end of 2025. This calculator estimates how much out-of-pocket premiums would increase for families if Congress does not extend the credits. The projected premium increases are estimated ba...

on.kff.org

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KFF @kff.org · 3d

Since the enhanced premium tax credits were introduced in 2021, the number of people who receive health coverage through the ACA Marketplaces has more than doubled.

Learn more about who relies on coverage through the ACA ⤵️

KFF graphic titled “Who Relies on Affordable Care Act Marketplace Coverage?” The graphic shows Nearly 1 in 5 (18%) Marketplace enrollees who purchase insurance via HealthCare.gov live in rural counties; At least 1 in 4 (27%) farmers, ranchers, and agricultural managers have individual coverage, mostly through ACA Marketplaces; and About half of adults under 65 with individual coverage (48%; mostly via ACA Marketplaces) are small business owners, employees, or self-employed. Below that section, the graphic highlights that more than 90% of enrollees in the individual market get their coverage via ACA Marketplaces, and of those enrollees, 93% receive a tax credit to lower the monthly cost of their premiums.

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KFF @kff.org · 3d

Get the key facts about the ACA’s enhanced premium tax credits at the center of the ongoing government shutdown.

KFF graphic summarizing key facts about ACA Enhanced Premium Tax Credits. Highlights include a 114% increase in enrollments due to expanded tax credits. More than 90% of individual market ACA enrollees receive a tax credit; 24 million enrollees in 2025, and coverage details for middle-income families and farmers. Also notes an average $35 billion annual cost to extend these credits. Source: KFF Affordable Care Act analyses.

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KFF @kff.org · 4d

⚡ A new analysis by KFF’s Jared Ortaliza finds that more than half of ACA Marketplace enrollees live in Republican congressional districts, concentrated in the South. #QuickTake https://on.kff.org/48bH774

KFF map titled “At Least 10% of the Population in All Congressional Districts in Florida, Georgia, Mississippi, and South Carolina Are Enrolled in the ACA Marketplaces.” The map shows the share of population that is enrolled in the Affordable Care Act Marketplaces in 2025 by congressional district, 119th Congress.

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KFF @kff.org · 4d

A type of Medicare Advantage special needs plan that is limited to people with certain chronic conditions (C-SNPs) saw enrollment rise by 476,300 people from 2024 to 2025, comprising 75% of all enrollment growth in special needs plans during that period. https://on.kff.org/4ntfc7b

KFF bar chart showing the growth in enrollments for Chronic Condition Special Needs Plans by SNP type from 2019 to 2025.

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