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Gideon Lukens @gidlukens.bsky.social · 9m

This is NOT an end-of-year issue. Open enrollment runs Nov.1 – Jan.15 for most states (Oct. 15 – Dec.15 in Idaho) and window shopping begins in October. If Congress waits until Dec.31, 1.5 million more people will be uninsured in 2026 compared to an earlier extension. (4/4)
tinyurl.com/mr2bhszc

9/16/25 ☀️ AM:

PRESENTED BY IN THIS EDITION Johnson’s tall tasks going into todaySenate may skip the NDAA againThe Vault: Why Dems want Obamacare deal nowJeffries silent

tinyurl.com

Gideon Lukens @gidlukens.bsky.social · 10m

These are real people facing real consequences if Congress doesn’t act to extend the enhancements ASAP. M.M., an IT consultant, would be forced to cut back on groceries and medications like insulin to treat their diabetes.

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Gideon Lukens @gidlukens.bsky.social · 11m

Virtually all marketplace enrollees – across states, ages, family sizes, and income levels – will see big premium increases. A typical family of 4 making $130,000 in Idaho will face a $7,800 increase in annual premiums. (2/4)

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Gideon Lukens @gidlukens.bsky.social · 11m

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)

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Gideon Lukens @gidlukens.bsky.social · 1d

This is NOT an end-of-year issue. Open enrollment runs Nov.1 – Jan.15 for most states and window shopping begins in October. If Congress waits until Dec.31, 1.5 million more people will be uninsured in 2026 compared to an earlier extension. (4/4)
tinyurl.com/mr2bhszc

9/16/25 ☀️ AM:

PRESENTED BY IN THIS EDITION Johnson’s tall tasks going into todaySenate may skip the NDAA againThe Vault: Why Dems want Obamacare deal nowJeffries silent

tinyurl.com

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Gideon Lukens @gidlukens.bsky.social · 1d

These are real people facing real consequences if Congress doesn’t act to extend the enhancements ASAP. Tracy, a customer service representative, is facing premium increases of $103 a month, which would force her to cut back on other essentials like gas and groceries. (3/4)

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Gideon Lukens @gidlukens.bsky.social · 1d

Virtually all marketplace enrollees – across states, ages, family sizes, and income levels – will see big premium increases. A typical family of 4 making $130,000 in Georgia will face a $13,200 increase in annual premiums. (2/4)

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Gideon Lukens @gidlukens.bsky.social · 1d

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)

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Reposted by Gideon Lukens

Jennifer Sullivan @jenniferlsullivan.bsky.social · 1d

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...

thehill.com

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Gideon Lukens @gidlukens.bsky.social · 4d

After the enhancements, the uninsured rate fell most for people with low incomes in non-expansion states – people who would have been eligible for Medicaid if their states expanded…and who stand to lose the most if enhancements expire. (3/3)

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Gideon Lukens @gidlukens.bsky.social · 4d

In non-expansion states, uninsurance will rise by 37% in the median state. The steepest increases are in Mississippi (65% increase), South Carolina, Tennessee, Texas, Georgia, West Virginia, Alabama, and Louisiana. (2/3)

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Gideon Lukens @gidlukens.bsky.social · 4d

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

4.8 Million People Will Lose Coverage in 2026 If Enhanced Premium Tax Credits Expire

In this brief, we estimate the impact on coverage of the expiration of enhanced PTCs that would occur in 2026 without action by Congress. Our estimates inclu…

tinyurl.com

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Gideon Lukens @gidlukens.bsky.social · 5d

But if the enhancements expire, CBO estimates that ~4 million people will become uninsured. To be clear: these are 4 million REAL people who will lose marketplace coverage and NOT get employer or any other insurance. (4/4)

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Gideon Lukens @gidlukens.bsky.social · 5d

Marketplace enrollment grew 143% for people with incomes 100-200% FPL after premium tax credit enhancements, showing how extending them would overwhelmingly benefit low- and moderate-income households. (3/4)

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Gideon Lukens @gidlukens.bsky.social · 5d

For Black and Latino people, marketplace enrollment grew 186% and 158% (doubled to tripled) over 2021-2024. Uninsurance will increase by 30% (925,000) among Black people if the enhancements expire – more than any other racial group. (2/4)
tinyurl.com/yhv9jxm3

4.8 Million People Will Lose Coverage in 2026 If Enhanced Premium Tax Credits Expire

In this brief, we estimate the impact on coverage of the expiration of enhanced PTCs that would occur in 2026 without action by Congress. Our estimates inclu…

tinyurl.com

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Gideon Lukens @gidlukens.bsky.social · 5d

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)

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Gideon Lukens @gidlukens.bsky.social · 6d

Early and pre-retirees (aged 50-64) make up half of individual market enrollees who will lose eligibility for premium tax credits if the enhancements expire, with rural workers hit especially hard. (5/5)
tinyurl.com/353psmw8

Who Might Lose Eligibility for Affordable Care Act Marketplace Subsidies if Enhanced Tax Credits Are Not Extended? | KFF

This analysis looks at the individual market enrollees who make at least four times the federal poverty level who would no longer be eligible for any tax credits if the current ACA Marketplace enhance...

tinyurl.com

Gideon Lukens @gidlukens.bsky.social · 6d

Half of working-age adults with individual market coverage are either self-employed, small business owners, or small business workers, who often have difficulty accessing employer coverage. (4/5)
tinyurl.com/sbusmcxf

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 busine...

tinyurl.com

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Gideon Lukens @gidlukens.bsky.social · 6d

More than 1 in 4 farmers, ranchers, and real estate brokers buy coverage in the individual market (which is primarily composed of the ACA marketplace), making them especially reliant on enhanced premium tax credits. (3/5)
tinyurl.com/anfhsvwa

Occupations with Large Shares of Workers Who Rely on Individual Market Coverage | KFF

This analysis examines the share of adult workers in occupations that rely more heavily on individual market coverage for health insurance, which is largely made up by the Affordable Care Act (ACA) Ma...

tinyurl.com

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Gideon Lukens @gidlukens.bsky.social · 6d

If premium tax credits expire, more than 2 in 5 veterans enrolled in the ACA marketplace will lose their coverage – that’s 267,000 veterans losing coverage out the 623,000 enrolled. (2/5)
tinyurl.com/2bs4aj2j

tinyurl.com

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Gideon Lukens @gidlukens.bsky.social · 6d

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)

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Reposted by Gideon Lukens

Nicole Rapfogel @nicolerapfogel.bsky.social · 7d

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.

People With Low Incomes May Lose $0 Premium Plans — a Lifeline — Unless Congress Acts | Center on Budget and Policy Priorities

Everyone should be able to get the health care they need to thrive, and for that to happen, it must be affordable, high quality, and easily accessible for all. Premium tax credit (PTC) enhancements...

www.cbpp.org

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Gideon Lukens @gidlukens.bsky.social · 8d

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

tinyurl.com

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Reposted by Gideon Lukens

Nicole Rapfogel @nicolerapfogel.bsky.social · 14d

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.🧵

Five Key Changes to ACA Marketplaces Amid Uncertainty Over Premium Tax Credit Enhancements | Center on Budget and Policy Priorities

Recent policy changes, most notably enhancements to premium tax credits to reduce enrollees’ health insurance premiums, have driven record-breaking enrollment gains and delivered reduced costs, simpli...

www.cbpp.org

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Reposted by Gideon Lukens

Sharon Parrott @sharonparrott.bsky.social · 17d

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...

Exclusive | Trump Administration Cancels Annual Hunger Survey

The government has been measuring food insecurity since the mid-1990s but now says the report has become “overly politicized.”

www.wsj.com

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