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KFF @kff.org · 15h

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 · 16h

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 · 17h

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 · 19h

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 · 1d

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 · 1d

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 · 1d

⚡ 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 · 1d

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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KFF @kff.org · 1d

⚡ KFF’s Matt McGough explains why individual marketplace enrollees ages 50–64 are particularly vulnerable to the expiration of the enhanced premium tax cuts. #QuickTake https://on.kff.org/4o98XWd

KFF graphic featuring a quote from Matt McGough, KFF Policy Analyst, Program on the ACA. It says, “If Congress does not extend the enhanced premium tax credits, older Marketplace enrollees, especially early retirees and the self-employed, would see some of the steepest increases in premiums.”

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KFF @kff.org · 2d

Enrollment in Medicare Advantage special needs plans is highly concentrated among a small number of large national carriers, with UnitedHealth Group and Humana plans comprising over half (54%) of total SNP enrollment. https://on.kff.org/4ntfc7b

KFF bar chart showing Medicare Advantage enrollment by plan types in 2025, with UnitedHealth Group Inc. and Humana Inc. accounting for over half (54%) of Special Needs Plan enrollment.

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KFF @kff.org · 2d

KFF polling suggests many Marketplace enrollees would be surprised by the jump in their premiums if the enhanced premium tax credits aren’t renewed before the 2026 open enrollment period begins on Nov. 1. https://on.kff.org/4q7ElGy

KFF chart showing results from a new KFF Health Tracking Poll about the enhanced subsidies for those with Marketplace health insurance. Its title is "Most Adults Have Heard Little or Nothing About the Enhanced Subsidies for Those Who Purchase Coverage on ACA Marketplaces"

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KFF @kff.org · 2d

Without the ACA enhanced premium tax credits, Marketplace premiums could more than double.

A new KFF poll finds 7 in 10 Marketplace enrollees say they could not afford their coverage if premiums doubled — and 4 in 10 say they’d likely go uninsured. https://on.kff.org/4q7ElGy

Pie chart showing responses to a new KFF Health Tracking Poll: 42% would go without insurance, 37% would continue with their current health insurance, 22% would get insurance from a spouse or employer.

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KFF @kff.org · 3d

Among nonelderly Medicaid enrollees with intellectual or developmental disabilities, most children qualify due to low income and most adults due to disability.

Learn more here: https://on.kff.org/4nwrH1Z

The image titled "Key Facts About Medicaid Coverage for People with Intellectual or Developmental Disabilities" on a green background. It mentions five key facts one of which is "Children account for 8 in 10 nonelderly Medicaid enrollees with intellectual or developmental disabilities".

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KFF @kff.org · 3d

If you're just learning about KFF, we’re a nonpartisan health policy research, polling, and news organization. We have no connection to Kaiser Permanente and we're not a foundation. Please call us KFF, our legal operating name. More here: www.kff.org/about-us/.

About Us | KFF

KFF is the leading health policy organization in the

www.kff.org

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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.

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KFF @kff.org · 3d

Most Americans, including most Republicans and MAGA supporters, say they want Congress to extend the ACA enhanced premium tax credits that help make Marketplace coverage more affordable. https://on.kff.org/4q7ElGy

KFF graph showing that more than 3 in 4 adults (78%) support extending the enhanced premium tax credits for Affordable Care Act Marketplace coverage, based on a KFF Health Tracking Poll from September 23-29, 2025.

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KFF @kff.org · 4d

As debates continue about ACA enhanced premium tax credits, KFF polling finds most Marketplace enrollees remain unaware of the looming hikes if they expire.

Many could be “in for a shock” during open enrollment, says KFF’s @drewaltman.bsky.social. View the findings: https://on.kff.org/4nACyIk

Quote from Drew Altman, KFF President and CEO: "There is a hot debate in Washington about the looming ACA premium hikes, but our poll shows that most people in the marketplaces don’t know about them yet and are in for a shock when they learn about them in November."

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KFF @kff.org · 4d

ACA open enrollment begins Nov. 1, but many Marketplace enrollees don’t know the enhanced ACA tax credits could expire soon.

If that happens, premiums could more than double — leaving millions at risk of losing coverage. More from our latest poll: https://on.kff.org/4q7ElGy

KFF infographic showing that 58% of people who purchase their own coverage, largely via the marketplaces, report hearing just 'a little' or 'nothing at all' about the expiration of enhanced premium tax credits. Source: KFF Health Tracking Poll (September 23-29, 2025).

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Reposted by KFF

Drew Altman @drewaltman.bsky.social · 4d

Four in ten who buy their own coverage say they would go without coverage if ACA premiums doubled. They will increase 114% if enhanced tax credits are not extended: on.kff.org/4nACyIk

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KFF @kff.org · 4d

As Congress debates the future of the ACA’s enhanced premium tax credits, new KFF polling finds significant concern about affordability if they expire at the end of the year.

Explore the findings: https://on.kff.org/4q7ElGy

KFF graphic titled "If ACA Enhanced Premium Tax Credits Expire, Marketplace Premiums Could More Than Double for Many Enrollees. New KFF Polling Shows:"
It includes two sections of data from a KFF Health Tracking Poll (September 23-29, 2025). On the left, blue circles illustrate that 7 in 10 of those who purchase their own insurance say they could not afford their coverage if premiums doubled. On the right, green circles show that about 4 in 10 Marketplace enrollees would go without health insurance coverage if premiums doubled.

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Reposted by KFF

Larry Levitt @larrylevitt.bsky.social · 5d

The false idea that Democrats, in pushing to reverse Medicaid and ACA cuts, are advocating for an expansion of health care for undocumented immigrants is maybe the biggest health policy distortion since the supposed "death panels" in Obamacare.

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Reposted by KFF

Larry Levitt @larrylevitt.bsky.social · 4d

New: Broad support across the political spectrum for extending enhanced ACA premium tax credits.

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Reposted by KFF

Larry Levitt @larrylevitt.bsky.social · 4d

This is a remarkable statistic: 18.7 million out of the 24.3 million Obamacare enrollees are in states won by President Trump in 2024.
www.kff.org/quick-take/m...

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Reposted by KFF

Drew Altman @drewaltman.bsky.social · 4d

Politically its Republicans in swing districts who could lose who have to worry most about ACA premium hikes blowing back on them. But its Republicans everywhere whose constituents will be most affected by the hikes: on.kff.org/3VQ3kjF

KFF graphic featuring a quote from Emma Wager, KFF Senior Policy Analyst, Program on the ACA. It says, "Nationwide, 93% of ACA Marketplace enrollees received premium tax credits in 2025, but enrollees living in states won by President Trump in 2024 were even more likely to have subsidized coverage... Additionally, 80% of all premium tax credits ($115 billion) went to ACA Marketplace enrollees in Trump-won states."

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KFF @kff.org · 4d

New KFF polling shows 78% of the public say Congress should extend the ACA’s enhanced premium tax credits, which otherwise would expire at the end of the year.
That includes most Republicans and MAGA supporters. https://on.kff.org/4q7ElGy

KFF poll graphic that reads: Three-Quarters of Public Say Congress Should Extend the ACA Enhanced Premium Tax Credits Set to Expire Next Year, Including Most Republicans and MAGA Supporters

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