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Larry Levitt @larrylevitt.bsky.social · 17h

With KFF getting mixed up with KFC, it's better than with our old name (Kaiser Family Foundation), where we got mixed up with Kaiser Permanente. We have no connection at all to the HMO.

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Larry Levitt @larrylevitt.bsky.social · 1d

We estimate that ACA marketplace enrollees will see their out-of-pocket premiums increase by 114% if enhanced tax credits are not extended. That translates to an average premium increase of $1,016 per enrollee.
www.kff.org/affordable-c...

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Larry Levitt @larrylevitt.bsky.social · 1d

Health policy is all about trade-offs, and the debate over enhanced ACA premium tax credits is a quintessential one. Extending the ACA tax credits will prevent an average 114% increase in out-of-pocket premiums. It will also cost the federal government about $35 billion per year.

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Larry Levitt @larrylevitt.bsky.social · 1d

57% of ACA marketplace enrollees live in a district represented by a Republican. The five districts with the largest ACA enrollment are all in Florida, one of ten states that have not expanded Medicaid.
www.kff.org/quick-take/m...

More Than Half of ACA Marketplace Enrollees Live in Republican Congressional Districts

Since the enhanced premium tax credits became available in 2021, ACA Marketplace enrollment has increased significantly in some red states, and 57% of enrollees now live in Republican congressional di...

www.kff.org

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Larry Levitt @larrylevitt.bsky.social · 2d

A big reason why ACA marketplace enrollment is so concentrated in red states is that 10 of those states have not expanded Medicaid. And, it's not just Democrats in those red states signing up. Nationwide, more self-identified Republicans are enrolled than Democrats.

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Larry Levitt @larrylevitt.bsky.social · 3d

Nationwide, 45% of ACA marketplace enrollees identify as Republicans, 35% as Democrats, and 20% as Independents/Other.

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Larry Levitt @larrylevitt.bsky.social · 4d

About 2 million ACA marketplace enrollees do not receive premium tax credits.
www.kff.org/affordable-c...

Marketplace Plan Selections with Financial Assistance | KFF State Health Facts

State level data on Marketplace Plan Selections with Financial Assistance from KFF, the leading health policy organization in the U.S.

www.kff.org

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Larry Levitt @larrylevitt.bsky.social · 4d

I have no idea how this government shutdown fight is going to end. But, it has gotten a lot more people to pay attention to the fact that ACA enhanced tax credits are expiring, and that enrollees will see their out-of-pocket premiums increase by an average of 114%.

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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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Larry Levitt @larrylevitt.bsky.social · 4d

The public is also concerned about the federal spending required to extend the enhanced ACA tax credits.

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Reposted by Larry Levitt

Dania Palanker 🥄 @ipersist.bsky.social · 4d

Sharing with alt text

A KFF poll result

Three in Four Adults Support Extending Enhanced Tax Credits for ACA Marketplace Coverage, Including Most of Those With Self-Purchased Insurance

As you may know, in 2021 Congress increased the financial help provided through tax credits available to some people who purchase health insurance through the Affordable Care Act marketplace to help them afford their premiums. These enhanced tax credits are set to expire at the end of 2025.

Do you think Congress should extend these enhanced tax credits, or should they let these enhanced tax credits expire?

Should extend the enhanced tax credits

Total: 78%

Party ID::
Democrats: 92%
Independents: 82%
Republicans : 59%

Among republicans and republican leaning independents:
MAGA: 57%
Non-MAGA GOP: 70%

Main insurance coverage:
Self-purchased, under age 65: 84%

Note: See topline for full question wording.
Source: KFF Health Tracking Poll (September 23-29, 2025)
KFF

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Larry Levitt @larrylevitt.bsky.social · 4d

If the ACA enhanced tax credits expire, the vast majority of people would be concerned about health insurance being affordable, millions becoming uninsured, and small businesses being impacted.

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Larry Levitt @larrylevitt.bsky.social · 4d

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

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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 Larry Levitt

Drishti Pillai, PhD, MPH @drishp.bsky.social · 5d

H.R.1 ends health coverage eligibility for many lawfully present immigrants. It doesn't change health coverage options for undocumented immigrants who are already ineligible for federally funded health coverage under longstanding policy. More on this @kff.org : www.kff.org/quick-take/r...

Rolling Back the Big Beautiful Bill’s Health Care Provisions Would Not Provide Health Care to Undocumented Immigrants

Undocumented immigrants are not eligible for federally funded health coverage. The GOP’s Big Beautiful Bill didn’t change that. Overturning the health care provisions in the law won’t either.

www.kff.org

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Larry Levitt @larrylevitt.bsky.social · 5d

Republicans did not restrict health care for undocumented immigrants in their tax and spending law that cut Medicaid and the ACA. So, in pushing for reversal of those cuts, Democrats are not advocating for an expansion of health care for undocumented immigrants. It's that simple.

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Reposted by Larry Levitt

Louise Norris @louisenorris.bsky.social · 6d

Talking about benefits for undocumented immigrants gets people riled up. But the federal government has never funded coverage for undocumented immigrants. Nothing is changing about that.

Cutting Medicaid & not extending ACA subsidy enhancements harms U.S. citizens. But that doesn't poll well.

Larry Levitt @larrylevitt.bsky.social · 6d

It's striking that the primary Republican talking point against the Democratic proposal to restore Medicaid and ACA cuts is that it would give health care to undocumented immigrants, which isn't true. There isn't a broader defense of the cuts.

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Larry Levitt @larrylevitt.bsky.social · 6d

It's striking that the primary Republican talking point against the Democratic proposal to restore Medicaid and ACA cuts is that it would give health care to undocumented immigrants, which isn't true. There isn't a broader defense of the cuts.

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Reposted by Larry Levitt

Drishti Pillai, PhD, MPH @drishp.bsky.social · 6d

Spending on Emergency Medicaid accounted for less than 1% of overall Medicaid spending in FY 2023 www.kff.org/racial-equit...
Research also shows that noncitizens are less likely to use ER care than U.S.-born citizens pmc.ncbi.nlm.nih.gov/articles/PMC...

@kff.org

Aaron Rupar @atrupar.com · 6d

Vance: "If you're an American citizen & you've been to the hospital in the last few years, you've probably noticed wait times are especially large & very often somebody who's there in the ER is an illegal alien. Why do those people get healthcare benefits at hospitals paid for by American citizens?"

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Larry Levitt @larrylevitt.bsky.social · 6d

“It's a compelling talking point to say that Democrats want to provide health care to undocumented immigrants, but it's just not true in terms of the cuts they're trying to reverse,” said Larry Levitt, executive vice president for health policy at KFF.

www.yahoo.com/news/article...

FACT FOCUS: Democrats did not shut down the government to give health care to 'illegal immigrants'

President Donald Trump and other high-ranking Republicans claim Democrats forced the government shutdown fight because they want to give free health care to immigrants in the U.S. illegally. Democrat...

www.yahoo.com

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Reposted by Larry Levitt

Drishti Pillai, PhD, MPH @drishp.bsky.social · 6d

Undocumented immigrants, under longstanding policy, have been and continue to be ineligible for federally funded health coverage. Medicaid, ACA, and Medicare eligibility cuts in H.R. 1 apply to lawfully present immigrants.

Larry Levitt @larrylevitt.bsky.social · 6d

Democrats are pushing to reverse Medicaid and ACA cuts. Contrary to Republican talking points, that would not in any way expand health care eligibility for undocumented immigrants.

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Larry Levitt @larrylevitt.bsky.social · 6d

Democrats are pushing to reverse Medicaid and ACA cuts. Contrary to Republican talking points, that would not in any way expand health care eligibility for undocumented immigrants.

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Reposted by Larry Levitt

Michael McAuliff @mcauliff.bsky.social · 7d

KFF’s latest makes an appearance at the Srnate Dem leader stakeout

Poster shows KFF estimates of 114% ACA premium hikes if current subsidies expire

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Larry Levitt @larrylevitt.bsky.social · 7d

New, and a big deal: Based on updated data and changes made by the Trump administration, we now estimate that ACA enrollees would see their out-of-pocket premiums increase by 114% if enhanced premium tax credits are allowed to expire.
www.kff.org/affordable-c...

ACA Marketplace Premium Payments Would More than Double on Average Next Year if Enhanced Premium Tax Credits Expire | KFF

KFF estimates that, if Congress allows the enhanced premium tax credits to expire at the end of this year, ACA Marketplace enrollees on average would see their premium payments more than double next y...

www.kff.org

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Larry Levitt @larrylevitt.bsky.social · 8d

Undocumented immigrants are not eligible for ACA coverage. The Republican tax and spending law eliminated eligibility for ACA tax credits for many lawfully-present immigrants.

If the enhanced ACA tax credits expire, millions of U.S. citizens will see their premiums skyrocket.

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