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🚨 STATE BY STATE: How much more will YOU pay if enhanced #ACA subsidies aren't extended? (Alabama - California): acasignups.net/24/06/20/sta...
State by State: How much more will YOU pay if the enhanced ACA subsidies aren't extended? (Alabama - California)acasignups.net It was just over three years ago that the American Rescue Plan Act (ARPA) dramatically expanded & enhanced the original premium subsidy formula of the Affordable Care Act, finally bringing the financial aid sliding income scale up to the levels it should have been in the first place over a decade earlier. In addition to beefing up the subsidies along the entire 100 - 400% Federal Poverty Level (FPL) income scale, the ARPA also eliminated the much-maligned "Subsidy Cliff" at 400% FPL, wherein a household earning even $1 more than that had all premium subsidies cut off immediately, requiring middle-class families to pay full price for individual market health insurance policies. Here's what the original ACA premium subsidy formula looked like compared to the current, enhanced subsidy formula: Unfortunately, the ARPA's subsidy enhancements included a major caveat: They were only in place for three years, originally scheduled to terminate effective December 31, 2023 (they were retroactive to the beginning of 2021). The good news is that this sunset date was bumped out by another two years as part of the Inflation Reduction Act (IRA) passed in 2022. The bad news is that this extension is currently scheduled to end effective December 31, 2025.
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The original ACA subsidy formula was OK at low incomes, stingy at moderate incomes & nonexistent at middle class incomes. ARPA/IRA gave the subsidies a solid upgrade, bringing them up to where they should have been in the first place...but they're scheduled to revert in 2026.
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If the upgraded subsidies are allowed to expire at the end of 2025, up to *20 MILLION* #ACA enrollees will see their net premiums spike dramatically. Many will no longer be able to afford this & will be forced to either downgrade to far worse plans or drop coverage entirely.
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To give you an idea of just how ugly it could get, I'm running the numbers for various household sizes in all 50 states: Single adults, single parents, nuclear families, empty nesters and pre-retirees. All of these are based on 2024 data; the actual change would happen in 2026.
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Other caveats: --Since benchmark premiums vary depending on where you live, I'm using the CAPITAL CITY for each state. --These assume each household listed enrolls in the BENCHMARK SILVER plan --These don't take into account STATE-BASED subsidies which some states offer
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Since this involves a LOT of graphs & tables, I'm breaking it into 10 posts of 5 states apiece. Here's what ALABAMA would look like:
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...and here's what that looks like visually. Older enrollees (50+) who earn more than 400% FPL are hit the hardest in raw dollar hikes...but for low-income enrollees (< 200% FPL) even a $25/mo hike may mean having to make tough choices about basic necessities.