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The original ACA subsidy formula was decent at low incomes, stingy at moderate incomes & nonexistent at middle class incomes. ARPA/IRA had solid subsidy upgrades, bringing them up to where they should have been in the first place...but they're scheduled to revert in 2026. 2/
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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. 3/
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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. These are based on 2024 data; the actual change would happen in 2026. 4/
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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 5/
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Since this involves a LOT of graphs & tables, I'm breaking it into 10 posts of 5 states apiece. I've already posted Alabama - Maryland. Today I present #Massachusetts, #Michigan, #Minnesota, #Mississippi & #Missouri. Here's what MASSACHUSETTS looks like: 6/
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For starters, a single 50-yr old earning $50,000/year would see their net premiums jump by 38%. 7/
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How about a family of four earning $80,000/year? Here in #MICHIGAN, they'd go from paying $311/mo to $587/mo...an 89% spike.
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#MINNESOTA's Basic Health Plan program would protect a lot of low-income families, but a 50-yr old couple with one college-age kid earning $60K/year would see their net premiums more than DOUBLE, costing them an extra $2,600/year.
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Right now in #MISSISSIPPI, a single parent w/one child earning $30K/year only has to pay $2/month for the benchmark plan. If the subsidies revert, this would jump to $105/month...more than *50x* as much!
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And in #MISSOURI, God help you if you're a 60-yr old couple earning more than $80,000/year. You'd lose ALL financial assistance & see your mnthly premiums skyrocket from as little as $570 to over $2,600...nearly $25,000/year more!