The ACA’s enhanced premium tax credit expired January 1 — average marketplace enrollees now pay $1,016 more a year and 4.8 million people are set to lose coverage entirely
Millions of Americans who purchase health insurance through Affordable Care Act marketplaces are facing steeper costs after the enhanced premium tax credits that Congress authorized from 2021 through 2025 lapsed at the start of 2026. The expiration restored an income cliff that blocks subsidies for households earning above 400% of the federal poverty level, and…