Millions of Americans will face higher health insurance costs if Congress does not act before December 31, 2025. The Enhanced Premium Tax Credits (EPTCs), which have lowered insurance premiums for families since 2020, are set to expire.
These tax credits have made health coverage affordable for nearly 22 million people—92% of Affordable Care Act (ACA) Marketplace enrollees. In 2024 alone, families saved an average of $705 on their premiums. Without EPTCs, premiums would have been almost 80% higher.
If Congress does not extend these credits:
Families with lower incomes and older adults, especially those aged 50–64, will be hit the hardest.
Use the Kaiser Family Foundation tool to see how much premiums could rise in your state if enhanced ACA premium tax credits expire at the end of the year.
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