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Average Marketplace Health Insurance Cost on Track to Double, KFF Says

Without congressional action, 22 million subsidized ACA enrollees face a 114% premium increase in 2026 as enhanced premium tax credits expire, KFF projects.

  • KFF's analysis shows ACA Marketplace premiums would more than double in 2026, rising from $888 to about $1,904 if enhanced subsidies expire at the end of 2025.
  • Congress faces a deadline as the enhanced credits are set to lapse at the end of 2025 under the Inflation Reduction Act of 2022, while Trump administration and CMS changes to the PAPI formula reduce non‑enhanced credit generosity.
  • State filings show much larger spikes, including requests near 48.95% in some markets, while insurers in the ACA marketplace propose a median 18% rate increase, according to KFF.
  • With a funding standoff tied to the subsidies, Democrats and Republicans remain locked in a stalemate as KFF warns many ACA enrollees may drop coverage because premiums could rise 114%, risking a shutdown after Oct. 1.
  • The 'Subsidy Cliff' threatens to sharply raise net premiums, potentially to 19% of income, while farmers could face over 75% increases, with enrollment starting Nov. 1.
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ramaonhealthcare.com broke the news in on Tuesday, September 30, 2025.
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