How Marketplace Costs and Premiums Will
Change if American Rescue Plan Subsidies Expire
In a new Policy
Watch, KFF analysts explore the potential impact of the
expiration of the American Rescue Plan Act’s enhanced financial help and
new eligibility for the Affordable Care Act’s health insurance
Marketplace federal subsidies. While the COVID-19 relief legislation
passed earlier this year provides greater subsidy assistance through
2022, Democrats in Congress are currently considering making the
temporary federal help permanent or extending it as part of their planned
budget reconciliation legislation.
The authors describe
what is at stake in the current debate, from the additional costs to the
federal government if the temporary relief is extended, to premium
payments and/or deductibles rising for the millions of people currently
receiving enhanced subsidies. The average Marketplace enrollee would see
their premiums doubled and would have to pay about $800 more if enrolled
the whole year. Low-income people, who are 42% of Marketplace enrollees,
pay nothing or a minimal amount in premiums currently and would see the
largest percentage increase in premium costs if the subsidies expire.
Also touched on are the
potential political implications of the expiration of the enhanced
subsidy assistance as Marketplace enrollees would receive their renewal
notices in October, 2022, weeks before the midterm congressional
elections.
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