Source“However, the other main piece of the ACA, subsidized insurance plans offered on government-run exchanges, will take a body blow in a few months unless Republicans do something totally uncharacteristic — provide help to Americans who need it.”
If the enhanced ACA subsidies are not extended, the exchanges take a body blow in early 2026
What happened: Condition met: the enhanced premium tax credits expired at the end of 2025. KFF series: average monthly Marketplace premium payment net of tax credits rose 58%, from $113 (2025 baseline) to $178 (2026); average deductible up 37% to a record $3,786; effectuated enrollment projected at about 17.5M (as low as 16.5M), down from 22.3M in 2025; the first enrollment drop since the first Trump administration.
Outcome evidence