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Affordable Care Act Subsidies Surge to $138 Billion by 2025

11/6/2025

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Story summary
  • The Affordable Care Act (ACA) subsidies are projected to cost $138 billion in 2025, up from $18 billion in 2014.
  • Enrollment is projected to reach 23 million in 2025, up from 5.5 million in 2014.
  • Enhanced subsidies are set to expire at the end of 2025.
  • The enhanced subsidies have temporarily covered full benchmark premiums for low-income enrollees.
  • Extending the enhanced subsidies would cost about $350 billion over ten years and could increase net insurance coverage by 3.5 million people annually.