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Millions Face Rising Health Costs as ACA Subsidies Expire

12/22/2025

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Story summary
  • Millions of Americans may face higher health insurance costs next year as ACA premium tax credits expire.
  • The ten states projected to have the highest premium increases include Wyoming and West Virginia, whose voters backed U.S. President Donald Trump in 2024.
  • Rhode Island and Massachusetts are expected to see lower increases.
  • Congress has not yet reached an agreement to extend the enhanced subsidies, and a House vote failed.