Urban Institute Update
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Household spending on premiums would surge if enhanced premium tax credits expire
New Urban Institute research demonstrates how monthly out-of-pocket spending on health care premiums would surge for millions of people if the Affordable Care Act’s enhanced premium tax credits expire in 2025. Initially approved by Congress in 2021 and renewed in 2022, these premium tax credits help families maintain their health care coverage. They are set to expire at the end of 2025.


With a state-by-state analysis, researchers show that allowing credits to expire will increase health care spending across all states, income groups, ages, and races and ethnicities.

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Hospitals, Physicians, and Other Stakeholders Face Billions of Dollars in Uncompensated Care Costs and Lost Revenue if Enhanced ACA Tax Credits Expire

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