"The most significant immediate change arrived Jan. 1 with the expiration of enhanced premium tax credits, which help defray the cost of monthly premiums for Americans enrolled in plans sold by health insurance exchanges such as Covered California. RELATED: Bay Area Affordable Care Act policyholders brace for price hikes With Congress not renewing these subsidies, which arrived in 2021 and are in addition to the initial income-based credits made available under the Affordable Care Act, enrollees will see their payments increase significantly this year."
"Thousands across the state, and millions nationwide, were expected to drop their coverage if these supplementary government payments were not renewed, hitting middle-income Americans hardest. But that's just the beginning. Starting in 2027, the federal budget calls for work requirements and more frequent eligibility checks to changes in the ways that states allocate funding in order to maximize the matching funds they receive from the federal government."
Enhanced premium tax credits expired Jan. 1, increasing monthly premiums for exchange enrollees. Congress did not renew supplemental subsidies that began in 2021, raising average payments by about 76% for roughly 120,000 San Diego County enrollees, or about $125 per month. Thousands statewide and millions nationally were expected to drop coverage, with middle-income Americans hit hardest. Federal budget proposals starting in 2027 include work requirements, more frequent eligibility checks, and changes to state funding allocation to maximize federal matching funds. KFF projects nearly $1 trillion less Medicaid spending over 10 years and about 10 million newly uninsured. Uninsured patients will continue to seek emergency care.
Read at www.sandiegouniontribune.com
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