"About 8 in 10 Americans, like Brown, who re-enrolled in Affordable Care Act marketplace coverage say their health care costs are higher this year, including about half who say their costs are "a lot" higher, according to a new survey from the health care research nonprofit KFF. A main reason for increased costs was the Dec. 31 expiration of enhanced tax credits that had offset premiums for most enrollees."
"Of the 1,117 Americans surveyed who had ACA marketplace coverage in 2025, including those who dropped coverage or changed plans, about 55% said they're planning to deal with health care costs by cutting spending on food and other basic household needs."
"Sometimes I don't even take my medicine," said the 48-year-old truck dispatcher in Orlando, Florida. "It's so much with insurance, it's crazy." For Brown and others, those spiking costs are having real impacts on daily life."
Following the expiration of enhanced COVID-era tax credits on December 31, approximately 8 in 10 Americans with ACA marketplace coverage report higher health care costs in 2025, with about half experiencing substantially increased expenses. A KFF survey of 1,117 enrollees reveals that 55% plan to manage costs by reducing spending on food and basic household necessities. Many enrollees, including Priscilla Brown, a truck dispatcher in Orlando, are rationing medications or skipping doses to afford other essentials. The loss of subsidies has prompted approximately 23 million ACA enrollees to face difficult decisions about coverage, with some dropping or downgrading plans. Congressional efforts to maintain the subsidies through a bipartisan compromise collapsed in January, leaving enrollees without relief as lawmakers shifted focus to other priorities.
#aca-marketplace-costs #health-insurance-affordability #medication-rationing #tax-credit-expiration #healthcare-access-disparities
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