A Wisconsin couple was paying $2 a month for an ACA health plan. But as subsidies expire, it's soaring to $1,600, forcing them to downgrade | Fortune

"Less than three weeks remain until the expiration of COVID-era enhanced tax credits that have helped millions of Americans pay their monthly fees for Affordable Care Act coverage for the past four years. The Senate on Thursday rejected two proposals to address the problem and an emerging health care package from House Republicans does not include an extension, all but guaranteeing that many Americans will see much higher insurance costs in 2026."

"This year, the Brunses were paying $2 per month for a top-tier gold-level plan with less than a $4,000 deductible. Their income was low enough to help them qualify for a lot of financial assistance. But in 2026, that same plan is rising to an unattainable $1,600 per month, forcing them to downgrade to a bronze plan with a $15,000 deductible."

"For one Wisconsin couple, the loss of government-sponsored health subsidies next year means choosing a lower-quality insurance plan with a higher deductible. For a Michigan family, it means going without insurance altogether. For a single mom in Nevada, the spiking costs mean fewer Christmas gifts this year. She is stretching her budget already while she waits to see if Congress will act."

Expiration of COVID-era enhanced tax credits after four years will end subsidies that lowered monthly Affordable Care Act premiums for millions. The Senate rejected two proposals and a House Republican health package lacks an extension, making higher insurance costs likely in 2026. Some households face downgrading from gold to bronze plans with much higher deductibles; others may go uninsured. A Nevada single mother reports reduced holiday spending while awaiting congressional action. The changes will raise premiums, increase out-of-pocket costs, and force difficult financial and coverage trade-offs for low- and moderate-income families.

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