ACA shoppers face sticker shock as Congress dithers on health care

"The circumstances have led to deep consumer concerns about higher costs and fears of political fallout among some Republican lawmakers. According to a KFF poll released in December, about half of current enrollees who are registered to vote said that if their overall health care expenses copays, deductibles, and premiums increased by $1,000 next year, it would have a "major impact" on whether they vote in next year's midterm elections or which party's candidate they support."

"the lack of action on Capitol Hill has led to uncertainty about what to do. "Before I sign up, I will wait and see what happens," said poll participant Daniela Perez, a 34-year-old education consultant in Chicago who says her current plan will increase to $1,200 a month from about $180 this year without an extension of the tax credits."

Open enrollment for ACA plans is occurring amid uncertainty about whether Congress will extend premium tax credits that lower consumer premiums. A KFF poll found about half of enrolled, registered voters said a $1,000 increase in overall health expenses would have a major impact on their midterm voting choices. Consumers and leaders in 20 states plus D.C. that run their own marketplaces face unclear enrollment decisions because of the lack of congressional action. A Senate vote on Dec. 11 failed to reach 60 votes on subsidy extensions and an alternative HSA-linked option. House leadership plans a narrow package aimed at cost drivers and would include expanded access to association health plans.

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