AHIP Continues to Raise Awareness of Cost Impacts if Congress Fails to Extend ACA Health Care Tax Credits

November 13, 2025

marketplace

AHIP highlighted multiple media reports this week noting that millions of Americans are getting “their first look at the sharp increases many will pay” if Congress fails to extend the enhanced premium tax credits that have made comprehensive, high-quality health care coverage affordable for 22 million Americans.

The Associated Press reports that the expiring subsidies means premiums will more than double what subsidized enrollees currently pay, with annual premiums estimated to increase by 114%, according to a KFF analysis. CBO analysts estimate the higher prices could cause around two million people to become uninsured next year.

KFF also notes the change may strain hospitals, potentially leading to hospital closures or cost increases, since more uninsured people will seek emergency care they can’t afford. The New York Times reports that some consumers may also have fewer choices because their insurers dropped out of some markets for 2026.

perspectives

Americans continue to be satisfied with employer-sponsored coverage

A new national survey commissioned by AHIP finds American workers hold consistently positive views of employer-sponsored health coverage, with nearly 9 in 10 expressing satisfaction with their plans and a decisive 96% valuing the financial security their coverage provides. Workers view employer-provided coverage as integral to their employment decisions, with 68% ranking health insurance as […]
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April 15, 2026

EGWP marketplace medicaid Medicare

Solutions

AHIP and BCBSA provide progress update on prior authorization commitments

On April 7, The Cigna Group joined other health plans in announcing an update on the industry’s progress implementing the voluntary prior authorization commitments made in partnership with the Department of Health and Human Services and CMS last year. Since June 2025, participating health plans have eliminated 11% of prior authorizations across a range of […]
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April 15, 2026

EGWP marketplace medicaid Medicare

legislation

Washington lawmakers pass tax increase impacting insurers

Since returning in January, Washington lawmakers have been busy advancing a variety of tax increases to help manage significant budget shortfalls and introduce new revenue streams. One new source of revenue approved by both the Senate and House and included in the state’s budget is HB 2487, which removes a tax exemption for health plan-affiliated […]
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April 15, 2026

EGWP marketplace medicaid Medicare

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