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Urban Institute

Urban Institute

Research organization

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Congress lets ACA subsidy cliff hit, setting up a 2026 premium shock

Rule Changes

Modeled coverage losses and market impacts if enhanced credits end in 2026

Enhanced premium tax credits expired January 1, 2026. By late January, 1.2 to 1.4 million fewer Americans had enrolled for marketplace coverage, with total 2026 enrollment at 22.8–22.9 million.

Updated 5 days ago