With ACA subsidies set to lapse, millions of Americans face a painful spike in health plan costs

Updated on: December 12, 2025 / 3:16 PM EST / CBS News

With ACA subsidies set to lapse, millions of Americans face a painful spike in health plan costs

TL;DR

  • The ACA's enhanced premium tax credits are set to expire on December 31st.
  • This expiration could cause average ACA participants' out-of-pocket premium costs to increase by 114%.
  • Approximately 22 million Americans qualify for these tax credits.
  • Some individuals and families face drastic monthly premium hikes, causing financial strain.
  • Millions may consider dropping health insurance or choosing cheaper plans with less coverage.
  • Small business owners and self-employed individuals are particularly vulnerable to these cost increases.
  • Proposed legislation to extend the credits failed to pass the Senate.
  • The expiration could destabilize the healthcare market, leading to increased uncompensated care and higher costs for others.