• Premium tax credits under the enhanced Affordable Care Act were not included in the “One Big Beautiful Bill Act” that House Republicans passed on Thursday.
• Without action from Congress, the subsidies are on track to expire by the end of 2025.
• “Pretty much everyone, almost everybody who’s buying their own health insurance, now would see their costs go up,” said Cynthia Cox, vice president and director of the program on the ACA at KFF.

But the “One Big Beautiful Bill Act” is missing something health care advocates hoped to see: an extension of the insurance premium tax credits under the enhanced Affordable Care Act that are set to expire at the end of the year. The credits’ absence is notable as the bill includes other proposed changes to the ACA marketplace, experts say.

The ACA’s enhanced premium credits help make health insurance policies through the marketplace more affordable. Eligible applicants can use the credit to lower insurance premium costs upfront or claim the tax break when filing their return. 

Instead of a lower-income person paying 2% of their income on their premium, they pay nothing, according to KFF, a health policy research nonprofit. 

…

Without the extension, nearly all subsidized ACA enrollees can expect their monthly premiums to rise, said Cynthia Cox, vice president and director of the program on the ACA at KFF.

Yet another way to hurt the poor!

https://www.cnbc.com/2025/05/23/big-beautiful-tax-bill-skipped-aca-credits.html