Millions of Trumpites to Lose Their Health Insurance

"Biden-Era Enhanced ACA Subsidies Likely to Expire in late 2025

The enhanced ACA subsidies passed under the Biden administration—which cut premium payments nearly in half for millions and doubled enrollment, particularly in Southern red states —are set to expire at the end of 2025.

Without Congress acting to extend them, these enhanced subsidies will disappear, causing net premium payments to increase by an average of 79% and more than doubling in some states. The CBO has estimated the cost to permanently extend the enhanced subsidies would be $335 billion over 10 years, and that ACA Marketplace enrollment will drop sharply from 22.8 million in 2025 to 18.9 million in 2026 if subsidies are not renewed, reaching as low as 15.4 million in 2030. A renewal of these enhanced subsidies might be considered during the lame-duck session, but an extension is much less likely than if Kamala Harris and Democrats had swept the election.

2. Broader Fate of the ACA Hinges on House Control

If Republicans maintain control of the House, changes to the ACA could be “massive,” according to House Speaker Mike Johnson. While ACA repeal was not a winning issue in 2017, Republicans could attempt to offset tax cuts by significantly reducing ACA subsidies and making massive funding cuts and changes to how Medicaid is financed, with far reaching implications, beyond the ACA Medicaid expansion. This would be similar to the 2017 “repeal and replace” push that would have left most protections for people with preexisting conditions in place but nonetheless would have left tens of millions without affordable health coverage due to budget cuts. As was the case in 2017, changes to ACA and Medicaid funding could be done through budget reconciliation, without concern of the filibuster."

After all, those massive Trump tax cuts for multi-billionaires have to be paid! Elon Musk and other multi-billionaires thank red state residents for making them richer.