Sen. Marshall unveils ACA subsidy-to-HSA plan
Sen. Roger Marshall detailed a proposal to address expiring Affordable Care Act subsidies by extending enhanced premium tax credits for one year and then converting them to health savings accounts, positioning the plan as a bipartisan bridge. The package would require a $5 monthly minimum premium, mandate a government-issued ID to curb fraud, tighten Hyde enforcement, bar gender transition coverage on exchange plans, permanently fund cost-sharing reductions (which he estimates would save $30 billion and cut premiums ~11%), and phase down enhanced credits by 20% annually through 2032.
đ Key Facts
- One-year extension of enhanced ACA subsidies followed by conversion to HSAs
- $5 minimum monthly premium and government-issued ID requirement for enrollees
- Permanent CSR funding with claimed ~$30B savings and ~11% premium reduction; phase-down of enhanced credits through 2032
đ Relevant Data
In 2024, Black Americans accounted for 16.3% of HealthCare.gov plan selections, compared to 12.3% of the non-elderly adult population.
HealthCare.gov Plan Selections by Race and Ethnicity, 2015-2024 â Office of the Assistant Secretary for Planning and Evaluation (ASPE), U.S. Department of Health and Human Services
In 2024, Latino Americans accounted for 29.4% of HealthCare.gov plan selections, compared to 21.3% of the non-elderly adult population.
HealthCare.gov Plan Selections by Race and Ethnicity, 2015-2024 â Office of the Assistant Secretary for Planning and Evaluation (ASPE), U.S. Department of Health and Human Services
In 2023, the median household income was $56,490 for Black households, $65,540 for Hispanic households, $89,050 for non-Hispanic White households, and $112,800 for Asian households.
Median Household Income Increased in 2023 for First Time Since 2019 â U.S. Census Bureau
In 2022, the percentage of adults ages 25 and older with an associate degree or higher was 39.0% for Black or African American, 29.5% for Hispanic or Latino, 52.9% for White, and 66.5% for Asian.
Educational Attainment by Race and Ethnicity â American Council on Education
In 2022, average NAEP grade 8 reading scores were 244 for Black students, 250 for Hispanic students, 268 for White students, and 283 for Asian students.
Reading Performance â National Center for Education Statistics (NCES)
In 2023, life expectancy at birth was 74.0 years for non-Hispanic Black people, 78.4 years for non-Hispanic White people, 81.3 years for Hispanic people, and 85.2 years for non-Hispanic Asian people.
United States Life Tables, 2023 â National Vital Statistics Reports, CDC
GAO undercover testing found that all 10 fictitious applications submitted to the federal ACA Marketplace in late 2024 were approved for subsidized coverage, despite containing fraudulent documentation.
Patient Protection and Affordable Care Act: Preliminary Results from Undercover Testing on Eligibility Determinations for Subsidies â U.S. Government Accountability Office