KFF Survey and NPR Profiles Show ACA Enrollees Cutting Food and Dropping Coverage After Enhanced Tax Credits Expire
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A KFF follow‑up survey of 1,117 2025 ACA marketplace enrollees finds about 8 in 10 say their health care costs are higher this year (roughly half "a lot" higher), about 55% plan to cut spending on food and other basics, roughly 7 in 10 remained in marketplace coverage while about 1 in 10 dropped coverage entirely and became uninsured, and large shares report worry about affording emergency and routine care. NPR profiles put human faces on those numbers — including a Connecticut couple whose premium jumped from ~$630 to $2,531 monthly and who drained retirement savings — underscoring that many enrollees are taking extra work, loans or cutting essentials after Congress failed in January 2026 to extend COVID‑era enhanced ACA subsidies.
Health Care Policy
U.S. Economy and Cost of Living
Affordable Care Act and Health Costs