The Impact of Enhanced Premium Tax Credits on State Marketplace Consumers
In 2021, Congress made enhanced premium tax credits available to marketplace consumers, making health coverage more affordable for the over 23 million individuals enrolled through the marketplaces. The resources below share data, analyses, and support from state and national experts on the impact of the enhanced tax credits on consumers and the anticipated effects if they expire in 2025.
See how enhanced premium tax credits are making a difference for consumers across states.
Read and hear stories from individuals and families experiencing these benefits in their everyday lives.
State Marketplace Network Resources
Press Release
Press Release
Letter to Congress
State-based Marketplace ePTC Impact Congressional Letter
September 2, 2025
SMN ePTC One-Pager
SMN ePTC High Costs for Consumers Ahead One-Pager
September 2, 2025
SBM 2026 Enrollee Brief
SBM 2026 Enrollment Timeline
Letter to Congress
Tax Credit Timeline
Letter to Congress
State-based Marketplace Resources
Covered California
Impacts of the Enhanced Premium Tax Credits in California, February 2025
Congressional Briefing, February 2025
Enhanced Premium Tax Credit (ePTC) Quick Guide for Enrollers, July 2025
Enhanced Premium Tax Credit Consumer Information Page, July 2025
Connect for Health Colorado
Access Health CT
Enhanced Subsidies Help Connecticut Residents Afford Health Insurance, October 2024
DC Health Link
Your Health Idaho
Get Covered Illinois
HealthSource RI
January 2025
Maryland Health Benefit Exchange
Massachusetts Health Connector
Get Covered NJ
October 27, 2025
Impact of Expiring Federal Enhanced Premium Tax Credits on New Jersey Residents
May 12, 2025
NY State of Health
Oregon Healthcare.gov
Loss of Enhanced Premium Tax Credits
September 2025
Washington Health Benefit Exchange
National Reports and Analysis
The Commonwealth Fund
Peterson-KFF
KFF
KFF
Mapping the Uneven Burden of Rising ACA Marketplace Premium Payments
November 24, 2025
The Commonwealth Fund
The Center on Budget and Policy Priorities
Peterson-KFF
Urban Institute
Assessing Marketplace Coverage for Parents and Children
October 31, 2025
KFF
Calculator: ACA Enhanced Premium Tax Credit
October 29, 2025
Health Management Associates
The Century Foundation
America's Health Insurance Plans
Urban Institute
The Commonwealth Fund
KFF
How an ACA Premium Spike Will Affect Family Budgets, and Voters
September 26, 2025
Families USA + Community Catalyst
Lower Health Care Costs Day of Action
September 25, 2025
Families USA
Families USA
KFF
KFF
How Much and Why Premiums Are Going Up for Small Businesses in 2026
September 24, 2025
KFF
Premium Payments if Enhanced Premium Tax Credits Expire
September 19, 2025
KFF
Projected Surge in Uninsured Will Strain Local Health Systems
September 17, 2025
Urban Institute
The Century Foundation
The Commonwealth Fund
The Commonwealth Fund
The Commonwealth Fund
KFF
Considering a Life Change? Brace for Higher ACA Costs
August 12, 2025
Keep Americans Covered
The Commonwealth Fund
What the ACA Marketplaces Do for Your State
June 5, 2025
Letters and Testimonials from National Organizations and Experts
AFL-CIO
Letter Supporting a Clean Extension of ACA Tax Credits
January 6, 2026
National Nurses United
Nurses Demand Congress Act to Extend ACA Tax Credits
December 17, 2025
American Hospital Association
Letter on Hospital and Health System Legislative Priorities
September 15, 2025
Letter to Congress
Eighteen Governors Sign Letter Urging Congress to Extend ePTC
September 15, 2025
Kaiser Permanente
Congress Must Act to Keep Health Insurance Affordable
September 5, 2025
Small Business Majority
National Association of Insurance Commissioners
National Association of Insurance Commissioners
Partnership to Protect Coverage
Letter on Healthcare Priorities
December 10, 2024
National Association of Insurance Commissioners
Protect Our Care
Consumer Coalition Echoes Call to Make ACA Tax Credits Permanent Now
September 25, 2024
