Why Enhanced Premium Tax Credits (APTCs) should be made permanent
You can view our APTC fact sheets here.
Support for APTC Permanent Extension
- The National Association of Insurance Commissioners (NAIC) supports extending enhanced premium tax credits, and urges a decision by the end of 2024.
Source: NAIC - Marketplace Enrollees Speak Out: People Fear Higher Costs if Congress Does Not Act
Source: CBPP - 2.7 million small businesses and self-employed workers claimed the tax credit in 2022. Source: US Treasury Department
APTC Benefits Across Congressional Districts
- Review the “health care savings” of this review of Congressional Districts.
Source: Regional Leadership Council - This interactive “2024 Affordable Care Act Marketplace Plan Selections by Congressional District” includes data for the federally facilitated marketplace, Washington, DC, and Vermont.
Source: Center for American Progress (CAP)
Rural Residents Benefit
- Robert Wood Johnson Foundation (RWJF) finds that in the leading farm states, a significant share of residents enroll in Medicaid and in the marketplace. In farm states, about half of marketplace enrollees are rural residents. APTCs reduced marketplace enrollees’ premiums by an average of $506/month in farm states.
Source: RWJF
Fewer Uninsured
- This brief “Who Benefits from Enhanced Premium Tax Credits in the Marketplace” estimates 7.2 million more people will receive subsidized coverage under APTCs due to the enhancements, and 4 million fewer people will be uninsured.
Source: Urban Institute
Health Insurance Costs Will Rise Steeply if Premium Tax Credit Improvements Expire
- Data by age, income, and for Blacks and Latinos.
Source: Center for Budget and Policy Priorities (CBPP) - APTCs cut premium pay by 44% on average, and helped more low-income enrollees enroll in plans with reduced deductibles. Premiums would double in 12 states for subsidized enrollees if enhanced premiums expire.
Source: KFF
Adults Age 55–64 Often Rely on Marketplace Coverage and APTCs
- 5.1 million ages 55–64 enrolled in Marketplace coverage in 2024, and more will do so as Medicaid unwinding continues. Uninsured rates for older adults have dropped dramatically since Affordable Care Act (ACA) implementation.
Source: AARP - Without enhanced premium tax credits, a 60 year old earning $60,251 would pay almost 20% of his or her income for an average marketplace plan.
Source: Urban Institute
Data on Marketplace Enrollment Includes APTC Receipt, Demographic Trends, and Savings for Various Income Groups and by State
- In states using healthcare.gov, consumers with APTCs are saving an average of 48% on monthly premiums, due to the availability of expanded subsidies.
Source: Centers for Medicare & Medicaid Services (CMS)