What happens if ACA tax credits expire for Kassidy Hooter?

Kassidy Hooter is navigating high-risk pregnancy and faces thousands in out-of-pocket costs without ACA tax credits, considering forgoing insurance.

How many Americans will be uninsured without ACA credits?

Experts estimate that without an extension, an average of 3.8 million Americans could become uninsured each year from 2026 to 2034.

Will the ACA tax credits be extended by Congress?

The House approved a three-year extension, but the bill's passage in the Senate is uncertain, leaving millions at risk.

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ACA Credits Lapse: Millions Face Higher Health Costs

10 Jan

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Summary

Millions face rising health insurance costs as ACA tax credits expire.
Families may forgo insurance, risking debt or delaying care.
House approved a three-year extension, Senate passage uncertain.

ACA Credits Lapse: Millions Face Higher Health Costs

As of January 10, 2026, millions of Americans face a looming crisis as Affordable Care Act (ACA) tax credits are set to lapse at the end of 2025. This expiration threatens to significantly increase health insurance premiums, potentially doubling costs for many enrollees. Families like Kassidy Hooter's in Louisiana are contemplating extreme measures, such as home births, due to the prohibitive cost of coverage.

Experts warn that without an extension, an average of 3.8 million more Americans could become uninsured annually from 2026 to 2034. This policy shift could turn health insurance into a luxury, making medical debt the default. Individuals may delay necessary care, including preventative services, due to high deductibles and co-pays, leading to more emergency room visits and greater financial strain.

The House of Representatives has approved a three-year extension of these vital tax credits, but the legislation faces significant hurdles in the Senate. The outcome will determine whether millions of Americans can maintain affordable healthcare access or will be forced to navigate a system where medical care becomes financially out of reach.