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Map Shows How Much Health Insurance Premiums Will Go Up in Each State – Newsweek

News Article

Map Shows How Much Health Insurance Premiums Will Go Up in Each State

Published, Nov 27, 2025 at 07:25 AM EST, Updated Nov 27, 2025 at 07:26 AM EST

By Aliss Higham, US News Reporter, Newsweek is a Trust Project member

Millions of Americans could face dramatically higher health insurance bills next year as enhanced Affordable Care Act (ACA) premium tax credits are set to run out.

Why It Matters

The enhanced subsidies, which lower monthly premiums for people across income levels, expire at the end of the year, raising the prospect of substantial increases for enrollees, unless Congress intervenes.

The ACA marketplace, established in 2010, offers health insurance to people who don’t qualify for Medicaid and aren’t covered through an employer. In 2020, Congress introduced the Enhanced Premium Tax Credit to help lower costs during the COVID-19 pandemic. The expanded subsidies significantly reduced monthly premiums—and for some low-income enrollees, brought them down to $0.

According to the Congressional Budget Office, letting the subsidies lapse would cause next year’s premiums to more than double for many enrollees and leave an estimated 2 million additional people uninsured.

States Facing Highest Increases

According to analysis by KFF Health, the financial shock will be sharpest for older adults at middle incomes—particularly those just above the previous eligibility cutoff for ACA subsidies. Among all income tiers examined, the current enhanced credits yield the biggest benefit for those at 401 percent of the federal poverty level, which is equal to $62,757 for an individual in the contiguous U.S. (with higher thresholds in Alaska and Hawaii)

For a 60-year-old at that income level, the expiration of enhanced credits would at least double average annual premiums for a benchmark silver plan in 46 states and Washington, D.C. In 19 of those states, premiums would at least triple, consuming more than a quarter of a person’s yearly income.

https://public.flourish.studio/visualisation/26470003/

https://public.flourish.studio/visualisation/26490507/

The steepest increases occur in:

• Wyoming: +$22,452 per year
• West Virginia: +$22,006
• Alaska: +$19,636

On why premiums will rise the most in these states, Professor Stacey B. Lee, professor at Johns Hopkins University and CEO of Praxis Pacisci, a negotiations training institute, told Newsweek: “These states have limited insurer competition, older and smaller populations, high provider prices, and geographic challenges that make delivering care more expensive. In these markets, the gross premiums, meaning the price before subsidies, can exceed $30,000 a year for a 60-year-old. The enhanced credits did more than reduce premiums. In many cases, they made coverage mathematically possible for middle-income residents.”

Continue/Read Original Article Here: Map Shows How Much Health Insurance Premiums Will Go Up in Each State – Newsweek

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