Arkansas is one of the few states which briefly HAD work reporting requirements for Medicaid during the *first* Trump Administration until it was shot down by a federal judge at the time. This presumably means that they still have their prior approved waiver ready to be dusted off at any time.
But more to the point, one of the biggest, most damaging & most obvious examples is the one-two punch of 1) the improved #ACA subsidies expiring & 2) the Trump CMS's so-called ACA "integrity rule" being implemented, both of which happen on JANUARY 1, 2026...just 4 1/2 months from today.
Anyone who's been following me recently knows that I've been up to my ears in analyzing the 2026 #ACA rate filings for GROSS premium hikes *and* what the impact is gonna be on NET premiums for ~24 MILLION ACA individual market enrollees... and it's disastrous: acasignups.net/rate_changes...
Here's a small sampling: Michigan: +17% Nebraska: +20% Missouri: +23% Florida: +24% Kansas: +30% Tennessee: +35% Mississippi: +37% ...and that's just the GROSS increases for the small percentage who're paying full price today.
If you're among the ~22 MILLION #ACA enrollees who are receiving premium tax credits this year, you're probably about to be hit with some truly jaw-dropping NET rate hikes: For instance, in Little Rock, AR, a single 50-yr old earning $40,000/yr could see his premiums DOUBLE from $154/mo to $298/mo.
Not all inflation is eggs and gas 😗
In Phoenix, AZ, a 30-yr old single parent w/one child earning $30K/yr could go from paying $0 in premiums to $99/month...technically an infinite increase. In Boise, ID, a family of four earning $60K/yr could go from paying $85/mo to $311...a whopping 3.7x as much as they pay today.
And in Montgomery, AL, a 64-yr old couple earning $90K/yr, just one year out from being eligible for Medicare, could see their net premiums skyrocket from $637/mo to a jaw-dropping $3,186/mo...for the SAME POLICY. That'd be 43% of their gross income. 👀 acasignups.net/ira-subsidy-...
(And yes, my own family is among those who’re about to be royally screwed by this here in Michigan.) FWIW, if you find my healthcare wonkery useful & would like to support it, you can do so here, thanks! secure.actblue.com/donate/acasi...
Wouldn’t higher income make premiums more difficult to pay?
The subsidies drop off less than your income goes up...at least this year. I'll have to check on the impact next year, but it's not a strict $1 to $1 ratio.
Here's Kentucky as an example; look at the "Nuclear Family." At $70K/yr they're paying $173/mo this year & would pay $436/mo next year. At $80K/yr it would jump to $575/mo for the same plan...which is $4,824/yr more than they're paying this year. So they'd earn $10K more & pay $4,800 more.
Happy to support you, Charles.
We are in terror as a two-earner one kid household where we almost hit the ACA cliff once before it was shaved. Concerned next year’s will be entirely unaffordable unless we intentionally earn below a target range.
Yep. Which state?
WA.
📌
Whoa Charles Gaba! That was a lot of work to enlighten Dems on this site. Many many thanks!
No one can afford this!
One way to kill the ACA Aka Affordable Care Act is to make it UNAFFORDABLE!!!
Question? Are the rate increases being requested in states just for ACA enrollees or will they also apply to others who are not on ACA??
Red state stampede.