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Charles Gaba @charlesgaba.com

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.

aug 18, 2025, 12:47 am • 46 24

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Charles Gaba @charlesgaba.com

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.

aug 18, 2025, 12:51 am • 60 36 • view
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Jay Robertson @ijeftomi.bsky.social

Not all inflation is eggs and gas 😗

aug 18, 2025, 3:56 am • 3 0 • view
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Charles Gaba @charlesgaba.com

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.

aug 18, 2025, 12:54 am • 46 25 • view
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Charles Gaba @charlesgaba.com

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-...

Alabama: Impact on net ACA benchmark Silver plan premiums for various households at various income levels if IRA subsidies expire & CMS
aug 18, 2025, 12:58 am • 66 41 • view
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Charles Gaba @charlesgaba.com

(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...

aug 18, 2025, 1:12 am • 45 12 • view
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washakie08.bsky.social @washakie08.bsky.social

Wouldn’t higher income make premiums more difficult to pay?

aug 18, 2025, 1:41 am • 0 0 • view
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Charles Gaba @charlesgaba.com

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.

aug 18, 2025, 2:25 am • 1 0 • view
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Charles Gaba @charlesgaba.com

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.

Kentucky: Impact on net ACA benchmark plan premiums with & without IRA subsidies & CMS
aug 18, 2025, 2:36 am • 17 3 • view
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Charles Gaba @charlesgaba.com

Now, where it WOULD be a problem is if the extra income tipped them just barely over the 400% FPL threshold (ie, from $120K in 2025 to $130K in 2026), in which case they'd immediately see their premiums skyrocket from $812/mo to $1,928/mo. That'd be $13,392 more next year w/$10,000 higher income.

aug 18, 2025, 2:39 am • 15 7 • view
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linnaea72.bsky.social @linnaea72.bsky.social

Gross income or adjusted gross income?

aug 18, 2025, 12:35 pm • 0 0 • view
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Charles Gaba @charlesgaba.com

Modified Adjusted Gross Income: www.healthcare.gov/glossary/mod...

aug 18, 2025, 12:38 pm • 1 0 • view
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Craig Harrington @craigipedia.bsky.social

Well, it’s still true that they plan to torch healthcare and blame Democrats for the ashes though. And the public doesn’t even know who was president when COVID started or why there was inflation so them realizing that the increasing pain actually started before the midterms is honestly unlikely.

aug 18, 2025, 2:41 am • 2 0 • view
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Pissyrabbit @pissyrabbit.bsky.social

JFC

aug 18, 2025, 2:46 am • 1 0 • view
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Maximus @maximustm.bsky.social

Happy to support you, Charles.

aug 18, 2025, 1:37 am • 1 0 • view
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Glenn Fleishman @glennf.com

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.

aug 18, 2025, 2:56 am • 7 0 • view
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Charles Gaba @charlesgaba.com

Yep. Which state?

aug 18, 2025, 3:11 am • 3 0 • view
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Glenn Fleishman @glennf.com

WA.

aug 18, 2025, 3:17 am • 5 0 • view
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Charles Gaba @charlesgaba.com

WA is looking at roughly 20% gross hikes on avg. I still have to update the net rate examples: acasignups.net/rate_changes...

aug 18, 2025, 3:33 am • 4 1 • view
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Glenn Fleishman @glennf.com

That is far better than I hoped.

aug 18, 2025, 3:57 am • 2 0 • view
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Charles Gaba @charlesgaba.com

Well…here’s my original analysis of the net rate impact…I still have to update it: acasignups.net/ira-subsidy-...

aug 18, 2025, 3:58 am • 2 1 • view
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Daniela @danielaphoto.bsky.social

In the same boat terrifying

aug 18, 2025, 8:00 pm • 2 0 • view
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Annaporia @annaporia.bsky.social

📌

aug 18, 2025, 1:23 am • 1 0 • view
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Lee @oliveade.bsky.social

Whoa Charles Gaba! That was a lot of work to enlighten Dems on this site. Many many thanks!

aug 18, 2025, 1:11 am • 2 0 • view
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Ever Rouge @everrouge.bsky.social

No one can afford this!

aug 18, 2025, 12:30 pm • 2 0 • view
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someone @sagaciousai.bsky.social

One way to kill the ACA Aka Affordable Care Act is to make it UNAFFORDABLE!!!

aug 19, 2025, 1:21 am • 0 0 • view
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skyla50.bsky.social @skyla50.bsky.social

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??

aug 18, 2025, 12:28 pm • 0 0 • view