Enhanced subsidies for enrollees in ACA Marketplace plans are set to expire at the end of 2025. A new KFF calculator shows how much out-of-pocket premiums would increase if Congress does not extend the subsidies. For example, two 40 year-old parents with two 10 year-old children in Davis, West Virginia making $125,000 would go from paying $885 to $2,918 per month, an increase of $2,033 ($24,392 per year). A 30 year old in Dallas, Texas making just over poverty would go from paying $0 to $24 per month (and increase of $291 per year).
With President-elect Trump returning to the White House and Republicans taking control of Congress, work requirements in Medicaid are likely to be back on the agenda—through federal legislation or waivers. A new issue brief highlights the history of Medicaid work requirements, describes recent state activity to advance work requirement policies, and recaps the landscape of work requirement approvals and pending requests at the end of President Trump’s first term.
A new KFF policy watch highlights several areas in which HHS, FDA, and CDC have authority to shape U.S. vaccine policy, with a specific focus on vaccine approvals and recommendations for the public. While there are limits, federal officials have significant authority, which could affect vaccine availability, views about vaccines, and vaccine use in the U.S.
Also, a KFF policy watch examines the decline in childhood vaccination rates, and a new quick take explores the public's views on vaccines and mandates and the future of vaccination in the next Administration.
With a new Trump administration poised to move into the White House and Republicans set to control both chambers of Congress, party leaders are making a to-do list for the Affordable Care Act.
Please note: We will not publish This Week on Friday, November 29, but will be back in your inbox on December 6.
Question of the Week
Last week, 30% correctly answered that 67% of all Medicare Advantage plans with Part D prescription drug coverage will charge no premium in 2025. .
If the American Rescue Plan Act enhanced subsidies are not renewed by Congress and expire at the end of 2025, ACA enrollee premium payments are expected to increase by what percentage, on average?