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These families’ health care costs will balloon if Congress doesn’t act on the ACA

By Eric November 20, 2025

As millions of Americans navigate the complexities of health care coverage, a looming crisis threatens to increase the financial burden on those who rely on health plans purchased through the Affordable Care Act (ACA) marketplaces. Recent reports indicate that without swift action from Congress, many individuals and families could face sharply rising costs for their insurance premiums. This situation stems from the expiration of enhanced subsidies that were initially implemented during the COVID-19 pandemic to make health care more affordable. While these subsidies significantly lowered costs for many, their potential expiration poses a serious risk to the financial stability of those who depend on them.

For example, families like the Bixon family, who have benefited from these subsidies, could see their monthly premiums skyrocket, making essential health care services increasingly inaccessible. The ACA was designed to provide affordable coverage to millions of Americans, particularly those with lower incomes or those who do not receive employer-sponsored insurance. However, the impending expiration of these subsidies means that individuals may have to choose between necessary medical care and other essential expenses, like housing and food. The urgency of the situation is underscored by the fact that health care costs have already been a significant concern for many Americans, with rising prices affecting everything from prescription medications to hospital visits.

Key stakeholders, including health advocates and lawmakers, are calling for immediate legislative action to extend these subsidies and prevent a health care affordability crisis. The potential impact of inaction is staggering; millions could find themselves uninsured or underinsured, further exacerbating health disparities across the nation. The conversation around health care affordability is not just about numbers; it reflects the real-life struggles of families and individuals striving to maintain their health and well-being in an increasingly challenging economic landscape. As the deadline approaches, the pressure on Congress to act becomes more pronounced, highlighting the critical intersection of health care policy and the everyday lives of Americans.

Millions of Americans face sharply rising costs for health care plans they bought through the Affordable Care Act marketplaces, unless Congress acts soon. Here’s what’s at stake for them.
(Image credit: Chris O’Donnell, Bixon family, Genna Boatright, Ezra McKay, and Kristine Weidner)

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