The Roosevelt Institute 240d ago

Millions of Americans could lose health coverage overnight. As the Affordable Care Act’s enhanced premium subsidies expire, insurance costs are set to skyrocket—threatening the progress that made coverage affordable for millions. This video breaks down the stakes: how losing these subsidies could push 5 million people off their plans, drive premiums up more than 75%, and trigger a vicious cycle of rising costs, shrinking insurer competition, and growing medical debt. Hospitals and communities—especially in rural and low-income areas—could face billions in uncompensated care and even closures. From skyrocketing premiums to the broader collapse of healthcare access, we show how this isn’t just a policy deadline—it’s a potential crisis for families, communities, and the entire health system. Watch to understand what’s at risk—and what’s next if Congress doesn’t act. SOURCES: https://rooseveltinstitute.org/publications/medical-debt/ https://bipartisanpolicy.org/issue-brief/enhanced-premium-tax-credits-who-benefits-how-much-and-what-happens-next/ https://time.com/7322340/government-shutdown-immigrants-healthcare/ https://www.urban.org/sites/default/files/2025-09/4.8-Million-People-Will-Lose-Coverage-in-2026-If-Enhanced-Premium-Tax-Credits-Expire.pdf https://www.healthsystemtracker.org/brief/how-much-and-why-aca-marketplace-premiums-are-going-up-in-2026/ https://www.alvarezandmarsal.com/thought-leadership/disruption-in-the-aca-market-implications-and-strategic-responses https://www.rwjf.org/en/insights/our-research/2023/04/changes-in-marketplace-premiums-and-insurer-participation-2022-2023.html https://www.fiercehealthcare.com/providers/providers-face-321b-lost-2026-revenue-if-aca-enhanced-premiums-expire https://www.kff.org/medicaid/a-closer-look-at-the-work-requirement-provisions-in-the-2025-federal-budget-reconciliation-law/ https://hsph.harvard.edu/news/how-medicaid-cuts-could-lead-to-loss-of-coverage-for-millions/ Learn more: https://rooseveltinstitute.org/ Follow us on Twitter: https://x.com/rooseveltinst Follow us on Facebook: https://www.facebook.com/Roosevelt.Institute/ Follow us on LinkedIn: https://www.linkedin.com/company/roosevelt-institute/ Follow us on BlueSky: https://bsky.app/profile/rooseveltinstitute.org