A combination of Trump administration policies will make health care coverage more expensive for people who purchase plans from health insurance marketplaces — and rural residents will be hit the hardest, according to a new analysis.

Researchers from the Century Foundation say Trump administration policies — especially its refusal to ask Congress to extend Biden-era tax credits that are set to expire at the end of this year — will boost out-of-pocket premiums by 93% in the 32 states that allow the federal government to operate their Affordable Care Act insurance marketplaces. New rules and tariffs will have a smaller impact.

Rural county residents in those states will see an increase of 107%, while residents of urban counties will pay 89% more, according to the analysis by the Century Fo

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