Middle income Americans “as well as those with low incomes” will see “major out-of-pocket premium increases" if the Republican-led Congress doesn’t extend tax credits for those with individual coverage under the Affordable Care Act, according to a KFF analysis released Friday, Sept. 19, 2025. In this photo, US House Speaker Mike Johnson, a Republican from Louisiana, during a news conference at the US Capitol in Washington, DC, US, on Tuesday, March 11, 2025. Photographer: Al Drago/Bloomberg © 2025 Bloomberg Finance LP

Middle income Americans “as well as those with low incomes” will see “major out-of-pocket premium increases" if the Republican-led Congress doesn’t extend tax credits for those with individual coverage under the Affordable Care Act, according to a new analysis.

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