Millions of Americans are bracing for a sharp increase in their health insurance premiums next year as expiring enhanced subsidies trigger a " cliff " on aid — and they are worried about the financial stress tied to those extra costs.

Ashley Thompson of Austin, Texas, said she and her husband are weighing whether to drop their health coverage next year and insure only their two children to make the financials work.

Premiums for the family's current health plan on the Affordable Care Act marketplace could triple, to about $3,553 a month in 2026 from $1,200 this year, without the enhanced federal subsidies set to expire at year's end, based on marketplace estimates.

That expense, almost $43,000 a year, would account for roughly a third or more of their household income — and that'

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