Enhanced premium tax credits are critically important in lowering the cost of health care for millions of families in the U.S., including more than 484,000 people in Michigan. The credits help people to afford their Affordable Care Act Marketplace coverage and, yet, Congress still has not taken action to ensure they don’t expire at the end of this year. 

Open enrollment began on Nov. 1, which means marketplace enrollees and new shoppers are already likely starting to see stark increases to premiums and out-of-pocket costs relative to years past. And if Congress lets the enhanced premium tax credits expire, these dramatic spikes in health care coverage costs will remain, with premium increases of more than 75% expected for the average enrollee and 90% expected for those living in rural are

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