Gideon Lukens
@gidlukens.bsky.social
Senior Fellow and Director of Research, Health Policy @centeronbudget. Former Dep. Director for Economic Policy at OMB. Music lover. Views expressed are my own.
A better way would be to extend ACA marketplace premium tax credit enhancements. See table 2 for estimates for every state: www.cbpp.org/research/hea...
November 11, 2025 at 4:48 PM
A better way would be to extend ACA marketplace premium tax credit enhancements. See table 2 for estimates for every state: www.cbpp.org/research/hea...
We now have downloadable graphics like this one for all 50 states plus DC, showing how expiring premium tax credit enhancements are leading to dramatic out-of-pocket premium increases. Find your state here: tinyurl.com/5x89ds7x
November 4, 2025 at 5:17 PM
We now have downloadable graphics like this one for all 50 states plus DC, showing how expiring premium tax credit enhancements are leading to dramatic out-of-pocket premium increases. Find your state here: tinyurl.com/5x89ds7x
How concerned are people about rising health insurance premiums? With premium tax credit enhancements about to expire and ACA marketplace open enrollment underway, search volumes for terms like “health premium increase” are (almost) off the charts.
November 4, 2025 at 2:25 PM
How concerned are people about rising health insurance premiums? With premium tax credit enhancements about to expire and ACA marketplace open enrollment underway, search volumes for terms like “health premium increase” are (almost) off the charts.
Wyoming, West Virginia, and Alaska are the states with the largest $$ increases in out-of-pocket premiums for people with moderate incomes who will lose premium tax credits entirely if the enhancements expire.
October 31, 2025 at 7:11 PM
Wyoming, West Virginia, and Alaska are the states with the largest $$ increases in out-of-pocket premiums for people with moderate incomes who will lose premium tax credits entirely if the enhancements expire.
Window shopping for 2026 ACA marketplace plans is open for almost all states, and open enrollment is only days away. Millions of marketplace enrollees are seeing 2026 premiums spike due to expiring premium tax credits. See our paper with state-level estimates: tinyurl.com/zndd97k7
October 29, 2025 at 6:17 PM
Window shopping for 2026 ACA marketplace plans is open for almost all states, and open enrollment is only days away. Millions of marketplace enrollees are seeing 2026 premiums spike due to expiring premium tax credits. See our paper with state-level estimates: tinyurl.com/zndd97k7
These are real people facing real consequences if Congress doesn’t act to extend the enhancements ASAP. Tracy, a customer service representative, is facing premium increases of $103 a month, which would force her to cut back on other essentials like gas and groceries. (3/4)
October 28, 2025 at 12:46 PM
These are real people facing real consequences if Congress doesn’t act to extend the enhancements ASAP. Tracy, a customer service representative, is facing premium increases of $103 a month, which would force her to cut back on other essentials like gas and groceries. (3/4)
Huge premium spikes in Connecticut, which opened window shopping for 2026 ACA marketplace plans. Because of expiring tax credit enhancements, a typical 60-year-old couple making $85,000 is facing an additional $37,100 annually for benchmark coverage. (1/4)
October 28, 2025 at 12:45 PM
Huge premium spikes in Connecticut, which opened window shopping for 2026 ACA marketplace plans. Because of expiring tax credit enhancements, a typical 60-year-old couple making $85,000 is facing an additional $37,100 annually for benchmark coverage. (1/4)
These are real people facing real consequences if Congress doesn’t act to extend the enhancements ASAP. M.M., an IT consultant, would be forced to cut back on groceries and medications like insulin to treat their diabetes. (3/4)
October 27, 2025 at 5:13 PM
These are real people facing real consequences if Congress doesn’t act to extend the enhancements ASAP. M.M., an IT consultant, would be forced to cut back on groceries and medications like insulin to treat their diabetes. (3/4)
In Illinois, window shopping for 2026 ACA marketplace plans is now open. Because of expiring premium tax credit enhancements, a typical 60-year-old couple making $85,000 will have to pay an additional $23,700 annually for benchmark coverage. (1/4)
October 27, 2025 at 5:12 PM
In Illinois, window shopping for 2026 ACA marketplace plans is now open. Because of expiring premium tax credit enhancements, a typical 60-year-old couple making $85,000 will have to pay an additional $23,700 annually for benchmark coverage. (1/4)
These are real people facing real consequences if Congress doesn’t act to extend the enhancements ASAP. Tracy, a customer service representative, is facing premium increases of $103 a month, which would force her to cut back on other essentials like gas and groceries. (3/4)
October 27, 2025 at 1:38 PM
These are real people facing real consequences if Congress doesn’t act to extend the enhancements ASAP. Tracy, a customer service representative, is facing premium increases of $103 a month, which would force her to cut back on other essentials like gas and groceries. (3/4)
New Jersey’s window shopping for 2026 ACA marketplace plans is open, with large premium spikes because of expiring premium tax credit enhancements. A typical 60-year-old couple making $85,000 will have to pay an additional $20,600 annually for benchmark coverage. (1/4)
October 27, 2025 at 1:37 PM
New Jersey’s window shopping for 2026 ACA marketplace plans is open, with large premium spikes because of expiring premium tax credit enhancements. A typical 60-year-old couple making $85,000 will have to pay an additional $20,600 annually for benchmark coverage. (1/4)
These are real people facing real consequences if Congress doesn’t act to extend the enhancements ASAP. Tracy, a customer service representative, is facing premium increases of $103 a month, which would force her to cut back on other essentials like gas and groceries. (3/4)
October 23, 2025 at 1:23 PM
These are real people facing real consequences if Congress doesn’t act to extend the enhancements ASAP. Tracy, a customer service representative, is facing premium increases of $103 a month, which would force her to cut back on other essentials like gas and groceries. (3/4)
Rhode Island opened window shopping today for 2026 ACA marketplace plans. Because of expiring premium tax credit enhancements, a typical 60-year-old couple making $85,000 will have to pay an additional $18,600 annually for benchmark coverage. (1/4)
October 23, 2025 at 1:22 PM
Rhode Island opened window shopping today for 2026 ACA marketplace plans. Because of expiring premium tax credit enhancements, a typical 60-year-old couple making $85,000 will have to pay an additional $18,600 annually for benchmark coverage. (1/4)
These are real people facing real consequences if Congress doesn’t act to extend the enhancements ASAP. M.M., an IT consultant, would be forced to cut back on groceries and medications like insulin to treat their diabetes. (3/4)
October 22, 2025 at 1:27 PM
These are real people facing real consequences if Congress doesn’t act to extend the enhancements ASAP. M.M., an IT consultant, would be forced to cut back on groceries and medications like insulin to treat their diabetes. (3/4)
Yesterday, Washington state opened 2026 window shopping for its ACA marketplace. Because of expiring premium tax credit enhancements, a typical 60-year-old couple making $85,000 and purchasing benchmark coverage is facing a $23,900 annual cost increase. (1/4)
October 22, 2025 at 1:26 PM
Yesterday, Washington state opened 2026 window shopping for its ACA marketplace. Because of expiring premium tax credit enhancements, a typical 60-year-old couple making $85,000 and purchasing benchmark coverage is facing a $23,900 annual cost increase. (1/4)
These are real people facing real consequences if Congress doesn’t act to extend the enhancements ASAP. Tracy, a customer service representative, is facing premium increases of $103 a month, which would force her to cut back on other essentials like gas and groceries. (3/4)
October 21, 2025 at 1:05 PM
These are real people facing real consequences if Congress doesn’t act to extend the enhancements ASAP. Tracy, a customer service representative, is facing premium increases of $103 a month, which would force her to cut back on other essentials like gas and groceries. (3/4)
Washington, DC opened its 2026 ACA marketplace window shopping. As in other locations, enrollees are seeing big premium spikes because of expiring tax credit enhancements. A typical 60-year-old couple making $85,000 is facing a $24,100 annual increase. (1/4)
October 21, 2025 at 1:04 PM
Washington, DC opened its 2026 ACA marketplace window shopping. As in other locations, enrollees are seeing big premium spikes because of expiring tax credit enhancements. A typical 60-year-old couple making $85,000 is facing a $24,100 annual increase. (1/4)
These are real people facing real consequences if Congress doesn’t act to extend the enhancements ASAP. M.M., an IT consultant, would be forced to cut back on groceries and medications like insulin to treat their diabetes. (3/4)
October 20, 2025 at 1:53 PM
These are real people facing real consequences if Congress doesn’t act to extend the enhancements ASAP. M.M., an IT consultant, would be forced to cut back on groceries and medications like insulin to treat their diabetes. (3/4)
In Vermont, a typical 60-year-old couple making $85,000 will face a $23,900 increase in annual premiums. A family of four making $130,000 will face a whopping $32,600 increase. (2/4)
October 20, 2025 at 1:52 PM
In Vermont, a typical 60-year-old couple making $85,000 will face a $23,900 increase in annual premiums. A family of four making $130,000 will face a whopping $32,600 increase. (2/4)
Oregon and Vermont are also seeing premium spikes due to expiring tax credit enhancements, as their window shopping is underway for 2026 ACA marketplace plans. A typical 60-year-old Oregonian couple making $85,000 will face a $20,700 increase in annual premiums. (1/4)
October 20, 2025 at 1:52 PM
Oregon and Vermont are also seeing premium spikes due to expiring tax credit enhancements, as their window shopping is underway for 2026 ACA marketplace plans. A typical 60-year-old Oregonian couple making $85,000 will face a $20,700 increase in annual premiums. (1/4)
These are real people facing real consequences if Congress doesn’t act to extend the enhancements ASAP. Tracy, a customer service representative, is facing premium increases of $103 a month, which would force her to cut back on other essentials like gas and groceries. (3/4)
October 17, 2025 at 12:52 PM
These are real people facing real consequences if Congress doesn’t act to extend the enhancements ASAP. Tracy, a customer service representative, is facing premium increases of $103 a month, which would force her to cut back on other essentials like gas and groceries. (3/4)
Kentucky opened its 2026 ACA marketplace window shopping this week – and again, residents are seeing big premium spikes because of expiring tax credit enhancements. A typical 60-year-old couple making $85,000 is facing a $23,700 increase in annual premiums. (1/4)
October 17, 2025 at 12:51 PM
Kentucky opened its 2026 ACA marketplace window shopping this week – and again, residents are seeing big premium spikes because of expiring tax credit enhancements. A typical 60-year-old couple making $85,000 is facing a $23,700 increase in annual premiums. (1/4)
These are real people facing real consequences if Congress doesn’t act to extend the enhancements ASAP. Tracy, a customer service representative, is facing premium increases of $103 a month, which would force her to cut back on other essentials like gas and groceries. (3/4)
October 16, 2025 at 5:30 PM
These are real people facing real consequences if Congress doesn’t act to extend the enhancements ASAP. Tracy, a customer service representative, is facing premium increases of $103 a month, which would force her to cut back on other essentials like gas and groceries. (3/4)
Huge premium spikes in Maine, where 2026 ACA marketplace window shopping is now underway. Because of expiring tax credit enhancements, a typical 60-year-old couple making $85,000 in Maine is looking at a $28,900 increase in annual premiums. (1/4)
October 16, 2025 at 5:29 PM
Huge premium spikes in Maine, where 2026 ACA marketplace window shopping is now underway. Because of expiring tax credit enhancements, a typical 60-year-old couple making $85,000 in Maine is looking at a $28,900 increase in annual premiums. (1/4)
3 in 4 people with individual market coverage and low incomes work, and most who don’t are caregivers, in school, or have disabilities. If premium tax credit enhancements expire, many will become uninsured as they lose access to $0-premium plans and face additional red tape. (1/2)
October 16, 2025 at 2:33 PM
3 in 4 people with individual market coverage and low incomes work, and most who don’t are caregivers, in school, or have disabilities. If premium tax credit enhancements expire, many will become uninsured as they lose access to $0-premium plans and face additional red tape. (1/2)