Your premiums might go up, and you might need to work harder to stay eligible.
President Donald Trump signed his “big, beautiful bill” into law on July 4, making changes to health insurance coverage for millions of Americans.
If you have a marketplace health insurance plan, sometimes also known as Obamacare or Affordable Care Act (ACA) plans, your premiums might go up, and you might need to do more work to stay eligible.
Here are a few key changes to marketplace health insurance in the new law — plus one thing that went unaddressed — and what to do about them.1. Premiums might get much pricier
In states using HealthCare.gov, enhanced tax credits made subsidized premiums about $624 less expensive per year in 2024. That’s according to estimates by KFF, a health policy nonprofit.
Enhanced subsidies are set to expire after 2025. Smaller tax credits — and therefore more expensive premiums — go back into effect starting in 2026.
If the enhanced subsidies expire, marketplace health insurance members at all income levels will pay more. Net premiums would rise by 25% to 100%, depending on income, according to estimates by the Commonwealth Fund, a health care policy think tank.
Expiring subsidies would lead to 4.2 million more people without health insurance by 2034, according to the nonpartisan Congressional Budget Office.
