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The Trump administration’s war on health care is driving insurance premiums through the roof, and Americans from New York to California are feeling the sting. Now, Donald Trump and Congressional Republicans are threatening to shut down the government unless they get to end health insurance tax credits and jack up premiums even more—as high as 90 percent—for over 20 million hardworking Americans who buy their insurance on their own. Read Protect Our Care’s report on Republicans’ plan to play politics with the health insurance tax credits working people count on here

The specter of even higher premiums for millions of Americans is already causing hospitals to shut their doors, providers to fear for their patients’ lives, and small business owners to wonder how they will keep their employees covered. Still, the GOP refuses to use its power in Congress and the White House to save Americans from further financial devastation. 

Protect Our Care’s Premium Disaster Watch exposes how the Trump-GOP bill is driving up health care premiums for millions of families nationwide, putting affordable coverage further out of reach.

Recent Coverage

Spectrum News: Democrats Warn Health Care Costs for Millions Will Increase if Affordable Care Act Tax Credits Lapse

AP News: Millions Face Skyrocketing Health Insurance Costs Unless Congress Extends Subsidies

Forbes: Middle-Income Americans Hit Hard If Congress Doesn’t Extend Obamacare Credits

NBC News: Families on Obamacare Brace for Higher Health Care Premiums Next Year

NBC: Why Obamacare Funding Is a Sticking Point in the Fight to Avoid a Government Shutdown 

CNBC: ACA Cliff May Mean ‘Huge Premium Shock’ for 22 Million People in 2026, Expert Says

AARP: Older Adults Face Spike in Health Insurance Costs as ACA Enhanced Premium Tax Credits Are Set to Expire

Bloomberg: Insurers Warn Against Delay in Extending Obamacare Subsidies

Fierce Healthcare: Delaying ACA Subsidy Legislation Past Sept. 30 Limits Next Year’s Premium Reductions: CBO

STAT: Here’s Who Will Be Hit With Higher Premiums if ACA Enhanced Subsidies Expire

New Republic: A Health Care Cost Bomb Is Coming—Unless Congress Acts

Axios: Surging Health Costs Bode Ill for Workers Next Year

Fast Company: Healthcare Costs Could Explode in 2026

Washington Post: The GOP Cut Parts of Obamacare. Now It’s at the Center of a Funding Fight.

Axios: GOP Considers Changing and Extending ACA Subsidies

Punchbowl News: GOP Eyes Coming Obamacare Cliff

Healthcare Innovation: Impact of Federal Budget Cuts on Healthcare Costs for Working Families in the Northeast

CBS News: With ACA Costs on the Rise, Trump Team Promotes More Limited Catastrophic Health Insurance Plans

Fierce Healthcare: Opinion: Congress Must Extend the Healthcare Tax Credit to Keep Care Affordable for Millions

Courthouse News: Democrats Push for Permanent Extension of Expiring Health Care Subsidies

Colorado

Colorado Newsline: Polis Urges Congress to Extend Health Insurance Premium Tax Credits

Delaware

Bay to Bay News: Delaware Leads Coalition of 18 States Urging Continuation of Federal Health Insurance Tax Credits

Delaware Online: Meyer, 17 Governors Sign Letter to Congress, Ask to Extend Health Marketplace Tax Credits

Florida

Gulf Coast News Now: Florida Braces for Health Care Changes as Obamacare Tax Credits Set to Expire

Tallahassee Democrat: ‘Unwelcome Mat’: Health Insurance Threatened for Millions of Florida Families

Florida Phoenix: Up, Up, and Away: 2026 Health Insurance Premiums Set to Double for Millions of Floridians

Pensacola News Journal: Opinion: Congress Must Extend Healthcare Tax Credits Before It’s Too Late

Georgia

Georgia Recorder: Expiration of Premium Tax Credits Spells Disaster for Rural Georgia

Kansas

KWCH: Employees and Employers Brace for a Spike in Health Insurance Premiums

KCLY: Millions at Risk of Higher Health Costs as ACA Tax Credit Expiration Looms

Maryland

Maryland Matters: Health Advocates, State Officials Brace for ‘Sticker Shock’ if ACA Tax Credits Expire

WMAR: Maryland Families Face Potential Loss of Affordable Healthcare as Federal Subsidies Set to Expire

Michigan

Detroit News: Michigan Dems Push Extension of Obamacare Tax Subsidies in Shutdown Fight, GOP Balks

Minnesota

MinnPost: 90,000 Minnesotans Face Big Health Insurance Premium Hikes Without Congressional Action

Missouri

KSDK: Missouri Workers Can Bet on Paying More for Health Insurance Next Year

New York

Axios: Exclusive: New York Scraps Expanded State Health Coverage, Citing GOP Budget Law

Oklahoma

Journal Record: Loss of Health Care Tax Credit Looms for Oklahomans

Pennsylvania

PennLive: Nurses, Health Care Workers Urge Sen. Fetterman to Protect Insurance Premiums

Morning Call: Opinion: Time Is Running Out to Stop Unprecedented Health Care Cost Increases for Nearly 50,000 Pennsylvanians

Tennessee

WTVF: Congress Faces Pressure to Extend Health Insurance Tax Credits Before Year-End Expiration

Texas

Denton Record-Chronicle: North Texas Health Care, Community Leaders Warn Loss of ACA Tax Credit Could Hurt Patients

Vermont

VT Digger: ‘It Couldn’t Come at a Worse Time’: Vermont Grapples With the Potential End of Covid-Era Federal Subsidies for Marketplace Health Insurance

Virginia

Punchbowl News: Va. Democrats Push ACA Credit Extension 

Richmond Times Dispatch: VA. Representatives Spar as Health Insurance Sticker Shock Looms

Virginian-Pilot: Opinion: Expiration of EPTCs would raise health care costs for Virginians

Virginia Mercury: Virginia Democrats and Some Republicans Want to Extend ACA Tax Credits as Shutdown Looms 

Richmond Times-Dispatch: Richmond’s Mama J’s Joins Call to Save Health Care Credits

Virginia Independent: Virginia Democrats in Congress Call for Permanent Health Insurance Premium Subsidies

Washington

Spokesman-Review: Washington Health Insurance Premiums to Soar in 2026 Amid Rising Costs and Expiring Tax Credits

Wisconsin

WKBT: Health Care Funding Concerns Rise as ACA Premium Tax Credits Set to Expire