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Working families are reeling from Donald Trump and congressional Republicans doubling, tripling, and quadrupling their health premiums to bankroll massive tax giveaways to billionaires and big corporations. As a result, once-unthinkable choices are now a grim reality across the nation. Teachers, like Kate from Arizona, are grappling with premiums that have skyrocketed, forcing her and her husband to downgrade to a bare-bones, high-deductible plan just to stay insured. Kate prays they won’t have an accident, because if they do, they could be thrown into crippling medical debt. Small business owners, like Hulsman from Kentucky, are being crushed by the GOP’s premium hikes and forced to drop once-affordable plans for riskier, high-deductible bronze coverage. Hulsman, like Kate, hopes a medical emergency doesn’t land him in dire financial straits, forcing him to close down the skate shop he built with blood, sweat, and tears.

While health care is Americans’ top affordability concern, Trump and Senate Republicans continue to stonewall a House-passed extension of the Affordable Care Act tax credits — the only viable, popular, and bipartisan solution to end these devastating premium hikes. As more Americans are forced to downgrade coverage or drop it altogether, voters won’t forget at the ballot box in November that it was Republicans who knowingly forced these impossible choices on them — all so the GOP’s billionaire donors could cash in on their misery and pain.

Recent National Coverage 

The Independent: Families Are Turning to Thoughts and Prayers as Health Insurance Premiums Hit Crippling Highs

KFF Health News: When Health Insurance Costs More Than the Mortgage

CNBC: Millions May Drop ACA Coverage — And Raise Health Insurance Costs for Everyone Else

Politico: More Americans Are Picking Higher-Deductible Obamacare Plans, Possibly Risking Their Health

New York Times: For Some Americans, the End of Obamacare Subsidies Means Falling Off a Financial Cliff

CNBC: As ACA Subsidies Expire, Voters Cite Health Costs as Top Economic Worry, Survey Finds

Modern Healthcare: ACA Price Hikes Spark ‘Alternative’ Plan Marketing Blitz

The Independent: The Impossible Choices Facing Millions of Americans as Healthcare Costs Soar

Washington Post: The Cost of Health Care, Not Food or Rent, Is Now Americans’ Top Worry

Bloomberg: Americans Are More Worried About Health Care Costs Than Gas or Groceries

The 19th: Health Insurance Costs Are Up. Women and LGBTQ+ People Are Paying the Price.

The Hill: Millions of Americans Rely on the Affordable Care Act. They Deserve an Upgrade.

The Street: Millions Now Pay Higher ACA Premiums as Subsidies Expire

Third Way: Medical Debt is Worse for Republican Voters

Insurance News Net: As ACA Subsidies Expire, Thousands Drop Coverage or Downgrade Plans

Alabama

AL.com: Obamacare Enrollment Drops in Alabama: ‘This Harm Was Entirely Preventable’

Arkansas

Arkansas Democrat Gazette: Arkansas Enrollment in Affordable Care Act Marketplace Plans Drops 4%

California 

San Francisco Examiner: Covered California New Enrollments Down Almost One-Third After Subsidies Lapse

Colorado 

Beinsure: Colorado ACA Marketplace Posts Early 2026 Enrollment Dip Amid Rising Rates

Colorado Times Recorder: Opinion: When Tax Cuts for the Wealthy Become Health Care Cuts for Everyone Else

Florida

Tampa Bay Times: Florida Affordable Care Act Numbers Fall as Subsidies Expire

Georgia

Red&Black: Athens Expected to Have High Increase in Premiums in Georgia Following ACA Subsidy Expiration

Illinois

Daily Northwestern: Illinois Health Care Providers Prepare for Fallout After Affordable Care Act Subsidies Expire

Indiana

The Journal Gazette: Editorial Board: ACA Enrollment Plummets in Indiana; Congress Must Extend Tax Credits

IndyStar: Indiana Sees 4th Highest Drop in Obamacare Enrollees After Subsidies Expire

Kansas

Sunflower State Journal: ACA Enrollment in Kansas Falls Almost 4% After Tax Credits Expire

Michigan

WSJM: Higher Affordable Care Act Costs Hitting Michigan

Missouri

The Beacon: After Enhanced Subsidies Disappear, Affordable Care Act Enrollment Drops in Missouri and Kansas

News From The States: As ACA Subsidies Expire, Thousands of Missourians Drop Coverage or Downgrade Plans

Montana

NBC Montana: Data Shows Fewer Montanans Selected Affordable Care Act Marketplace Health Plans

New Hampshire

New Hampshire Bulletin: New Hampshire Must Get Serious About Health Care Costs

New Jersey

CBS: Over 466,000 N.J. Residents Lost Enhanced ACA Tax Credits This Year. The Impact Extends Even Further.

Ohio

Cleveland.com: Expected Rise in Uninsured Ohioans Could Signal New Stress for Providers, Poorer Public Health

Oklahoma

KTUL: Oklahoma ACA Insurance Premiums Surge as Federal Subsidies Expire

2 News Oklahoma: Oklahoma Aca Marketplace Sees Dramatic Premium Increases

Oregon

Willamette Week: Oregon Sees One of the Nation’s Largest Drops in Obamacare Marketplace Enrollment

Tennessee

Nashville Banner: As Subsidies Expire, Tennessee Sees Tens of Thousands Fewer Enrollments in Health Insurance Through ACA

Washington 

Gig Harbor Now: Washingtonians Feeling Pain From Elimination of Health Care Tax Credit

Wisconsin

Racine County Eye: Health Insurance in 2026: Facing Tough Choices, Fewer Sign Up

UpNorthNews: Here’s the Phony Reason the US Senate Hasn’t Voted to Restore ACA Tax Credits