Jennifer Sullivan
@jenniferlsullivan.bsky.social
Director of Health Coverage Access @centeronbudget. Long-time ACA enrollment enthusiast. Aspiring Bake Off champion. Views expressed are my own.
For other ppl with ongoing health care needs, buying down isn’t an option. These individuals will make sacrifices like cutting back on groceries, gas, and other essentials, to be able to afford their current plan’s higher premiums.
December 5, 2025 at 10:17 PM
For other ppl with ongoing health care needs, buying down isn’t an option. These individuals will make sacrifices like cutting back on groceries, gas, and other essentials, to be able to afford their current plan’s higher premiums.
Convos w/enrollment assisters suggest many people can’t afford the same plan they had last year, so they may switch to a less generous plan w/lower premiums but a higher deductible and higher copays/coinsurance. This exposes them to more financial risk if they need care during the year.
December 5, 2025 at 10:17 PM
Convos w/enrollment assisters suggest many people can’t afford the same plan they had last year, so they may switch to a less generous plan w/lower premiums but a higher deductible and higher copays/coinsurance. This exposes them to more financial risk if they need care during the year.
Meanwhile, the Trump administration has made no public effort to extend the enhanced PTCs, which 9 in 10 marketplace enrollees depend on. These credits expire at the end of 2025, and if Congress fails to act, an estimated 4M people could lose coverage. Lisa from Ohio is just one those people:
March 21, 2025 at 7:43 PM
Meanwhile, the Trump administration has made no public effort to extend the enhanced PTCs, which 9 in 10 marketplace enrollees depend on. These credits expire at the end of 2025, and if Congress fails to act, an estimated 4M people could lose coverage. Lisa from Ohio is just one those people: