Larry Levitt
@larrylevitt.bsky.social
Executive Vice President for Health Policy, KFF. Cal Bear.
https://www.kff.org/person/larry-levitt/
https://www.kff.org/person/larry-levitt/
I was genuinely interested to see President Trump's health plan today. Guess we'll have to wait longer.
November 24, 2025 at 6:37 PM
I was genuinely interested to see President Trump's health plan today. Guess we'll have to wait longer.
Proposals from Senators Scott and Cassidy to convert ACA premium tax credits into health accounts present trade-offs that benefit healthy people at the expense of sick people. Senator Scott's proposal, in particular, would destabilize the insurance market in some states.
www.kff.org/affordable-c...
www.kff.org/affordable-c...
November 21, 2025 at 10:43 PM
Proposals from Senators Scott and Cassidy to convert ACA premium tax credits into health accounts present trade-offs that benefit healthy people at the expense of sick people. Senator Scott's proposal, in particular, would destabilize the insurance market in some states.
www.kff.org/affordable-c...
www.kff.org/affordable-c...
ACA enrollment growth since enhanced premium tax credits were put in place is dramatically skewed towards red states. Yet, no Republican voted for the ACA originally, or for the enhanced tax credits.
www.kff.org/affordable-c...
www.kff.org/affordable-c...
November 21, 2025 at 3:24 PM
ACA enrollment growth since enhanced premium tax credits were put in place is dramatically skewed towards red states. Yet, no Republican voted for the ACA originally, or for the enhanced tax credits.
www.kff.org/affordable-c...
www.kff.org/affordable-c...
Leaving aside the issue that people buying insurance would buy it from insurance companies. This sounds like an effort to let people bypass the ACA. Healthy people could buy cheaper insurance that doesn't cover pre-existing conditions, sending the ACA into a premium death spiral.
November 18, 2025 at 3:02 PM
Leaving aside the issue that people buying insurance would buy it from insurance companies. This sounds like an effort to let people bypass the ACA. Healthy people could buy cheaper insurance that doesn't cover pre-existing conditions, sending the ACA into a premium death spiral.
A bipartisan deal on ACA premium tax credits is far from certain. If it happens, it will mean threading a very thin needle.
@citizencohn.bsky.social
www.thebulwark.com/p/here-is-ho...
@citizencohn.bsky.social
www.thebulwark.com/p/here-is-ho...
November 12, 2025 at 3:05 PM
A bipartisan deal on ACA premium tax credits is far from certain. If it happens, it will mean threading a very thin needle.
@citizencohn.bsky.social
www.thebulwark.com/p/here-is-ho...
@citizencohn.bsky.social
www.thebulwark.com/p/here-is-ho...
KFF's estimate that out-of-pocket ACA premiums will increase if enhanced tax credits expire by an average of 114% has been widely reported. But, it varies a lot, especially by income. Here's what increases look like in dollar terms -- from $378 at $18,000 to $1,836 at $45,000.
November 11, 2025 at 3:47 PM
KFF's estimate that out-of-pocket ACA premiums will increase if enhanced tax credits expire by an average of 114% has been widely reported. But, it varies a lot, especially by income. Here's what increases look like in dollar terms -- from $378 at $18,000 to $1,836 at $45,000.
You have to read between the lines here to imagine what President Trump is proposing. But, it sounds like it may be a plan for health accounts that could be used for insurance that doesn’t cover pre-existing conditions, which could create a death spiral in ACA plans that do.
November 8, 2025 at 6:14 PM
You have to read between the lines here to imagine what President Trump is proposing. But, it sounds like it may be a plan for health accounts that could be used for insurance that doesn’t cover pre-existing conditions, which could create a death spiral in ACA plans that do.
A lot of people are curious why insurers are increasing benchmark ACA premiums by an average of 26%. The publicly-available rate justifications from insurance companies typically look something like this. So, it's kind of hard to tell for sure.
October 30, 2025 at 6:39 PM
A lot of people are curious why insurers are increasing benchmark ACA premiums by an average of 26%. The publicly-available rate justifications from insurance companies typically look something like this. So, it's kind of hard to tell for sure.
I can't imagine a better use of @axios.com writing style than this "yes, but" from @maya-goldman.bsky.social about the 114% average out-of-pocket premium increase that ACA enrollees will face if enhanced tax credits expire.
www.axios.com/2025/10/30/a...
www.axios.com/2025/10/30/a...
October 30, 2025 at 1:31 PM
I can't imagine a better use of @axios.com writing style than this "yes, but" from @maya-goldman.bsky.social about the 114% average out-of-pocket premium increase that ACA enrollees will face if enhanced tax credits expire.
www.axios.com/2025/10/30/a...
www.axios.com/2025/10/30/a...
New: As open enrollment is about to begin, we estimate ACA insurers are raising premiums by an average of 26%. But if enhanced tax credits expire, 22 million enrollees will see their payments increase by way more than that, more than doubling.
www.kff.org/quick-take/a...
www.kff.org/quick-take/a...
October 29, 2025 at 12:51 AM
New: As open enrollment is about to begin, we estimate ACA insurers are raising premiums by an average of 26%. But if enhanced tax credits expire, 22 million enrollees will see their payments increase by way more than that, more than doubling.
www.kff.org/quick-take/a...
www.kff.org/quick-take/a...
There's been a lot of focus on our estimate that ACA enrollees will see their out-of-pocket premiums increase by 114% if enhanced tax credits expire. That may be a hard number to grasp. Another way of looking at it: What enrollees pay will go up by $1,016 on average.
www.kff.org/affordable-c...
www.kff.org/affordable-c...
October 23, 2025 at 8:41 PM
There's been a lot of focus on our estimate that ACA enrollees will see their out-of-pocket premiums increase by 114% if enhanced tax credits expire. That may be a hard number to grasp. Another way of looking at it: What enrollees pay will go up by $1,016 on average.
www.kff.org/affordable-c...
www.kff.org/affordable-c...
An official White House press release announces that an AstaZeneca inhaler will become available at a price discount of 654%.
www.whitehouse.gov/fact-sheets/...
www.whitehouse.gov/fact-sheets/...
October 10, 2025 at 10:41 PM
An official White House press release announces that an AstaZeneca inhaler will become available at a price discount of 654%.
www.whitehouse.gov/fact-sheets/...
www.whitehouse.gov/fact-sheets/...
We estimate that ACA marketplace enrollees will see their out-of-pocket premiums increase by 114% if enhanced tax credits are not extended. That translates to an average premium increase of $1,016 per enrollee.
www.kff.org/affordable-c...
www.kff.org/affordable-c...
October 6, 2025 at 5:48 PM
We estimate that ACA marketplace enrollees will see their out-of-pocket premiums increase by 114% if enhanced tax credits are not extended. That translates to an average premium increase of $1,016 per enrollee.
www.kff.org/affordable-c...
www.kff.org/affordable-c...
Nationwide, 45% of ACA marketplace enrollees identify as Republicans, 35% as Democrats, and 20% as Independents/Other.
October 4, 2025 at 4:36 PM
Nationwide, 45% of ACA marketplace enrollees identify as Republicans, 35% as Democrats, and 20% as Independents/Other.
This is a remarkable statistic: 18.7 million out of the 24.3 million Obamacare enrollees are in states won by President Trump in 2024.
www.kff.org/quick-take/m...
www.kff.org/quick-take/m...
October 3, 2025 at 2:35 PM
This is a remarkable statistic: 18.7 million out of the 24.3 million Obamacare enrollees are in states won by President Trump in 2024.
www.kff.org/quick-take/m...
www.kff.org/quick-take/m...
The public is also concerned about the federal spending required to extend the enhanced ACA tax credits.
October 3, 2025 at 2:23 PM
The public is also concerned about the federal spending required to extend the enhanced ACA tax credits.
If the ACA enhanced tax credits expire, the vast majority of people would be concerned about health insurance being affordable, millions becoming uninsured, and small businesses being impacted.
October 3, 2025 at 2:11 PM
If the ACA enhanced tax credits expire, the vast majority of people would be concerned about health insurance being affordable, millions becoming uninsured, and small businesses being impacted.
New: Broad support across the political spectrum for extending enhanced ACA premium tax credits.
October 3, 2025 at 1:58 PM
New: Broad support across the political spectrum for extending enhanced ACA premium tax credits.
Democrats are pushing Congressional Republicans and President Trump to extend expiring ACA premium tax credits. Those enhanced tax credits have pushed enrollment up dramatically, but primarily in red states.
September 29, 2025 at 1:51 PM
Democrats are pushing Congressional Republicans and President Trump to extend expiring ACA premium tax credits. Those enhanced tax credits have pushed enrollment up dramatically, but primarily in red states.
New: 27% of farmers buy their own health insurance and are among the groups that will get hard hit if enhanced ACA premium tax credits are allowed to expire at the end of of this year.
www.kff.org/affordable-c...
www.kff.org/affordable-c...
September 25, 2025 at 2:24 PM
New: 27% of farmers buy their own health insurance and are among the groups that will get hard hit if enhanced ACA premium tax credits are allowed to expire at the end of of this year.
www.kff.org/affordable-c...
www.kff.org/affordable-c...
Democrats are pushing for an extension of enhanced ACA tax credits because health care has always been a priority for the party and Obamacare is a signature policy achievement.
But, people in red states would be hurt the most if the tax credits expire.
www.nytimes.com/2025/09/24/h...
But, people in red states would be hurt the most if the tax credits expire.
www.nytimes.com/2025/09/24/h...
September 24, 2025 at 5:37 PM
Democrats are pushing for an extension of enhanced ACA tax credits because health care has always been a priority for the party and Obamacare is a signature policy achievement.
But, people in red states would be hurt the most if the tax credits expire.
www.nytimes.com/2025/09/24/h...
But, people in red states would be hurt the most if the tax credits expire.
www.nytimes.com/2025/09/24/h...
Enhanced ACA premium tax credits were originally passed as part of an economic relief package during the COVID pandemic. But, Democrats have long pushed for increased premium assistance, including Joe Biden during the 2020 campaign.
September 23, 2025 at 8:35 PM
Enhanced ACA premium tax credits were originally passed as part of an economic relief package during the COVID pandemic. But, Democrats have long pushed for increased premium assistance, including Joe Biden during the 2020 campaign.
Remember, while states can require insurance companies to cover specific vaccines if the federal government no longer recommends them, they have no power over self-insured employers. 63% of people with employer-sponsored health benefits are in a self-insured plan.
www.kff.org/health-costs...
www.kff.org/health-costs...
September 19, 2025 at 2:15 PM
Remember, while states can require insurance companies to cover specific vaccines if the federal government no longer recommends them, they have no power over self-insured employers. 63% of people with employer-sponsored health benefits are in a self-insured plan.
www.kff.org/health-costs...
www.kff.org/health-costs...
New from CBO:
Extending enhanced ACA premium tax credits, due to expire at the end of this year, would prevent 3.8 million more people from becoming uninsured.
It would cost $350 billion over 10 years.
www.cbo.gov/publication/...
Extending enhanced ACA premium tax credits, due to expire at the end of this year, would prevent 3.8 million more people from becoming uninsured.
It would cost $350 billion over 10 years.
www.cbo.gov/publication/...
September 18, 2025 at 3:55 PM
New from CBO:
Extending enhanced ACA premium tax credits, due to expire at the end of this year, would prevent 3.8 million more people from becoming uninsured.
It would cost $350 billion over 10 years.
www.cbo.gov/publication/...
Extending enhanced ACA premium tax credits, due to expire at the end of this year, would prevent 3.8 million more people from becoming uninsured.
It would cost $350 billion over 10 years.
www.cbo.gov/publication/...
15 years after it passed, we're still debating Obamacare.
www.washingtonpost.com/politics/202...
www.washingtonpost.com/politics/202...
September 17, 2025 at 11:30 AM
15 years after it passed, we're still debating Obamacare.
www.washingtonpost.com/politics/202...
www.washingtonpost.com/politics/202...