It was in early 2021 that Congressional Democrats passed & President Biden signed the American Rescue Plan Act (ARPA), which among other things dramatically expanded & enhanced the original premium subsidy formula of the Affordable Care Act, finally bringing the financial aid sliding income scale up to the level it should have been in the first place over a decade earlier.

In addition to beefing up the subsidies along the entire 100 - 400% Federal Poverty Level (FPL) income scale, the ARPA also eliminated the much-maligned "Subsidy Cliff" at 400% FPL, wherein a household earning even $1 more than that had all premium subsidies cut off immediately, requiring middle-class families to pay full price for individual market health insurance policies.

Here's what the original ACA premium subsidy formula looked like compared to the current, enhanced subsidy formula:

via Access Health CT:

Customers who enroll on or before Dec. 15, 2024 will have coverage beginning Jan. 1, 2025

HARTFORD, Conn. (Dec. 9, 2024) — Access Health CT (AHCT) today announced the deadline to enroll in health and dental coverage starting Jan. 1, 2025 is Dec. 15, 2024. Customers who enroll Dec. 16, 2024 through Jan. 15, 2025 will have coverage starting Feb. 1, 2025.

The Open Enrollment Period for Connecticut residents to shop, compare and enroll in health insurance or renew their coverage began Nov. 1, 2024 and runs through Jan. 15, 2025. Customers may enroll in only health or dental coverage, or both.

AHCT is the only place state residents can get financial help to pay for their health insurance. Nearly 90% of AHCT customers receive financial assistance to help pay for their health insurance. Some customers might qualify for the Covered CT Program. This program provides no-cost coverage for eligible residents.

BeWell NM, New Mexico's ACA exchange, has an Open Enrollment Dashboard updated weekly:

As of Dec. 8th, 2024:

  • Auto-Reenrollments: 45,432
  • Active Enrollments: 13,839
  • New Enrollments: 3,132
  • TOTAL: 62,403

What's more noteworthy is that when compared against the same point last year, New Mexico's 2025 ACA enrollment total is dramatically higher.

New enrollment is actually down slightly year over year, but enrollment jumped so much last year that there's a much larger pool of current enrollees to renew their policies.

It was in early 2021 that Congressional Democrats passed & President Biden signed the American Rescue Plan Act (ARPA), which among other things dramatically expanded & enhanced the original premium subsidy formula of the Affordable Care Act, finally bringing the financial aid sliding income scale up to the level it should have been in the first place over a decade earlier.

In addition to beefing up the subsidies along the entire 100 - 400% Federal Poverty Level (FPL) income scale, the ARPA also eliminated the much-maligned "Subsidy Cliff" at 400% FPL, wherein a household earning even $1 more than that had all premium subsidies cut off immediately, requiring middle-class families to pay full price for individual market health insurance policies.

Here's what the original ACA premium subsidy formula looked like compared to the current, enhanced subsidy formula:

It was in early 2021 that Congressional Democrats passed & President Biden signed the American Rescue Plan Act (ARPA), which among other things dramatically expanded & enhanced the original premium subsidy formula of the Affordable Care Act, finally bringing the financial aid sliding income scale up to the level it should have been in the first place over a decade earlier.

In addition to beefing up the subsidies along the entire 100 - 400% Federal Poverty Level (FPL) income scale, the ARPA also eliminated the much-maligned "Subsidy Cliff" at 400% FPL, wherein a household earning even $1 more than that had all premium subsidies cut off immediately, requiring middle-class families to pay full price for individual market health insurance policies.

Here's what the original ACA premium subsidy formula looked like compared to the current, enhanced subsidy formula:

It was in early 2021 that Congressional Democrats passed & President Biden signed the American Rescue Plan Act (ARPA), which among other things dramatically expanded & enhanced the original premium subsidy formula of the Affordable Care Act, finally bringing the financial aid sliding income scale up to the level it should have been in the first place over a decade earlier.

In addition to beefing up the subsidies along the entire 100 - 400% Federal Poverty Level (FPL) income scale, the ARPA also eliminated the much-maligned "Subsidy Cliff" at 400% FPL, wherein a household earning even $1 more than that had all premium subsidies cut off immediately, requiring middle-class families to pay full price for individual market health insurance policies.

Here's what the original ACA premium subsidy formula looked like compared to the current, enhanced subsidy formula:

It was in early 2021 that Congressional Democrats passed & President Biden signed the American Rescue Plan Act (ARPA), which among other things dramatically expanded & enhanced the original premium subsidy formula of the Affordable Care Act, finally bringing the financial aid sliding income scale up to the level it should have been in the first place over a decade earlier.

In addition to beefing up the subsidies along the entire 100 - 400% Federal Poverty Level (FPL) income scale, the ARPA also eliminated the much-maligned "Subsidy Cliff" at 400% FPL, wherein a household earning even $1 more than that had all premium subsidies cut off immediately, requiring middle-class families to pay full price for individual market health insurance policies.

Here's what the original ACA premium subsidy formula looked like compared to the current, enhanced subsidy formula:

Over at the JAMA Network, KFF Executive VP for health policy Larry Levitt has a piece which lays out the most likely actions (or in one case, lack of action) that the incoming Trump Administration & Republican-controlled Congress will take now that they have a second shot at repealing the Affordable Care Act:

With many tax cuts from the 2017 Tax Cuts and Jobs Act expiring at the end of 2025, a high-profile Congressional debate over extending those tax reductions and enacting new ones is likely. There will be pressure from some in Congress for spending cuts to help pay for those tax cuts. Trump has said that Social Security and Medicare cuts are off the table, and defense reductions are unlikely as well. That means almost half of federal spending would be protected from cuts, leaving Medicaid, which is the next largest source of federal spending, and the ACA as prime targets for spending cuts. The math is inescapable.

Not that this should surprise anyone, but it's good to have the Congressional Budget Office (CBO) formally chime in:

Re: The Effects of Not Extending the Expanded Premium Tax Credits for the Number of Uninsured People and the Growth in Premiums

Dear Chairman Wyden, Ranking Member Neal, Senator Shaheen, and Congresswoman Underwood:

You have asked the Congressional Budget Office to discuss the effects on health insurance coverage and premiums that will result from not extending—either for one year or permanently—the expanded premium tax credit structure provided in the American Rescue Plan Act of 2021 (ARPA, Public Law 117-2).

ARPA reduced the maximum amount eligible enrollees must contribute toward premiums for health insurance purchased through the marketplaces established by the Affordable Care Act, and it extended eligibility to people whose income is above 400 percent of the federal poverty level (FPL). Those provisions were extended through calendar year 2025 in the 2022 reconciliation act (P.L. 117-169).

via the Maine Insurance Dept:

Maine Superintendent of Insurance Bob Carey encourages Maine consumers to be cautious when shopping for health plans during the annual Affordable Care Act (ACA) open enrollment period.  Open enrollment for plan year 2025 is open now. For coverage to begin on January 1, 2025, Maine people must enroll by December 15, 2024. The final deadline to enroll is January 15, 2025 for coverage to begin on February 1, 2025.

The Maine Bureau of Insurance wants consumers to be aware that many legitimate-looking health plans they may see when doing an internet search may not offer comprehensive coverage and may not be authorized to be sold in Maine.

Consumers are urged to shop for plans at CoverME.gov, Maine’s health insurance marketplace, which offers health plans that have been reviewed and approved by the Bureau of Insurance and is the only place Maine residents can get financial savings to lower monthly premiums.  Consumers can also call CoverME.gov at 1-866-636-0355; TTY: 711, Monday-Friday, 8 am – 8 pm during the Open Enrollment Period.

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