Expanding Affordable Care Act (ACA) premium subsidies beyond the current range of 100-400% of the federal poverty level for potential enrollees, as proposed by Democratic presidential nominee Joe Biden, would lower costs for almost all exchange enrollees, according to a recent Kaiser Family Foundation analysis. Biden also wants to tie ACA subsidies to the second-lowest-cost gold plan rather than the second-lowest-cost silver plan and reduce the maximum premium contribution to 8.5% of an enrollee’s income for a benchmark gold plan. Under his proposal, older people making $50,000 annually would save the most on their monthly premiums. A 60-year-old would pay $354 on average per month for the second-lowest-cost gold plan instead of the current premium of $1,029. With the expanded subsidies, Biden’s campaign estimated that federal spending on the ACA exchanges would increase significantly.