What Happens if ARPA Subsidies Expire?
Approximately 3 million people currently enrolled in the individual marketplace could lose coverage, and more would see premiums double if the Congress fails to extend the American Rescue Plan Act’s subsidies, which are set to expire at the end of this year.
ARPA lowers the share of income enrollees need to contribute toward premiums for households making between 100% and 400% of the federal poverty level, and it temporarily caps enrollees with income above 400% of the FPL from paying more than 8.5% of their income for a silver plan premium. If the subsidies expire, 8.9 million people would be allowed to remain in the marketplace but experience premium subsidy loss. An additional 1.5 million may lose subsidies entirely but choose to remain insured, according to an HHS projection.
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Lauren Flynn Kelly Executive Editor, AIS Health, and Managing Editor, Radar on Medicare Advantage
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Angela Maas Managing Editor, Radar on Specialty Pharmacy and Spotlight on Market Access
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Leslie Small Managing Editor, Health Plan Weekly and Radar on Drug Benefits
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Peter Johnson Reporter, Health Plan Weekly and Radar on Drug Benefits
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Tim Casey Reporter, Health Plan Weekly and Radar on Drug Benefits
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Carina Belles Reporter, Radar on Medicare Advantage and Spotlight on Market Access
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Jinghong Chen Reporter, Health Plan Weekly and Radar on Drug Benefits
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