Estimating Costs to Families Facing Changes to ACA-Enhanced Premium Tax Credits
Nicolas P. Goldstein Novick·Elizabeth G. Salazar·Scott A. Lorch·Diana Montoya-Williams·Abigail B. Wilpers·Timothy D. Nelin·Brielle Formanowski
BACKGROUND AND OBJECTIVES Enhanced premium tax credits (PTCs) for Affordable Care Act Marketplace plans expired in 2026. We described families across income groups potentially affected by PTC policy changes and simulated net premiums. METHODS We performed a cross-sectional simulation using the 2023 National Survey of Children's Health, classifying families by federal poverty level (FPL) into the following income groups: ineligible (above state Medicaid threshold, <100% FPL), Medicaid (bel