Delaware spearheads a group of states pressing Congress to sanction the continuation of healthcare subsidies by the federal government
In Delaware, a collaborative effort is underway to address potential health insurance premium increases slated for 2026, due to the expiration of subsidies. State health agencies, policymakers, and consumer advocacy groups are working together to explore policy options and financial assistance programs.
The subsidies, a contentious issue in Congress, are at the heart of budget negotiations, with a fight over the tax credits threatening to force a government shutdown by the end of this month. The Democratic measure, spearheaded by Congresswoman Sarah McBride, aims to restore Medicare and extend the Affordable Care Act (ACA) tax credits.
A competing continuing resolution has been released, keeping the government open until Oct. 31. This resolution includes measures to make the enhanced premium tax credits permanent. However, House Speaker Mike Johnson, R-La., has accused Democrats of trying to insert partisan political preferences into the clean funding extension.
Delaware Governor Matt Meyer has joined the call, sending a letter to House and Senate leaders urging them to extend the credits. The enhanced premium tax credits, extended as part of the Inflation Reduction Act in 2021, have been instrumental in increasing enrollment for the state's youngest and healthiest residents. Losing these subsidies could adversely impact the risk pools, further increasing premiums for Delaware's most significant cohort of enrollees, those pre-Medicare residents age 55 to 64.
Delaware is one of more than a dozen states asking Congress to extend ACA subsidies, which are set to expire at the end of 2025. Nearly 46,000 of the state's more than 50,000 ACA enrollees were supported by tax credits, totaling 92% of policyholders. If there's no extension, average premiums could spike by more than 75%, with rural regions seeing hikes as high as 90%. More than 16,000 people in Delaware could lose their subsidies. About 5,000 could lose coverage altogether.
Carriers on the Delaware Health Insurance Marketplace have filed higher rates for the coming year, with premium hikes ranging from 25% to 35%. Thousands of Delaware residents are projected to lose the subsidies that keep their health care affordable, with many unable to find a new plan at all.
The Democratic measure also aims to reverse Medicare cuts, unfreeze foreign aid, and restore funding for public broadcasting. Democrats in Congress are pushing for the permanent inclusion of enhanced ACA subsidies in the stopgap bill. However, the Democratic measure does not receive a response for comment from Sen. Lisa Blunt Rochester.
Senate Minority Leader Chuck Schumer, D-New York, strongly supports expanding the ACA tax credits. Meanwhile, a spokesperson for Sen. Chris Coons stated that he and his Republican colleagues want the government to stay open, and they could address the increased costs of health care through the appropriations process.
As the deadline approaches, Delaware residents await a decision that could significantly impact their health care affordability. Open enrollment for the Delaware Health Insurance Marketplace begins November 1, offering a window of opportunity for those affected to explore their options and make informed decisions about their health care coverage.
According to the Urban Institute, lowering premiums and raising the income eligibility criteria made ACA insurance more affordable for more than 21 million Americans. As the debate continues in Congress, the future of these subsidies and the health care of millions of Americans hangs in the balance.
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