Enrollment in Affordable Care Act marketplaces is on pace to set a new record, Health Secretary Xavier Becerra told Axios on Tuesday, with subsidies that Congress renewed through 2025 softening the blow of premium increases.
"So far, we're on pace to see another record," Becerra said. "I think we're going to continue to see sign-ups and this may be a very good Christmas for a lot of Americans."With the passage of the Inflation Reduction Act, Congress extended enhanced ACA subsidies — premium tax credits and cost-sharing reductions — through 2025.
Though lawmakers have resisted making these subsidies permanent, HHS "would encourage Congress to continue to make progress on making health care affordable for everyone," Becerra said.Enrollment this year comes without the "family glitch," a provision in the ACA that prevented some families from getting subsidized health insurance.
But to navigate eligibility requirements, individuals will need information from their employers that the companies are not required to give, potentially adding hurdles, according to a recent" available to help people make that decision.The ACA markets could become an alternative for some of the millions of Medicaid recipients who are expected to fall off the safety net program's rolls when the COVID-19 public health emergency ends next year.
But only about 2.7 million of the approximately 15 million people who are predicted to lose Medicaid eligibility may qualify for a marketplace subsidy, leaving others in danger of going uninsured. It will be a "big priority" for the federal government to work with insurers and local community-based organizations so that people can transition to other health plans, including subsidized ACA plans, said Zach Baron, a health policy and law expert at Georgetown University.
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