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1.7 million Texans could lose health coverage under expiring tax credits, ACA changes in GOP megabill

TEXAS, JUL 18 – The expiration of enhanced premium tax credits will cause average ACA premiums to rise 75%, risking coverage loss for 1.7 million Texans and increasing the state's uninsured rate, experts say.

  • Up to 1.7 million Texans could lose health insurance due to Affordable Care Act marketplace changes under a Republican tax and spending megabill set to take effect by the end of 2025.
  • These coverage decreases are linked to the upcoming end of the federally expanded tax subsidies introduced during the Biden administration, which have helped reduce costs and increase enrollment in Texas—where nearly 4 million people are currently enrolled in ACA plans.
  • Industry analysts warn that premiums for Texans receiving subsidies could more than double, while Texas’s largest insurer has proposed a 21% increase in rates for ACA individual plans next year, fueling worries about affordability and the overall stability of the insurance market.
  • Cynthia Cox from KFF said, "This is going to be more than that," referring to the Great Recession when many lost job-based coverage, and warned middle-income people may face a double burden of lost assistance and double-digit premium increases.
  • The expected coverage loss and rising premiums could increase Texas' uninsured rate and strain its health system, reversing progress achieved since 2010 when uninsured rates fell from 23.7% to 17.4% by 2023.
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1.7 million Texans could lose health coverage under expiring tax credits, ACA changes in GOP megabill

Up to 1.7 million Texans could lose health insurance amid GOP changes to ACA, affecting state's uninsured rate and causing higher premiums and financial strain.

·Dallas, United States
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WFAA 8abc broke the news in Dallas, United States on Friday, July 18, 2025.
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