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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 ACA subsidies and GOP legislation will raise premiums by up to 75%, leading to coverage losses for up to 1.7 million Texans, experts say.

  • Next year, health policy experts say up to 1.7 million Texans could lose coverage due to GOP megabill provisions, which threaten ACA marketplace subsidies and strain the system.
  • Since 2021, enhanced premium tax credits have been larger and available to more people, Cox said, making the ACA marketplace in Texas vital for coverage; their expiration risks leaving 1.7 million Texans uninsured.
  • In Texas, Blue Cross Blue Shield of Texas requested a 21% rate hike next year, according to a copy of their rate filing shared with The Texas Tribune, as new analysis shows a median 15% premium increase proposed by ACA Marketplace insurers for 2026.
  • When costs become prohibitive, enrollment declines intensify, risking coverage loss for marketplace enrollees and further destabilizing the system.
  • Experts warn the combined impact threatens market stability, projecting 4.2 million more uninsured by 2034, which could destabilize the insurance market and strain hospitals.
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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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  • 46% of the sources lean Left, 46% of the sources are Center
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WFAA 8abc broke the news in Dallas, United States on Friday, July 18, 2025.
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