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Hospitals Lose $32 Billion If Congress Doesn’t Extend ACA Tax Credits

Hospitals could lose $32 billion in revenue and face $7.7 billion in unpaid care costs if ACA tax credits expire, risking higher premiums and increased uninsured rates, researchers say.

  • Democrats demand any stopgap beyond next Tuesday include an extension of enhanced premium tax credits under the Affordable Care Act as Congress faces a looming Oct. 1 shutdown risk.
  • Approved in 2021, the enhanced credits lowered premiums and helped ACA individual marketplace coverage eclipse a record 24 million Americans, boosting enrollment since 2020.
  • The study details specific losses, showing urban Institute projects hospitals, physicians and other providers could lose more than $32 billion in revenue in 2026 and uncompensated care would rise by $7.7 billion.
  • More than 7 million stand to lose subsidized coverage and nearly 5 million could become uninsured, while average premiums could rise about 75% for millions next year.
  • The CBO projects the lapse of ACA tax credits will cause $2.2 billion in revenue losses for healthcare providers, risking hospital closures in rural and Southern nonexpansion states.
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bloombergtax.com broke the news in on Wednesday, September 24, 2025.
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