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Consumers Make Health Decisions as Congress Mulls Tax Credit Expiration

Enhanced ACA premium tax credits helped 27% of farmers afford health coverage but their expiration will double premiums and threaten rural healthcare access, experts warn.

  • Farmers on ACA-subsidized plans started receiving alerts that marketplace premiums will rise as enhanced premium tax credits expire at year-end, affecting Pennsylvania farm communities.
  • The Biden administration implemented enhanced premium tax credits that the Inflation Reduction Act extended through 2025, lowering ACA marketplace costs for farmers who rely on subsidies due to limited employer coverage.
  • Data show that about 27 percent of farmers now rely on marketplace coverage, and in 2025 over 30,000 Vermont residents could see premiums rise if credits expire.
  • Facing higher costs, farmers may pay higher premiums, pick catastrophic plans, drop coverage, or seek off-farm jobs, tightening already-thin margins and risking worse health outcomes.
  • With enrollment deadlines looming, lawmakers face pressure to act before Dec. 15 as farmers select 2026 plans, while expiration threatens rural hospitals and dairy farmers facing acute mental-health risks, the National Rural Health Association and American Farm Bureau warn.
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PA farmers face rising health care costs as ACA subsidies expire

Farming is a profession full of risks. It is physically strenuous and often involves dangerous heavy machinery. Accident reports include farmers falling into grain bins, trapped by farm machinery, shocked by equipment, and more. Farmworkers are also more exposed to…

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KULR-TV broke the news in Billings, United States on Sunday, December 7, 2025.
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