Expired ACA credits put nearly 2 million health center patients at risk
Issue
Enhanced ACA premium tax credits expired January 1, 2026, and marketplace premiums rose 114% on average. GWU's Geiger Gibson Center projects nearly 2 million health center marketplace patients could lose coverage.
The Senate failed to extend the credits when S. 3385 fell short of 60 votes.
Key points
- Health centers face three sources of new uninsured patients in 2026: Medicaid work rules, the Medi-Cal freeze and the ACA premium jump.
- Prepare for patients who had marketplace coverage but can no longer pay the premiums.
Sources for this story
GWU Geiger Gibson CenterPart of
- ACA marketplace coverage and uninsured demand
Enhanced premium credits and their expiry
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FQHC Talent. (2026, January 1). Expired ACA credits put nearly 2 million health center patients at risk. Source: GWU Geiger Gibson Center. Retrieved November 11, 2026, from https://www.fqhctalent.com/intel/aca-premium-tax-credits-expired-2m-chc-patients