ACA Enhanced Premium Credits Expired Dec. 31 — ~1M Texans Projected to Lose Coverage by 2034
The enhanced ACA premium tax credits expired December 31, 2025. The Texas Hospital Association reports ~4 million Texans are enrolled in marketplace plans (95% receiving tax credits), average out-of-pocket premiums would rise more than $700, and roughly 1 million Texans are projected to lose marketplace coverage by 2034 — driving uncompensated-care pressure onto the safety net.
For Texas FQHCs this is the urgent coverage story, not Medicaid-expansion cuts.
Primary source
Texas Hospital AssociationSource packet
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FQHC Talent. (2025, December 31). ACA Enhanced Premium Credits Expired Dec. 31 — ~1M Texans Projected to Lose Coverage by 2034. Primary source: Texas Hospital Association. Retrieved July 21, 2026, from https://www.fqhctalent.com/intel/tx-aca-premium-credits-expired-dec-2025
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