ACA Enhanced Premium Credits Expired Dec. 31, ~1M Texans Projected to Lose Coverage by 2034
Issue
ACA marketplace coverage and uninsured demandTaking effect
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.
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Part of
- ACA marketplace coverage and uninsured demand
Enhanced premium credits and their expiry
FQHC Talent. (2025, December 31). ACA Enhanced Premium Credits Expired Dec. 31, ~1M Texans Projected to Lose Coverage by 2034. Source: Texas Hospital Association. Retrieved October 6, 2026, from https://www.fqhctalent.com/intel/tx-aca-premium-credits-expired-dec-2025