Over 3 million people will lose health coverage and marketplace enrollees will face significantly higher premiums if Congress does not extend the premium tax credits in the American Rescue Plan Act, according to the Urban Institute.
The April 7 report from the Washington, D.C.-based think tank was produced with the institute's health insurance policy simulation model using state-level marketplace data from the 2022 open-enrollment period. It recommends that Congress extend the premium tax credits by midsummer to give marketplaces, payers and outreach programs time to prepare the 2023 open-enrollment period this November. The tax credits are set to expire at the end of 2022.
Here are the states ranked by how many residents will lose health insurance if the credits expire:
- Texas: 732,000
- Florida: 513,000
- Georgia: 263,000
- California: 235,000
- North Carolina: 178,000
- South Carolina: 98,000
- New Jersey: 84,000
- Tennessee: 81,000
- Oklahoma: 69,000
- Missouri: 64,000
- Ohio: 63,000
- Michigan: 61,000
- Louisiana: 57,000
- Kentucky: 51,000
- Mississippi: 51,000
- Alabama: 48,000
- Pennsylvania: 39,000
- Virginia: 39,000
- Arizona: 33,000
- Wisconsin: 29,000
- Colorado: 25,000
- Utah: 24,000
- Arkansas: 24,000
- Nevada: 23,000
- Washington: 21,000
- Indiana: 20,000
- Kansas: 19,000
- Illinois: 19,000
- Minnesota: 19,000
- Maryland: 17,000
- Nebraska: 13,000
- Oregon: 12,000
- Idaho: 12,000
- New York: 9,000
- New Hampshire: 9,000
- Maine: 9,000
- South Dakota: 7,000
- West Virginia: 7,000
- New Mexico: 7,000
- Montana: 7,000
- Delaware: 7,000
- Iowa: 7,000
- Massachusetts: 4,000
- Wyoming: 3,000
- North Dakota: 3,000
- Connecticut: 3,000
- Alaska: 3,000
- Vermont: 3,000
- Hawaii: 2,000
- Rhode Island: 0
- Washington D.C.: 0