States ranked by health coverage losses if ARPA credits expire

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:

  1. Texas: 732,000
  2. Florida: 513,000
  3. Georgia: 263,000
  4. California: 235,000
  5. North Carolina: 178,000
  6. South Carolina: 98,000
  7. New Jersey: 84,000
  8. Tennessee: 81,000
  9. Oklahoma: 69,000
  10. Missouri: 64,000
  11. Ohio: 63,000
  12. Michigan: 61,000
  13. Louisiana: 57,000
  14. Kentucky: 51,000
  15. Mississippi: 51,000
  16. Alabama: 48,000
  17. Pennsylvania: 39,000
  18. Virginia: 39,000
  19. Arizona: 33,000
  20. Wisconsin: 29,000
  21. Colorado: 25,000
  22. Utah: 24,000
  23. Arkansas: 24,000
  24. Nevada: 23,000
  25. Washington: 21,000
  26. Indiana: 20,000
  27. Kansas: 19,000
  28. Illinois: 19,000
  29. Minnesota: 19,000
  30. Maryland: 17,000
  31. Nebraska: 13,000
  32. Oregon: 12,000
  33. Idaho: 12,000
  34. New York: 9,000
  35. New Hampshire: 9,000
  36. Maine: 9,000
  37. South Dakota: 7,000
  38. West Virginia: 7,000
  39. New Mexico: 7,000
  40. Montana: 7,000
  41. Delaware: 7,000
  42. Iowa: 7,000
  43. Massachusetts: 4,000
  44. Wyoming: 3,000
  45. North Dakota: 3,000
  46. Connecticut: 3,000
  47. Alaska: 3,000
  48. Vermont: 3,000
  49. Hawaii: 2,000
  50. Rhode Island: 0
  51. Washington D.C.: 0

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