Trump's Strategy for Rising Obamacare Premiums: Scarcer Healthcare Benefits
The fate of the enhanced COVID-19 subsidies for Obamacare remains uncertain, with many Republicans opposed to extending the extra tax credits. As the end of the year approaches, individuals enrolled in Obamacare plans may face a significant increase in premium costs if the subsidies are not extended.
Without an extension, tax credit amounts would revert to pre-pandemic levels, leading to an average 75% increase in the amount people pay for coverage. This increase could be particularly challenging for those on lower incomes who have benefited from the additional subsidies during the pandemic.
In an effort to provide an alternative, the Centers for Medicare & Medicaid Services (CMS) has announced an expansion of eligibility for catastrophic health plans within ACA online marketplaces. These plans carry lower monthly premiums than other Obamacare policies but require individuals to spend more than $10,000 a year on deductibles before the policies pay most medical costs.
CMS Administrator Mehmet Oz stated that expanding access to catastrophic plans ensures affordable coverage for individuals facing unexpected hardships. Where catastrophic plans are available, options are often few. Most likely to qualify are people earning more than four times the federal poverty rate. Another category of consumers may also be eligible for catastrophic plans but would have to send in paperwork.
A pending court battle may provide lawmakers concerned about voter pushback on Obamacare changes an unintended reprieve, potentially delaying additional verification paperwork requirements for some people enrolling in ACA plans. The Trump administration is appealing the decision, but the case may not be settled until next year.
Insurers don't offer catastrophic plans at all in 10 states: Alaska, Arkansas, Indiana, Louisiana, Mississippi, New Mexico, Oregon, Rhode Island, Utah, and Wyoming. Only about 54,000 out of Obamacare's 24 million enrollees currently opt for catastrophic plans, according to government data.
In a bid to extend the enhanced COVID-19 subsidies, a small, bipartisan group of House lawmakers introduced legislation to extend the subsidies for one more year. The U.S. Department of Health and Human Services (HHS) announced in September 2025 the expansion of the admissibility of short-term insurance plans within the online marketplaces of the Affordable Care Act.
As the situation develops, individuals enrolled in Obamacare plans are encouraged to closely monitor the status of the subsidies and consider their options for affordable coverage should they need to change their plans.
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