#aca

WARNING: This is long & wonky w/a lot of math, but it's also important for ~24M #ACA enrollees as well as every insurance carrier in the individual market.

Silver Loading coming full circle? Republicans may be about to damage the ACA in the most ironic way...

https://acasignups.net/25/05/07/silver-loading-coming-full-circle-republicans-may-be-about-damage-aca-most-ironic-way

--In the less extreme cases, #ACA enrollees will either pay far more for the same plan or downgrade to a plan w/higher deductibles & worse coverage --In the more extreme cases, enrollees will be priced out of coverage entirely & either move to junk plans or go bare Welcome to Trump/MAGA GOP world.

#FunFact: In #FL07 Cory Mills (R)'s House district, ~128,000 residents are looking at SKYROCKETING #ACA premiums starting in January if he & other Republicans let the IRA subsidies expire. That's over 15% of the total population.

RE: https://bsky.app/profile/did:plc:llvz25fk4agau6pf44orcdcm/post/3lohmfbdmyc2u

Nearly 1 million Americans face losing health insurance as Aetna exits ACA marketplace
https://www.upi.com/Top_News/US/2025/05/04/1-million-amricans-to-oose-insurace-aetna-leaves-marketplace/8431746402394/

#ACA #Healthcare

"Aetna will exit the fed health INSUR exchange next yr, leaving ~1M ppl w/o coverage.

You may know the name CVS bc of their pharmacy bus, but the #health giant has a lot more under its umbrella, incl clinics & Aetna. Starting next yr mems will need new coverage. That's bc the parent co, CVS, has said it will exit the #ACA."

A universal-type HC plan is needed now, but Republican MOC are scheming to defund Medicaid, give more power to INSUR cos. to deny coverage...
#USPol
https://www.npr.org/2025/05/04/nx-s1-5385009/aetna-to-exit-health-insurance-exchange-leaving-millions-without-coverage

#TENNESSEE: Another non-expansion state. ~642,000 residents are enrolled in #ACA exchange plans who will face drastic premium hikes starting in January if the IRA subsidies expire. acasignups.net/ira-subsidy-...

#GEORGIA hasn't expanded Medicaid, but that doesn't mean they're off the hook from the MAGA trifecta: Over 1.5 MILLION Georgians--13.6% of the total population--are enrolled in #ACA exchange coverage. cc: @ossoff.senate.gov @ossoff.bsky.social @warnock.senate.gov acasignups.net/ira-subsidy-...

#FLORIDA hasn't expanded Medicaid, but that doesn't mean they're off the hook from the MAGA trifecta: A whopping 4.7 MILLION Floridians--over 20% of the TOTAL population--is enrolled in #ACA exchange coverage. 98% of them were subsidized last year. acasignups.net/ira-subsidy-...

#COLORADO: ~350,000 in Medicaid via ACA expansion (aka "Health First CO"); ~282,000 in #ACA exchange plans. That's 10.6% of the total population. cc: @bennet.senate.gov Sen. John Hickenlooper (why isn't he on @bsky.app???)

#CALIFORNIA: Nearly 5 MILLION in Medicaid via ACA expansion (aka "MEDI-CAL"), plus anothe ~2 MILLION in #ACA exchange plans. That's nearly 7M people...greater than the populations of AK, DE, ND, SD, RI, VT & WY *combined*. cc: @padilla.senate.gov @schiff.senate.gov acasignups.net/ira-subsidy-...

#ARKANSAS: ~242,000 in Medicaid* via ACA expansion (aka "ARHOME"); ~166,000 in #ACA exchange plans. *(technically "ARHOME" enrollees are *also* in ACA plans, not Medicaid, but it gets complicated) Combined, that's ~13.3% of the total population. acasignups.net/ira-subsidy-...

#ARIZONA: ~631,000 in Medicaid via ACA expansion (aka "AHCCCS"); ~423,000 in #ACA exchange plans. Combined, that's ~13.9% of the total population. acasignups.net/ira-subsidy-... cc: @captmarkkelly.bsky.social @gallego.senate.gov

#ALASKA: ~71,000 in Medicaid expansion (aka DenaliCare), plus ~28,000 on #ACA exchange plans. Many of those 28K are about to be royally screwed. You may need a taller monitor to view that second chart.

#ALABAMA may not have expanded Medicaid, but they have ~470,000 residents enrolled in #ACA exchange plans, most of whom are looking at SKYROCKETING health insurance premiums next year if GOP/Trump lets IRA subsidies expire.

There's been so much focus on the ~21M #ACA Medicaid expansion enrollees that folks may have forgotten the *24* million #ACA exchange enrollees facing economic disaster if GOP/Trump lets the improved IRA subsidies expire at the end of this year. With that in mind, I'm highlighting them as well.

Using #Michigan as an example: There's ~740,000 Michiganders enrolled in #Medicaid via #ACA expansion who are at risk of losing coverage (~7.3% of the total population). IN ADDITION, there's ALSO another ~530,000 enrolled in ACA exchange plans, nearly all of whom are subsidized (~5.2% of the pop.)

UPDATE: Since this thread is getting some attention, here's a one-stop link to look up your state to get an idea of just how much #ACA benchmark plan premiums will skyrocket if GOP/Trump allow the IRA subsidies to expire. Use the dropdown menu to find your state: acasignups.net/ira-subsidy-...

RE: https://bsky.app/profile/did:plc:kd4cyu4rpkgjbym3gckhrivz/post/3lo4srpzh3k2x

How much more will ACA enrolle...

There's up to ~21 million Americans on Medicaid via #ACA expansion at risk of losing healthcare coverage... ...but there's also *another* ~26 million in #ACA exchange plans or BHP plans at risk of seeing their premiums SKYROCKET next year, in many cases forcing them out of coverage as well.

That's over 1 MILLION current #ACA enrollees who are gonna have to switch to a different health insurance carrier next year at the same time that the Musk/Trump Regime is cutting the Open Enrollment Period in half as well as gutting the navigator/assister budget. Mazel Tov, America. Bravo.

AND SO IT BEGINS:

Aetna/CVS pulling out of #ACA exchanges next year as GOP allows IRA subsidies to expire:

https://acasignups.net/25/05/01/and-so-it-begins-aetnacvs-pulling-out-aca-exchanges-next-year-gop-allows-ira-subsidies