enhanced premium tax credits

Rural residents in states using the ACA Marketplace are losing health insurance coverage at higher rates than urban and suburban counterparts, with a 12% drop in nonmetropolitan county enrollments. The expiration of enhanced subsidies under the American Rescue Plan and Inflation Reduction Acts, not renewed in a GOP budget bill, has led to increased premiums and coverage losses, particularly in rural areas.

Federal data shows a significant decline in Affordable Care Act (ACA) enrollments across many states, with Ohio and Oklahoma losing nearly one-third of enrollees. The drop, attributed to expired enhanced subsidies and stricter enrollment rules, resulted in 2.6 million fewer Americans with ACA coverage in February 2023 compared to the prior year.

Federal data shows a significant decline in Affordable Care Act (ACA) enrollments across many states, with Ohio and Oklahoma each losing over 32% of enrollees since January 2023, attributed to the expiration of enhanced subsidies and rising premiums. The data reveals 2.6 million fewer Americans with ACA plans in February 2023 compared to the same period the previous year.

Robb Wittman, a Republican representing Virginia’s 1st Congressional District since 2007, seeks re-election amid a crowded Democratic primary. The district, with over 615,000 registered voters, has historically favored Republicans but showed a shift in 2025 with Abigail Spanberger’s gubernatorial win. Seven Democratic candidates are vying for the nomination to challenge Wittman.