Does the Affordable Care Act expire in 2025?

Asked by: Taylor Kuhn  |  Last update: September 16, 2025
Score: 4.9/5 (53 votes)

The enhanced tax credits remain available through 2025 but are set to expire in 2026 without Congressional action. Marketplace Open Enrollment on HealthCare.gov ran through January 15. Consumers who enrolled by midnight local time on January 15 got coverage that will start February 1, 2025.

Will Obamacare be available in 2025?

Consumers who enroll by midnight local time on January 15 (no later than 5 a.m. ET on January 16) can get coverage that starts February 1, 2025. State-based Marketplace enrollment deadlines vary. State-specific deadlines and other information are available in the State-based Marketplace Open Enrollment Fact Sheet.

What happens to ACA subsidies in 2026?

We project that in 2026: 1.56 million Californians who would otherwise have gotten subsidies would face higher premium costs because their subsidies either were eliminated or decreased. On average, these Californians would pay $967 more per year, even taking into account that some would switch to lower-cost coverage.

Is the premium tax credit extended through 2025?

The PTC statute includes a temporary provision that expanded eligibility and enhanced subsidy amounts for tax years 2021 through 2025. Individuals must meet income (and other) criteria to be eligible for the PTC.

When did the Obamacare mandate end?

Congress eliminated the federal tax penalty for not having health insurance, effective January 1, 2019. While there is no longer a federal tax penalty for being uninsured, some states (CA, MA, NJ, and RI) and DC have enacted individual mandates and may apply a state tax penalty if you lack health coverage for the year.

Breaking News: Canadian Seniors to Receive $2,300 OAS Payment – Are You Eligible?

17 related questions found

What is the income limit for marketplace insurance 2025?

Premium tax credits are available to people who buy Marketplace coverage and whose income is at least as high as the federal poverty level. For an individual, that means an income of at least $15,060 in 2025. For a family of four, that means an income of at least $31,200 in 2025.

How can I avoid paying back my premium tax credit?

Report any changes in your income during the year to the Marketplace, so your credit can be adjusted and you can avoid any significant repayments at the end of the year.

What happens if I underestimate my income for Obamacare in 2024?

For the 2024 tax year, if you underestimated your income and received a larger tax credit than you were eligible for, you must repay the difference between the amount of premium tax credit you received and the amount you were eligible for.

What is the ACA affordability percentage for 2025?

The IRS recently announced the 2025 ACA affordability percentage, increasing from 8.39% of an employee's household income in 2024 to 9.02% in 2025*.

What is the status of the Affordable Care Act?

Covered California, the marketplace where consumers can shop for and buy health coverage from health insurers, is now operating. Subsidies are available to help people pay for their health insurance coverage.

Will insurance rates go down in 2025?

Will Everyone's Insurance Rates Go Up in 2025? All California drivers will likely see an increase in their rates now that new minimum levels have gone into effect. Drivers who already have an existing policy will be grandfathered into the old rates and limits until their next renewal.

How much is Obamacare a month for a single person?

Monthly premiums for Affordable Care Act (ACA) Marketplace plans vary by state and can be reduced by premium tax credits. The average national monthly health insurance cost for one person on an Affordable Care Act (ACA) plan without premium tax credits in 2024 is $477.

Why is health insurance going up in 2025?

Residents of 42 states will see higher premiums in 2025 - driven by the rising cost of medical care around the country. Every type of private health plan will see premiums increase in 2025. Platinum tier plans, Catastrophic plans, EPO, HMO & PPO plans, will see the largest increase in premiums ranging from 8% to 13%.

What disqualifies you from the premium tax credit?

For tax years other than 2021 and 2022, if your household income on your tax return is more than 400 percent of the federal poverty line for your family size, you are not allowed a premium tax credit and will have to repay all of the advance credit payments made on behalf of you and your tax family members.

Who is not eligible for Obamacare?

Must live in the United States. Must be a U.S. citizen or national (or be lawfully present). Learn about eligible immigration statuses. Cannot be incarcerated in prison or jail.

Is credit for elderly or disabled refundable?

The Credit of the Elderly or the Disabled is nonrefundable and can only offset taxes owed, with specific income limits depending on filing status and AGI.

Is there a cliff on ACA subsidies for 2025?

The ACA's “subsidy cliff” has been eliminated through 2025. ARP eliminated subsidy cliff in 2021 and 2022; IRA extended that through 2025.

Does social security count as income for Obamacare?

Include both taxable and non-taxable Social Security income. Enter the full amount before any deductions. Include all unemployment compensation that you get from your state.

Who is eligible for the premium tax credit in 2025?

Premium tax credits are available to U.S. citizens and lawfully present immigrants who purchase coverage in the Marketplace and who have income at least as high as 100% of the federal poverty level (FPL) ($15,060 for a single adult or $31,200 for a family of four) in 2025.

What is a lifetime limit?

A cap on the total lifetime benefits you may get from your insurance company.

Is it legal to self pay when you have insurance?

Now that you know that it is legal to self-pay when you have insurance, here are a few situations where it may make sense to directly pay for the medical procedure or service without filing a claim with your provider.

Is the Affordable Care Act mandatory?

No, the ACA individual mandate is no longer in effect. From the moment the Affordable Care Act went into effect, the public had a divided opinion about the individual mandate and penalty.