As of January 1st, enhanced tax credits, a resource that provided financial assistance to individuals by lowering premiums for healthcare coverage in the Affordable Care Act marketplace, have expired. The consequences of this are that many North Carolinians will see their premiums spike significantly this year, lose coverage, or remain uninsured.
According to NC Health News, about 157,000 North Carolinians who have health insurance via the Affordable Care Act marketplace are at risk of losing their coverage due to the spike in costs. Moreover, due to the Trump administration’s harmful ‘One Big Beautiful Bill’ Act, Deferred Action for Childhood Arrivals, or DACA, recipients will also lose eligibility for tax credits; more than 22,000 North Carolinians are DACA recipients.
“Too many North Carolinians risk either being priced out of health insurance entirely or paying exorbitant costs to continue to get essential health coverage, the small percentage of North Carolinians who purchase health insurance on the Marketplaces without premium tax credits are not spared either,” said Democratic Governor Josh Stein.
Republicans refusing to renew Affordable Care Act tax credits, a major theme in the longest federal shutdown in history last year, will result in 31 million Americans being uninsured by 2027, and more than 10 million will see their premiums costs skyrocket.
Trump and his Republican peers insist that there is a “better” healthcare option that can replace the Affordable Care Act, which justifies their inaction on renewing tax credits. However, a majority of Americans oppose cuts to Medicaid funding.
Medicaid cuts not only affect millions of Americans but also have caused many rural hospitals to close or be at extreme risk of closing. Of the 30 million people at risk of losing healthcare coverage, 1.8 million of them will also likely lose access to being served by rural hospitals; 1 in 4 adults in rural areas utilize Medicaid.
Healthcare remains a hot-button issue, and with North Carolina being the only state without a budget going into the new year, we must urge lawmakers to put people over politics in order to save lives and address the devastating consequences of health coverage costs.



