EXPAND ACA PREMIUM TAX CREDITS
Iowa families and businesses can't afford to let critical ACA premium tax credits disappear at the end of 2025. The impact won't stop with the 133,400 Iowans who buy their health insurance through the federal ACA marketplace in 2025. It will ripple across the entire health system and drive up costs for all Iowans.
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These aren't government handouts, they're tax relief for hardworking families who don't get coverage through an employer. That's why 78% of voters in America, including majorities of Republican and Democrat voters, say Congress should extend them. This isn't about politics. It's about protecting Iowa's small business owners, farmers, teachers, hourly workers, early retirees, and entrepreneurs who depend on these credits to keep their premiums affordable.
WHAT'S AT STAKE IN IOWA
If the expanded premium tax credits expire, assistance will revert to the ACA's original structure. Premiums will rise for those currently eligible, and help will disappear entirely for middle-income households at or above 400 percent of the federal poverty level.
The Iowa Insurance Division has provided examples of how costs will change for some enrollees:
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A family of four with an income of 199 percent of the federal poverty level ($63,979), will see their monthly cost increase from $101 to $345.
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A couple, both age 55, making 450 percent of the federal poverty level ($95,175), will see their monthly rate increase from $652 to $1,659.
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A 60-year-old couple making $82,000 would see their monthly benchmark premium jump from about $581 to about $1,800, and 40-year-old making $31,000 would see their monthly cost rise from $58 to $153, according to an analysis by health policy organization KFF.
Consumers can preview 2026 premiums on the Iowa Individual ACA Premiums Explorer, with final rates live on HealthCare.gov beginning Nov. 1.
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We cannot afford to let Congress turn its back on Iowa families. Tell your members of Congress to permanently extend the health care tax credits.