affordable care act health insurance kff poll.

As Congress faces a year-end deadline on Affordable Care Act subsidies, Senate Minority Leader Chuck Schumer, D-N.Y., left, and House Minority Leader Hakeem Jeffries, D-N.Y., meet with reporters about health care affordability, at the Capitol in Washington, Wednesday, Dec. 3, 2025. (AP Photo/J. Scott Applewhite)

Affordable Care Act premiums are set to spike. A new poll shows enrollees are already struggling

A new survey of Affordable Care Act health insurance enrollees finds that many are already struggling with the high cost of health care. Most of the more than 1,300 enrollees surveyed say they anticipate that their health costs will be impacted next year if Congress doesn’t extend COVID-era tax credits that will otherwise expire at the end of the year. Thursday’s poll from the health care research nonprofit KFF finds that marketplace enrollees overwhelmingly support an extension of the subsidies. The survey found this group is more likely to blame President Donald Trump and Republicans in Congress than Democrats if the tax credits are left to expire.

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