People Mid-Career Face Major Health Care Price Hikes

The darker shades show states where an average couple around 43 years old and an income of $86,401 (just over four times the federal poverty level) will see the biggest cost hikes if Congress lets the ACA tax credit expire.

Note: The average age for adults in each state ranges from 39 to 47 years old based on “2025 OEP State-Level Public Use File,” Centers for Medicare and Medicaid Services, 12 May 2025.
Source: Author's calculations based on "How Much More Would People Pay in Premiums if the ACA’s Enhanced Subsidies Expired? KFF, 2025.