ACA Subsidy Extension Tracker

With the Affordable Care Act (ACA) enhanced subsidies set to expire soon, several policymakers have proposed plans to extend the enhancements. You can read more about the ACA subsidies here. We estimate that extending the enhancements without offsets would increase deficits by roughly $30 billion for a one-year extension and $350 billion over ten years for a permanent extension.

In part to reduce these costs, several plans have added proposed income cut-offs to subsidies, incorporated new program integrity measures, or added additional reforms. Many have also suggested temporary rather than permanent extension.

The below table compares the various proposals to extend and/or reform the enhanced subsidies. We will continue to track proposals and add new ones as they arise. We included plans that address the enhanced subsidies proposed by lawmakers, including the White House. We did not include plans that do not speak directly to the enhanced subsidies, such as Senator Rick Scott’s (R-FL) plan.

Updated 12/10/2025

Lawmakers should ensure that any extension of the enhanced ACA subsidies is not only fully paid for, but also reduces deficits on net. Ideally, an extension package would include reforms and offsets that reduce high and rising health care costs and pay for every dollar of costs with at least two dollars in offsets, as under Super PAYGO.

Offsets options are available here and an explainer on how the subsidies and premiums work is available here. We’ll continue to track additional extension proposals here.