How many Americans received enhanced ACA subsidies in 2025?

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Approximately 22.4 million Americans received advanced premium tax credits as of 2025, representing about 92% of all ACA marketplace enrollees. The enhanced subsidies eliminated the 400% federal poverty level income cap and capped premiums at 8.5% of household income for all eligible enrollees. Small business owners, gig workers, farmers and early retirees made up nearly half of all enrollees. Without extension, CBO projects 2.2 million will lose coverage in 2026.

How many Americans received enhanced ACA subsidies in 2025?

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