Pennsylvania consumers who buy health insurance through the Affordable Care Act are in line for some price shock next year — if the Trump administration and Congress take actions that weaken the law.
- If the individual mandate is repealed and cost-sharing subsidies are not paid: 36.3%
- If nothing is changed: 8.8%
What this means: Health insurers have made it clear that to keep premiums stable, they need the cost-sharing subsidies and mandate requiring everyone buy insurance. Higher rates would be a direct result of President Trump and Congress undermining the ACA as it is written.
Worth noting: While an 8.8% premium hike for individual plans and 6.6% increase for small-employer plans are more in line with medical cost trends, those rates are still well above inflation and would be felt more by people who don't receive subsidies.