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| FOR IMMEDIATE RELEASE: October 27, 2025 |
| Contact: [email protected] |
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| NEW: Healthcare Premiums for Wisconsinites to Skyrocket in 2026 if Republicans Fail to Extend Affordable Care Act Tax Credits |
| Wisconsinites face sticker shock on out-of-pocket healthcare coverage costs with many seeing premiums double, some seniors seeing increases of over $30,000 per year if Congressional Republicans allowenhanced Affordable Care Act supports to expire |
MADISON — Commissioner Nathan Houdek, today released 2026 plan year rates for Wisconsin’s individual marketplace that show healthcare coverage costs are expected to skyrocket for Wisconsinites if President Donald J. Trump and Republicans in Congress fail to extend the Affordable Care Act enhanced premium tax credits. increased rates approved by the Trump Administration for the 2026 plan year, combined with the significant consequences of Congressional Republicans failing to extend the enhanced Care Act premium tax credits, many Wisconsinites and their families will see their premiums double, with some seniors seeing an increase of over $30,000 per year.
The announcement today comes on 7 of the federal government shutdown as Congressional Republicans have refused for weeks to negotiate with Democrats to extend Affordable Care Act enhanced premium tax credits that are set to expire at the end of the year even as Wisconsinites and Americans across the country are set to sign up for healthcare coverage during the 2026 Open Enrollment period starting later this week on November 1. The Affordable Care Act tax credits have helped make healthcare coverage more affordable for millions of Americans. According to KFF, nearly 60 percent of Republicans support extending the tax credits, and according to the Crelative to original premium tax credits, the Affordable Care Act’s enhanced tax credits lowered marketplace premiums by an average of 44 percent for millions last year.
The 2026 plan rates released today are the first real glimpse of how Wisconsinites will be priced out of being able to afford healthcare coverage, with most Wisconsinites seeing costs soar by hundreds or even thousands more dollars a month.
“At a time when costs continue to go up and families and seniors are already struggling to make ends meet, we should be doing everything we can to make healthcare more affordable and accessible. But instead, Republicans in Congress are refusing to extend key supports under the Affordable Care Act, which means some Wisconsinites will pay hundreds or thousands of dollars more every month and even tens of thousands of dollars more a year—folks, that’s breathtaking,” said Gov. Evers. “With Open Enrollment just days away, President Trump and Republicans in Congress must work across the aisle to ensure these Affordable Care Act tax credits do not expire and prevent Wisconsin families and seniors from seeing their healthcare coverage costs skyrocket. Republicans’ reckless decisions are causing prices on everything to go up, from groceries to gas—Wisconsinites cannot afford to pay even more for healthcare, too. Republicans need to end this chaos and stop working to make healthcare more expensive. It’s that simple.”
How much Wisconsinites’ healthcare coverage costs will increase varies depending on age, income, plan selection, and available insurers in each county, but many Wisconsinites will see their premiums increase significantly, with seniors and middle-class families seeing some of the largest increases if Republicans in Congress do not extend enhanced tax credits under Affordable Care Act.
The Wisconsin Office of the Commissioner of Insurance today released several scenarios illustrating the enormous out-of-pocket costs Wisconsinites will see on a monthly and annual basis based on example ages, incomes, and counties of residence.
For example, without the reinstatement of enhanced premium tax credits, a middle-class family of four from Marathon County could see their premium more than double, going from $886 a month to over $2,300 a month.

In Barron County, a 60-year-old couple, making around $85,000 could see their premiums skyrocket over 800 percent, with an annual increase of over $33. Even in a county with more insurers available like Dane County, a 60-year-old couple could still see their premium triple, costing them another nearly $20,000 a year.

A 26-year-old in Eau Claire, making $48,000 a year and who is no longer eligible to be on their parents insurance would see their premiumcost an additional $2,000 a year. As a result, its expected these increased costs will cause more young, healthy individuals to go without healthcare coverage, negatively affecting the market for all age groups.

During the last Open Enrollment Period in 2024, a record-setting 313,579 Wisconsinites signed up for health insurance through the Affordable Care Act on the individual marketplace. Thanks to the efforts of U.S. Sen. Tammy Baldwin (D-Wisconsin), U.S. Rep. Gwen Moore (D-Wisconsin), and U.S. Rep. Mark Pocan (D-Wisconsin) to create and continue the Affordable Care Acts enhanced tax credits, healthcare coverage has been more affordable than ever. During the last enrollment period, 277,175 of the 313,579 enrollees qualified for premium subsidies, with an average premium subsidy of $664 per month across all Wisconsin counties.
of the over 24 million Americans enrolled through the Affordable Care Act, a vast majority receive an enhanced premium tax credit, and 70 percent of those who purchase their own insurance say they would not be able to afford premiums if the tax credits go away. Further, of those who purchase their own insurance, 40 percent report that they would expect to be priced out from healthcare coverage entirely and become uninsured. In all, without federal action, an estimated are facing significant premium increases, and nearly 4 million Americans will be uninsured by 2027.
“Wisconsin’s strong market has made it possible for hundreds of thousands of residents to access high-quality health coverage,” said Commissioner Houdek. “As we see changes in this market due to disruption at the federal level, we will continue to coordinate with our partners across the state to promote insurance coverage and protect healthcare access.”
ADDITIONAL BACKGROUND ON GOV. EVERS’ EFFORTS TO ENSURE WISCONSINITES HAVE ACCESS TO HEALTHCARE UNDER THE AFFORDABLE CARE ACT
Gov. Evers and the Evers Administration have worked diligently to protect and expand access to quality, affordable healthcare in Wisconsin. Among Gov. Evers’ first acts in office was
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| An online version of this release is available here. |
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