Healthcare Advocates Discuss Impact of Healthcare Cuts on Families

Healthcare advocate warns that many older individuals or those in higher-cost areas like rural America will pay not just hundreds, but thousands of dollars more for coverage
Sept. 12, 2025
3 min read

Key Highlights

  • Premiums are projected to increase by an average of 18 percent nationwide next year, with some older and rural residents facing thousands of dollars in additional costs.
  • Federal budget cuts and policy changes are reducing or eliminating tax credits, which are vital for over 90 percent of ACA enrollees in West Virginia and Georgia, risking coverage loss for millions.
  • States like Florida and Georgia are experiencing significant coverage gaps, with Florida's uninsured rate expected to nearly double due to rising premiums and reduced subsidies.
  • Advocates urge Congress to extend tax credits immediately and tackle high healthcare costs driven by hospital consolidation and prescription drug prices.
  • The message emphasizes the need for consumers to be proactive in advocating for affordable healthcare and policy reforms to prevent further coverage erosion.

On Thursday, September 11, the healthcare consumer advocacy group, Families USA, facilitated a press conference with Florida Voices for Health, Georgians for a Healthy Future, and West Virginians for Affordable Healthcare, discussing the recent federal budget cuts to healthcare and their impact on working families in Florida, Georgia, and West Virginia. 

Anthony Wright, Executive Director of Families USA, started by mentioning the massive spikes in premiums that are coming at the end of the year, unless Congress reverses its current course. “Over the last several weeks,” Wright said, “we have seen eye-popping premium announcements that are alarming for those who buy coverage as individuals or as families. In recent years, we've seen a string of single-digit rate percentage increases, but next year, the percentage increase for premiums is up by double digits, an average of 18 percent across the country….Many healthcare consumers will feel a double whammy: the premiums are rising and the tax credits that would have shielded them from these hikes…are being reduced or expiring altogether….Many who are older or in higher cost areas like rural America will not just pay hundreds more, but 1000s of dollars more for coverage.”

Wright highlighted that Congress consistently rejected proposed amendments aimed at preventing cost spikes and making these tax credits permanent. Furthermore, he noted that the Budget Bill, along with the Trump administration's actions on the so-called marketplace integrity rule, also complicates obtaining and maintaining coverage by removing automatic renewals, halving the open enrollment period, and implementing other changes.

Ellen Allen with West Virginians for Affordable Healthcare, mentioned that the high cost of healthcare reflects the state's rural status. “We have some of the highest prices in the entire country, and we have over 67,000 West Virginians enrolled in the ACA (Affordable Care Act)….Ninety-two percent of those West Virginians receive tax credits.” The renewal of tax credits will be crucial for West Virginians, Allen underscored.

Scott Darius, Executive Director of Florida Voices for Health, expressed concerns that Florida's uninsured rate would nearly double, considering that an estimated 1.4 million Floridians will be priced out of coverage. “I think the increase in the base premium rate is being driven in large part by the non-extension of these tax credits and other changes at the federal level.”

Whitney Briggs, Director of Health Policy for Georgians for a Healthy Future, mentioned that the stakes are especially high for Georgia. “In 2025, Georgia operated its own state-based marketplace called Georgia Access,” Briggs explained. “For the first time, more than 1.5 million Georgians signed up for coverage through Georgia Access, making it the second-largest state-based marketplace in the country. And over 90 percent of Georgia Access enrollees rely on premium tax credits to make their insurance more affordable.”

“Affordable coverage means that people can see a doctor, manage chronic conditions, and get preventive care without risking financial ruin. If costs soar and coverage slips away, the consequences will ripple through every part of our state at almost every income level,” Briggs cautioned.

“When Congress passed its budget bill, they extended trillions in tax cuts for the wealthy corporations, but they neglected to extend these tax credits to help working-class people afford healthcare coverage,” Wright said. “Consumers should call on Congress to extend these tax credits ASAP,” he advised. “Congress can and should work toward an actual affordability agenda for a healthcare system by addressing the drivers of high healthcare costs, from hospital consolidation to anti-competitive contract prescription drug prices at home. Our advice is for consumers to be smart shoppers, but also active advocates for affordability.”

About the Author

Pietje Kobus-McAllister

Pietje Kobus-McAllister

Pietje Kobus-McAllister has an international background and experience in content management and editing. She studied journalism in the Netherlands and Communications and Creative Nonfiction in the U.S. Pietje joined Healthcare Innovation in January 2024.

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