ACA Marketplaces (HealthCare.gov and state exchanges)
endsEnd of Year 3Federal programs
Today
21.1M enrollees (2024) with premium tax credits; annual open enrollment; narrow networks.
Under the plan
Close at end of Year 3; premium tax credits ($116.6B) redirected.
Trade-off
Ends subsidy cliffs and churn; Marketplace staff and navigator jobs end.