Universal HealthcareBy NextBestFit
Phase 3: Waves 2 & 3: working-age adults · Step 3.5

Close the ACA Marketplaces

End of Year 3 · CMS CCIIO; state exchangesDiscuss this step
← All costs for this step

ACA Marketplace tax credits & subsidies

The ACA Marketplaces close and the money is redirected to the UHP Trust Fund.

Result
$116.6B
$116.6B → $116.6B
Per resident, per year
$342
÷ 341.1M people
Per household
$882
÷ 132.2M households

How it's calculated

#StepArithmeticValue
1
2024 amount (CMS NHE Tables 5-1 to 5-4)
Sources: CMS Office of the Actuary (2025)
$116.6B
2
Treatment: redirected
$0.0B
3
Under the plan
$116.6B
Trade-off: Existing public money keeps flowing, now to UHP instead of separate programs.
Sources: CMS Office of the Actuary (2025)