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# Fact brief: Are ACA premiums set to increase for all South Dakotans by 235%?
- URL: https://www.sdnewswatch.org/fact-brief-affordable-care-act-aca-premiums-government-shutdown/
- Published: 2025-10-02T11:00:18.000Z
- Updated: 2025-10-05T17:33:29.000Z
- Description: A fact brief that refutes or confirms a claim with supporting information and additional evidence and context.
- Author: Michael Klinski
- Tags: Fact briefs, #feature-1

## No.

![](https://storage.ghost.io/c/cb/ab/cbabab5e-2dc6-462c-94a0-b72956c0d224/content/images/2025/01/WhiteFACT-BRIEF--500-x-200-px--2-1-1.png)

While Affordable Care Act premiums are going to rise in 2026, a post on X from a United States senator saying costs will increase 235% in South Dakota if tax credits expire is misleading.

Sen. Tammy Duckworth, D-Illinois, posted that premiums in red states would increase by as much as three times. 

The proposed rate increases for South Dakota insurers: Avera (8.9%), Sanford Health (5.2%) and Wellmark of South Dakota (1.2%). Nationally, the median proposed increase is 18%.

Prices could increase substantially more if the tax credits are not renewed in 2026\. Those credits provided additional assistance to enrollees and expanded eligible income levels.

KFF estimates that a family of four making $90,000 will have premiums increase by 56%. Lower-income levels will see the biggest increase, from $0 to $1,607 for a family earning $45,000\. Nationally, premiums would increase an average of 114%.

*This fact brief responds to conversations such as* [*this one.*](https://www.reddit.com/r/politics/comments/1nwgna8/aca%5Fpremiums%5Fto%5Frise%5F114%5Fwithout%5Fsubsidy%5Frenewal/?ref=sdnewswatch.org)

### Sources

Sen. Tammy Duckworth, [X post on ACA premiums](https://x.com/SenDuckworth/status/1973126854421700714?ref=sdnewswatch.org)

Peterson-KFF, [Health System Tracker](https://www.healthsystemtracker.org/brief/how-much-and-why-aca-marketplace-premiums-are-going-up-in-2026/?ref=sdnewswatch.org#Overall%202026%20proposed%20rate%20change%20among%20ACA%20Marketplace%20plans,%20by%20insurer)

KFF, [ACA marketplace premium payments would more than double on average if enhanced premium tax credits expire](https://www.kff.org/affordable-care-act/aca-marketplace-premium-payments-would-more-than-double-on-average-next-year-if-enhanced-premium-tax-credits-expire/?ref=sdnewswatch.org)

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