Temporary legislation from 2021 to 2025 changed rules on who is eligible for breaks on health insurance.

Emily DeCock
Emily DeCock
Reporter
605-736-4396
emily.decock@sdnewswatch.org

No.

Individuals and households that make over $500,000 per year are no longer eligible for subsidies under the Affordable Care Act.

Until it expired in December 2025, temporary legislation removed income caps for who qualifies for subsidies.

The American Rescue Plan, a stimulus law signed in 2021 by former President Joe Biden in response to the COVID pandemic, removed the income cap, but the Inflation Reduction Act of 2022 extended the enhanced subsidies until 2025. It also ensured that enrollees paid no more than 8.5% of their household income toward coverage.

Standard subsidy rules returned when Congress did not extend the enhancements at the end of 2025. Only households that make 100-400% of the federal poverty line qualify for subsidies. The poverty line for a family of four in 2026 is $33,000.

In 2026, a family of four is not eligible for subsidies if its household income is over $132,000.

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This fact brief responds to claims such as this one.

Sources

Congress.gov, Enhanced Premium Tax Credit and 2026 Exchange Premiums: Frequently Asked Questions

ICT Health insurance, ACA Subsidy Cliff 2026: How the Return Could Impact Your Health Insurance Premiums

HealthCare.gov, Federal poverty level (FPL)

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