10/19/2026
More than 950,000 Americans, including Iowans, are receiving $500 refund checks for fees charged to people who bought ACA Marketplace coverage without premium tax credits, according to the Trump administration. But a one-time refund doesn't solve the larger affordability challenge.
Families continue to face higher costs following the expiration of the enhanced ACA tax credits at the end of 2025. In Iowa, 2026 premiums increased in the ACA marketplace from 12.6% to more than 25% after the enhanced tax credits expired. Notably, Rep. Nunn was one of 17 House Republicans who joined every House Democrat in voting to extend the credits for three years, but the proposal ultimately failed.
At Iowans for Affordable Healthcare, we believe the focus should remain on lowering the cost of coverage, expanding consumer choice and making quality healthcare more affordable for Iowa families.