Expiring ACA tax credits spark health cost concerns in Ohio

By Farah Siddiqi

Ohio lawmakers and health-care advocates are reacting to a congressional push that could end federal tax credits helping millions of Americans afford coverage under the Affordable Care Act, raising concerns about higher premiums and access to care across the state. During a congressional hearing this week, Ohio Republicans argued that families and small businesses are struggling under rising health care costs and said the system needs reform to improve affordability and access. Advocates said Ohio could be among the states hardest hit if the ACA credits are not extended.

Rep, Max Miller, R-Wayne and Medina counties, said premiums have continued to climb in recent years, underscoring the need for reform.

"Ohio families and small businesses continue to face unprecedented health-care costs, making it increasingly difficult for my constituents to access affordable, high-quality care," he said.

Miller also said health-care costs have risen sharply since the Affordable Care Act was enacted, citing a more than 25% increase in premiums over the past five years and arguing the trend shows the need for broader reform. Supporters of the tax credits say they have helped drive the nation’s uninsured rate to historic lows.

Vaishu Jawahar, director of policy programs with Protect our Care, warned that allowing the credits to expire could have widespread consequences, not only for people who buy insurance on their own, but also for hospitals, employers and insured patients.

"We expect Congressional Republicans to vote to rip away tax credits that over 20 million Americans count on to help afford their health insurance," she said.

Advocates stress that if more Ohioans lose coverage, hospitals and clinics — especially in rural areas — could see higher levels of uncompensated care, adding financial strain to providers already facing workforce shortages and rising operating costs.