Starting today, more than 20 million Americans will see a significant increase in their health insurance costs as Affordable Care Act (ACA) subsidies expire, according to a report by KFF. ABC News’ Trevor Ault recently spoke with KFF vice president Cynthia Cox to discuss the impact of this change.

The expiration of these subsidies, initially enacted as part of the American Rescue Plan, means individuals and families will likely pay substantially more for their health insurance premiums through the ACA marketplaces. The increase will vary depending on income and location, but experts anticipate many will struggle to afford coverage.

Cynthia Cox explained that the subsidies were crucial in making ACA plans accessible to a wider range of people during the COVID-19 pandemic. Their removal represents a significant setback for affordability, potentially leading some to forgo coverage altogether. The subsidies helped offset the cost of premiums for those who qualified, based on their income levels.

The impact is expected to be felt most acutely by middle-income Americans who previously benefited from the enhanced subsidies. While some lower-income individuals may still be eligible for assistance, the overall landscape of affordable healthcare is shifting. The situation highlights the ongoing debate surrounding healthcare policy and the importance of government subsidies in ensuring access to care.

The ACA, also known as the Affordable Care Act or Obamacare, aimed to expand health insurance coverage to more Americans. The subsidies were a key component of this effort, and their expiration raises concerns about the future of healthcare affordability for millions.