New Laws and Your Marketplace Plan Costs
Rick Bener | September 15, 2025

With open enrollment upon us, it’s important to understand how your health insurance might change. Two recent sets of federal laws—the One Big Beautiful Bill Act and the Marketplace Integrity and Affordability Final Rule—could affect your costs and coverage.
If you get your policy through the federal health insurance marketplace or your state’s equivalent, here's what you need to know.
Lower premium tax credits:
Unless Congress acts, enhanced premium tax credits enacted during the pandemic will expire December 31, 2025.
If your income is above 400% of the federal poverty level (FPL) by even a dollar, you won’t get premium tax credits.
For everyone else, credits will be lower and costs will be higher. For instance, someone at 300% FPL will pay up to 9.83% of their income for premiums—up from 6%.
More HSA eligible plans:
You’ll soon be able to contribute to a health savings account (HSA) with any bronze or catastrophic plan (not just plans the IRS classifies as high deductible).
HSA contributions reduce your taxable income, which could help you qualify for premium subsidies. Withdrawals for qualified medical expenses are tax-free. You can even save and invest your HSA money to help it grow tax deferred.
Other changes:
Advance premium tax credit repayment risk: If you underestimate your income and get too much in subsidies, you’ll have to repay the excess in full (repayment is no longer capped).
Deferred Action for Childhood Arrivals (DACA) eligibility revoked: As of August, DACA recipients are no longer eligible for marketplace coverage.
Need help reviewing your coverage? Give us a call. We’ll help you understand your options and avoid surprises this open enrollment season. Feel free to forward this email to someone it might help.










