by Jinghong Chen

Expanding Affordable Care Act (ACA) premium subsidies beyond the current range of 100-400% of the federal poverty level for potential enrollees, as proposed by Democratic presidential nominee Joe Biden, would lower costs for almost all exchange enrollees, according to a recent Kaiser Family Foundation analysis. Biden also wants to tie ACA subsidies to the second-lowest-cost gold plan rather than the second-lowest-cost silver plan and reduce the maximum premium contribution to 8.5% of an enrollee’s income for a benchmark gold plan. Under his proposal, older people making $50,000 annually would save the most on their monthly premiums. A 60-year-old would pay $354 on average per month for the second-lowest-cost gold plan instead of the current premium of $1,029. With the expanded subsidies, Biden’s campaign estimated that federal spending on the ACA exchanges would increase significantly.

NOTES: The projected monthly premium changes include plans that are offered on the exchanges. The premiums shown for California, Massachusetts and Vermont take into account extra subsidies currently offered in those states. Individuals with an income of $20,000 in Alaska are eligible for Medicaid.

SOURCE: “Affordability in the ACA Marketplace Under a Proposal Like Joe Biden’s Health Plan,” Kaiser Family Foundation. Visit