Reps. Mackenzie, Bresnahan, and Perry Supported Contributing Policies Including the Republican Tax Law and Trump’s Tariffs

July 22, 2025

PENNSYLVANIA - Just two short weeks after Reps. Ryan Mackenzie (PA-07), Rob Bresnahan (PA-08), and Scott Perry (PA-10) voted to pass the Republican Tax Law that makes massive cuts to critical healthcare benefits in order to fund billionaire tax breaks, new analysis from the Kaiser Family Foundation (KFF) found that ACA-related cuts in the tax law, the ACA enhanced tax credits expiring at the end of the year, and the Trump administration’s tariff policy are all contributing to increased health care costs for working people.

“Experts have been sounding the alarm about the disastrous consequences of the Republican Tax Law for months. This new analysis from KFF just further proves what we already know - that the Trump administration’s policies will skyrocket healthcare prices for working families,” said Rachele Fortier, executive director of Affordable Pennsylvania. “Representatives like Ryan Mackenzie, Rob Bresnahan, and Scott Perry who supported this legislation knew how it would devastate healthcare for their constituents, but they voted for it anyway because they care more about the bottom line of billionaires than the wellbeing of Pennsylvanians. These representatives should prioritize the livelihoods of their hard-working constituents over the interests of the wealthy and corporations.”

KFF: Individual market insurers requesting largest premium increases in more than 5 years

• Enhanced premium tax credits that make coverage more affordable will expire at the end of 2025, driving up out-of-pocket premium payments by over 75% on average. This is expected to cause healthier enrollees to drop their coverage and create a sicker risk pool. An earlier Peterson-KFF Health System Tracker analysis showed the expiration of enhanced premium tax credits raised proposed rates by an additional 4 percent, on average.

• Tariffs could drive up the cost of some drugs, medical equipment, and supplies. Some insurers report that tariffs—and the uncertainty around them—are driving rate increases about 3% higher than they otherwise would be.

• If Congress takes no action to renew these enhanced tax credits, enhanced subsidies will expire at the end of 2025, which will cause premium payments for subsidized enrollees to increase by over 75% starting in January 2026. Insurers expect a large share of enrollees to leave the market, and that those enrollees will be healthier on average, thus leaving the risk pool sicker on average.

• Most ACA Marketplace insurers are requesting premium increases in the 10-20% range for 2026. But more than a quarter (27%) of insurers are proposing premium increases of 20% or more for 2026. In recent years, premiums in this market have been relatively flat or grown only modestly for several years. Last year, just 3% of insurers increased premiums by 20% or more. No insurers have requested rate decreases for 2026, whereas in recent years at least some insurers did decrease premiums.

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