Health insurance premiums for roughly 140,000 New Yorkers will rise sharply this year after federal premium tax credits expired on December 31, 2025. The increase, averaging 38 percent, translates to nearly $1,400 more per year for individual coverage and about $3,000 for couples, according to state data.
Governor Kathy Hochul criticized Congressional Republicans for failing to extend the subsidies, calling the lapse a “disgraceful representation of failed leadership” that will leave many working families facing unaffordable health care costs. She urged New York’s Republican members of Congress to act to restore the credits.
Premium increases will vary across the state. Residents in the Southern Tier and Mohawk Valley regions will see the largest percentage increases, 48 and 49 percent, respectively, while Central New York and the Finger Lakes will experience rises of 43 and 42 percent. Statewide, the average monthly increase for a couple is $228.
The federal funding changes are part of the recently enacted H.R.1 legislation, which also reduces funding for the state’s Essential Plan by roughly 50 percent. Governor Hochul has directed New York State of Health to seek approval from the Centers for Medicare & Medicaid Services to revert the program to a Basic Health Plan, aiming to maintain coverage for about 1.3 million lower-income residents.
State officials said the Department of Health and New York State of Health continue to support consumers through call centers and enrollment assistance. Residents with questions about coverage or anticipated premium changes can call 1‑855‑355‑5777 or visit nystateofhealth.ny.gov.
For detailed information on cost changes by congressional district, visit info.nystateofhealth.ny.gov/stay-connected.
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