Millions of Americans enrolled in the Affordable Care Act (ACA) marketplace face significant premium increases in 2026 as enhanced subsidies, extended through the Inflation Reduction Act until December 31, 2025, are set to expire. These subsidies, originally expanded during the COVID-19 pandemic, have provided crucial financial support. Without further legislative action, enrollees, including many small business owners and self-employed individuals, are confronting a substantial 'subsidy cliff,' potentially leading to drastically higher monthly costs for health insurance.