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flag Over 77,000 Montanans gained health insurance via HealthCare.gov in 2025, but subsidies set to expire could double premiums.

flag Over 77,000 Montanans obtained health insurance through HealthCare.gov in 2025, with about 69,000 receiving federal tax credits that lowered their average premium to $102. flag These pandemic-era subsidies, set to expire January 1, 2026, could double premiums without extension. flag Roughly 12,400 residents earning above 400% of the federal poverty level would lose eligibility. flag Congressional efforts to extend credits failed in the Senate, with Democrats backing a three-year extension and Republicans favoring expanded health savings accounts. flag Montana’s senators opposed the extension, and the House passed a Republican bill that does not extend subsidies. flag Insurers are raising premiums, and more consumers may opt for high-deductible plans. flag Open enrollment for 2026 coverage ends January 15.

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