Last year, Julia Tilley and her husband were finally able to purchase their health insurance on the marketplace.

Tilley, a home healthcare worker, takes care of her adult daughter with autism and a physical disability. Her husband has a traumatic brain injury and can only work part-time.

The Harrisburg family is among the more than 20 million Americans for whom pandemic-era tax credit subsidies made healthcare even more affordable.

Now the Tilleys, like the nearly 500,000 people across Pennsylvania enrolled in Pennie, the state’s Affordable Care Act insurance marketplace, are about to see healthcare premiums soar by an average of 102%.

In one scenario laid out by the state Insurance Department, a 60-year-old couple in York County now paying $7,032 will see their annual cost spike to $

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