In Oct. 2024, Paula Graham was diagnosed with breast cancer. Two months later, she had a mastectomy as part of her treatment. Graham had just enrolled in Affordable Care Act (ACA) health care coverage that year and called it “critical” to navigating her bills. “Even with insurance, it was very expensive, and so having the ACA availability and the subsidies really helped a lot,” Graham, a 63-year-old self-employed massage therapist in Virginia Beach, Va., told ABC News. Graham’s premium is currently $258 per month after the ACA tax credit is factored in. Her max out-of-pocket expense is $6,400. Next year, however, she could see those figures skyrocket. “If the subsidy continues, my monthly premium will be $453 a month. But if the subsidy does not continue, it'll be $1,018 a month," she said

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