Open enrollment is underway for many employees, Medicare recipients, and those who purchase health insurance on their own through Affordable Care Act plans — and many of those Americans will see significant price hikes.

Health insurance premiums for plans bought over the ACA marketplace will increase 114% on average if enhanced subsidies expire at the end of 2025, according to KFF, a nonpartisan health policy research group. About 22 million of the 24 million ACA marketplace participants — including many self-employed and small-business workers — receive those premium tax credits , which are a key issue in the ongoing government shutdown.

Contributing to that price increase, ACA insurers are raising premiums for next year by an estimated 26% on average, according to KFF , in

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