Georgia’s healthcare system is on the brink of significant financial turmoil as a new forecast reveals a potential revenue loss of $3.7 billion for hospitals, doctors, and other health businesses in the state next year. This alarming situation arises if Congress and the President allow the Affordable Care Act (ACA) health insurance subsidies to expire in December.
The forecast, conducted by the Robert Wood Johnson Foundation in partnership with the Urban Institute, indicates that Georgia’s expected loss is among the highest in the nation, trailing only Florida and Texas. All three states would experience an overall revenue decline of approximately 4.8% in their health sectors come 2026, with a cumulative national loss projected at around $32 billion.
The ramifications could hit hard, particularly for lower-income residents of Georgia who have benefited from enhanced subsidies during the pandemic. Currently, enrollment in ACA plans in Georgia has surged, with around 1.5 million individuals now holding policies, a shift attributed to the increased affordability of health insurance options.
Concerns have been raised about the direct impact on individuals; an estimated 460,000 Georgians could potentially lose their ACA health insurance if these subsidies are not extended, according to the most recent estimates from the health research organization KFF. This loss would inevitably exacerbate the already strained healthcare resources available to residents.
As outreach efforts ramp up in 2024 to ensure that residents remain informed about available options, stakeholders are urging Congress to take prompt action. Healthcare advocates and officials are emphasizing the critical nature of these subsidies, which play a vital role in maintaining access to healthcare for many low- to moderate-income individuals.
Without these financial supports, the state risks not only devastating revenue losses but also undermining the healthcare security that many Georgians have gained in recent years. The political landscape surrounding these subsidies remains tangled, with pressure on lawmakers to swiftly address the looming expiration before it has dire consequences for the health sector and its contributing stakeholders.

