In Lincoln, Neb., the expiration of Affordable Care Act (ACA) tax credits extended in 2021 is poised to significantly impact over 130,000 Nebraskans who rely on ACA marketplace plans. With the end of the year approaching, many residents are bracing for a steep increase in their monthly insurance premiums, which could more than double.
Angie Lauritsen, the state director for Nebraska For Us, emphasized that regardless of the plan chosen, individuals will face unavoidable cost hikes that render health insurance increasingly unaffordable. As costs rise, she noted a growing number of residents are considering forgoing health insurance altogether, opting instead to save money in hopes that unforeseen health crises do not occur.
Audrey Horn, a retiree from Omaha who has been using an ACA marketplace plan since 2019, expressed deep concern over the impending financial burden. She described the stress of adapting to rising monthly payments, which have now climbed to hundreds of dollars more than previously anticipated. For Horn and her husband, the decision to continue paying for insurance is one they reluctantly made, sacrificing funds they had originally set aside for leisure activities in retirement. “We’ll be using that now to pay insurance premiums,” she lamented.
As this situation unfolds, attention is turning to legislative decisions that could influence the future of healthcare in Nebraska. Senator Pete Ricketts is among lawmakers scheduled to vote on competing healthcare proposals. The Democratic plan seeks to extend the ACA subsidies for an additional three years, while the Republican counterproposal aims to provide direct financial support for health insurance through health savings accounts and enhance access to plans with reduced coverage. Ricketts indicated that the Republican proposal would expand “copper plans,” which are a lower-tier insurance option, making them available to more individuals.
Despite the urgency of the matter, Ricketts expressed skepticism about the likelihood that either proposal would garner the 60 votes necessary for approval. The potential expiration of ACA tax credits is creating uncertainty and concern for many Nebraskans, who are now left navigating a challenging healthcare landscape.


