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Essentially, one commentator calculates that, with these changes, a family of four making $85,000 with $25,000 in health insurance coverage costs, will go from no federal support to a maximum payment for insurance of $7,000, or subsidies for such coverage will go from zero to $18,000. The American Rescue Plan provides various additional levels of support for all income levels, as shown in the table above.
2. Expands ACA cost-sharing support for the unemployed. The Senate legislation adds cost-sharing support for unemployed Americans enrolled in a qualified health plan. Currently, for those enrolled in such a plan who make between 100 and 400 percent of the FPL, the ACA mandates insurers reduce cost-sharing in phased amounts to make out-of-pocket expenses more affordable for lower-income Americans. The Senate legislation amends this provision for 2021 to deem that any person who received (or is approved to receive) unemployment compensation for any week during 2021 meets the requirements for an “eligible insured” under the ACA for such cost-sharing support. Further, for the phased amounts to limit out-of-pocket expenses, the legislation would not include household income in excess of 133 percent of the FPL in calculating the support under these provisions.