Millions of Americans buying health insurance through the Affordable Care Act exchange face uncertainty as subsidies may expire. Over 682,000 people in D.C., Maryland, Virginia, and West Virginia rely on these subsidies, with up to 98% receiving premium tax credits. Without extension, premiums could rise significantly, especially in West Virginia, where a 60-year-old couple might see increases up to $4,000 monthly. Other states face rises between $1,100 and $1,400.
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