New York Governor Kathy Hochul has criticized Congressional Republicans for not extending enhanced premium tax credits, which expired on December 31, 2025. As a result, health insurance premiums are set to rise by an average of 38 percent for New Yorkers who receive subsidies. This change will affect about 140,000 residents, making coverage less affordable for many working families.
“As we enter the New Year, thousands of hardworking New Yorkers face skyrocketing healthcare costs at the hands of Washington Republicans,” Governor Hochul said. “Their inaction is a disgraceful representation of failed leadership and now their constituents will quite literally pay the price. New York’s Republican members of Congress must do the right thing and extend these credits, thousands of New York families rely on them.”
The impact varies across regions. For example, couples in New York City will see their monthly health care costs increase by $211 (38%), while those in Western New York face a $267 (38%) increase. The Mohawk Valley region will experience the highest percentage jump at 49%, or $270 more per month.
Governor Hochul stated that while she remains committed to helping residents access affordable health care coverage, state resources cannot fully replace federal funding reductions made under H.R.1. These cuts affect both Medicaid and the Essential Plan in New York State. Nearly 450,000 people enrolled in the Essential Plan expansion could lose coverage as early as July 2026 due to these federal funding changes, with additional Medicaid recipients also at risk because of new requirements.
To address some of these challenges, Governor Hochul has directed the New York State of Health to request approval from the Centers for Medicare & Medicaid Services (CMS) to revert the Essential Plan back to a Basic Health Program. This move aims to preserve coverage for about 1.3 million lower-income residents despite reduced federal support.
The New York State Department of Health continues to provide assistance through its call centers and enrollment network for those seeking information about their options or upcoming premium changes. Residents can call 1-855-355-5777 or visit nystateofhealth.ny.gov for help.
More details on how each congressional district is affected are available at info.nystateofhealth.ny.gov/stay-connected.
