North Carolina

  • 979,000 North Carolina residents relied on enhanced premium tax credits in 2024.
  • A North Carolina couple in their early 60s earning about $82,800 per year would see their annual health insurance premium increase by an average of $19,296. To keep their coverage, they could have no choice but to incur debt or forego medical care in order to reduce expenses.
  • If enhanced premium tax credits expire, North Carolina is projected to lose 5,254 jobs. By 2026, the state’s GDP will decline by $620.8 million, with total economic output dropping by $1 billion. These losses would lead to a $42.6 million reduction in state and local tax revenues.
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