Affordable Care Act premiums are set to spike. A new poll shows enrollees are already struggling

The enhanced premium tax credits set to expire at the end of this year have been at the center of recent tensions in Congress, with Democrats calling for a straight extension and several Republican lawmakers vehemently opposed to the idea. Their inability to agree on a path forward fueled a record 43-day government shutdown earlier this fall.

President Donald Trump and some Republicans in Congress have circulated proposals in recent weeks to offer a short-term extension or reform the Affordable Care Act, but no plan has emerged as a clear winner. Meanwhile, the window for Americans to shop for next year’s plans is well underway with less than a month to go until the subsidies expire.

KFF’s poll reveals that marketplace enrollees — most of whom say they would be directly impacted by the subsidies expiring — overwhelmingly support an extension. The survey found this group is more likely to blame Trump and Republicans in Congress than Democrats if the tax credits are left to expire.