Under the ACA, consumers at this income level pay 5.38 percent of income for benchmark coverage, or $1,200 per year. Premium tax credits make up the rest: $14,000 in Alaska, $6,900 in Wyoming, and $3,300 in Indiana. In contrast, under the House plan, all three consumers would receive tax credits of $3,000. That leaves the Indiana consumer paying the remaining $1,500 in annual premiums — an increase compared to current law, but a small one compared to the Wyoming consumer, who would face a net premium of $5,100 after tax credits, or the Alaska consumer, who would pay $11,800 (assuming no changes in pre-credit premiums). . . .
The average tax credit in high-cost states would fall sharply under the House plan. Enrollees in 11 states would see their tax credits cut by more than half, and people in seven states — Alaska, North Carolina, Oklahoma, Alabama, Nebraska, Wyoming, and West Virginia — would face average credit reductions of more than $4,000. These steep cuts would greatly reduce the affordability of coverage and almost certainly increase the number of uninsured in those states.