Senate GOP Health Bill Would Raise Out-of-Pocket Costs in Every State

By Hannah RechtHannah Recht and Mira RojanasakulMira Rojanasakul

Senate Republicans are having a tough time agreeing on a plan to replace the Affordable Care Act. For some senators, there's at least one big red flag in the proposed bill: Out-of-pocket costs for most people in the individual marketplace would skyrocket.

The bill's subsidies are less generous than Obamacare’s, so even though the average premium is expected to fall beginning in 2020 under the plan, most people would have to pay more to maintain the same level of coverage. Out-of-pocket premiums for people on mid-level plans would be 74 percent higher on average, according to the Kaiser Family Foundation.

In several states represented by a Republican senator, including Alaska, West Virginia and Louisiana, the average premium after tax credits for a mid-level plan would more than double.

Average Annual Premium After Subsidies for a Mid-Level Plan in 2020

U.S. Senators

Republican

Democratic

Independent

ACA

Senate bill

$0K

$2K

$4K

$6K

$8K

$10K

Alaska

$9.6K

Minnesota

$7.7K

West Virginia

$7.0K

Colorado

$6.6K

Montana

$6.1K

Arizona

$6.0K

South Dakota

$6.0K

D.C.

$6.0K

Connecticut

$5.9K

Oklahoma

$5.7K

Nebraska

$5.3K

Tennessee

$5.2K

Wisconsin

$5.0K

Alabama

$4.9K

Pennsylvania

$4.8K

New York

$4.8K

New Mexico

$4.7K

Oregon

$4.7K

Hawaii

$4.7K

North Carolina

$4.7K

Iowa

$4.7K

Illinois

$4.7K

California

$4.6K

Delaware

$4.6K

North Dakota

$4.6K

Kansas

$4.6K

Louisiana

$4.4K

Wyoming

$4.4K

Vermont

$4.2K

Kentucky

$4.2K

New Hampshire

$4.2K

U.S. Average

$4.1K

Ohio

$4.1K

Maryland

$4.0K

New Jersey

$4.0K

Texas

$3.9K

Missouri

$3.7K

Indiana

$3.7K

Virginia

$3.6K

Maine

$3.6K

Arkansas

$3.6K

Nevada

$3.5K

Georgia

$3.5K

Idaho

$3.5K

Washington

$3.4K

Michigan

$3.4K

South Carolina

$3.1K

Rhode Island

$3.1K

Utah

$2.9K

Florida

$2.8K

Mississippi

$2.6K

Massachusetts

$2.0K

$0K

$2K

$4K

$6K

$8K

$10K

U.S. Senators

Republican

Democratic

Independent

ACA

Senate bill

$0K

$2K

$4K

$6K

$8K

$10K

Alaska

$9.6K

Minnesota

$7.7K

West Virginia

$7.0K

Colorado

$6.6K

Montana

$6.1K

Arizona

$6.0K

South Dakota

$6.0K

D.C.

$6.0K

Connecticut

$5.9K

Oklahoma

$5.7K

Nebraska

$5.3K

Tennessee

$5.2K

Wisconsin

$5.0K

Alabama

$4.9K

Pennsylvania

$4.8K

New York

$4.8K

New Mexico

$4.7K

Oregon

$4.7K

Hawaii

$4.7K

North Carolina

$4.7K

Iowa

$4.7K

Illinois

$4.7K

California

$4.6K

Delaware

$4.6K

North Dakota

$4.6K

Kansas

$4.6K

Louisiana

$4.4K

Wyoming

$4.4K

Vermont

$4.2K

Kentucky

$4.2K

New Hampshire

$4.2K

U.S. Average

$4.1K

Ohio

$4.1K

Maryland

$4.0K

New Jersey

$4.0K

Texas

$3.9K

Missouri

$3.7K

Indiana

$3.7K

Virginia

$3.6K

Maine

$3.6K

Arkansas

$3.6K

Nevada

$3.5K

Georgia

$3.5K

Idaho

$3.5K

Washington

$3.4K

Michigan

$3.4K

South Carolina

$3.1K

Rhode Island

$3.1K

Utah

$2.9K

Florida

$2.8K

Mississippi

$2.6K

Massachusetts

$2.0K

$0K

$2K

$4K

$6K

$8K

$10K

U.S. Senators

Republican

Democratic

Independent

ACA

Senate bill

$0K

$5K

$10K

Alaska

$9.6K

Minnesota

$7.7K

West Virginia

$7.0K

Colorado

$6.6K

Montana

$6.1K

Arizona

$6.0K

South Dakota

$6.0K

D.C.

$6.0K

Connecticut

$5.9K

Oklahoma

$5.7K

Nebraska

$5.3K

Tennessee

$5.2K

Wisconsin

$5.0K

Alabama

$4.9K

Pennsylvania

$4.8K

New York

$4.8K

New Mexico

$4.7K

Oregon

$4.7K

Hawaii

$4.7K

North Carolina

$4.7K

Iowa

$4.7K

Illinois

$4.7K

California

$4.6K

Delaware

$4.6K

North Dakota

$4.6K

Kansas

$4.6K

Louisiana

$4.4K

Wyoming

$4.4K

Vermont

$4.2K

Kentucky

$4.2K

New Hampshire

$4.2K

U.S. Average

$4.1K

Ohio

$4.1K

Maryland

$4.0K

New Jersey

$4.0K

Texas

$3.9K

Missouri

$3.7K

Indiana

$3.7K

Virginia

$3.6K

Maine

$3.6K

Arkansas

$3.6K

Nevada

$3.5K

Georgia

$3.5K

Idaho

$3.5K

Washington

$3.4K

Michigan

$3.4K

South Carolina

$3.1K

Rhode Island

$3.1K

Utah

$2.9K

Florida

$2.8K

Mississippi

$2.6K

Massachusetts

$2.0K

$0K

$5K

$10K

Source: Kaiser Family Foundation
Note: A mid-level plan is a silver plan, which covers 70 percent of costs.