All Issues
Healthcarecritical

ACA Premium Cliff

Enhanced ACA subsidies are set to expire, threatening to double health insurance costs for millions of Floridians — particularly those over 60.

Updated April 2026

The Problem

The enhanced ACA subsidies enacted in the American Rescue Plan and extended in the Inflation Reduction Act are set to expire — threatening to roughly double premiums for over 85,000 District 21 residents who depend on those plans, particularly those over 60.

Florida has the highest ACA marketplace enrollment in the country and the largest population of pre-Medicare retirees buying coverage on the exchange. The cliff hits us hardest.

Brian Mast — 9-Year Track Record

Talking points without legislation isn't representation.

What he’s actually gotten signed into law as the primary sponsor — across five congresses (2017–2026):

4
bills became law in 9 years
as primary sponsor
2
of those just named buildings
post office + VA hospital
1
substantive policy bill
2017 VA reauthorization
0
water-quality bills became law
as primary sponsor

Source: production LegiScan database (sponsor + status records, queried April 2026) cross-checked against GovTrack and Congress.gov.

The Incumbent's Record

What Brian Mast Has Done

Brian Mast voted YES to repeal the ACA in 2017 (HR 1628 — the bill that would have let insurers charge older Americans 5x more) and voted NO on the Inflation Reduction Act in 2022 (which extended ACA subsidies, capped insulin at $35, and capped Medicare Part D out-of-pocket at $2,000).

Recorded Votes

  • H.R. 1628
    American Health Care Act (ACA Repeal)Voted YES

    Would have repealed the ACA. The bill's age-rating provision would have let insurers charge older Americans up to 5x more.

    Passed House 217–213; died in Senate · 2017-05-04
  • H.R. 5376
    Inflation Reduction ActVoted NO

    Extended enhanced ACA premium subsidies through 2025; capped Medicare Part D out-of-pocket at $2,000; allowed Medicare drug-price negotiation; capped insulin at $35.

    Passed 220–207; signed · 2022-08-12

What He Hasn't Done

  • No public statement found on the looming 2025 subsidy cliff or its impact on FL-21 enrollees.

Compiled from House Clerk roll-call records and mast.house.gov press releases (May 2017, August 2022).

The Cooke Plan

What Alex Would Do

Specific. Sourced. Independent.

  1. 1

    Make enhanced ACA subsidies permanent

    Cosponsor permanent extension of the American Rescue Plan / IRA enhanced premium tax credits. Without action, FL-21 residents over 60 face $4,000+/year increases.

  2. 2

    Reinsurance pool for individual market

    Federal reinsurance for high-cost ACA marketplace enrollees — pricing stability for the entire pool. Modeled on what worked in Alaska, Maine, and Minnesota.

  3. 3

    Cap drug out-of-pocket for everyone, not just Medicare

    Extend the IRA's $2,000 Part D out-of-pocket cap to ACA marketplace plans. Stops the bankruptcy-via-prescription pattern that hits Florida retirees particularly hard.

Stand with Alex on this.

Independent. No party. No PACs. Real fixes for Florida District 21.

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