Table 4
Estimated losses in economic activity from loss of federal Advance Premium Tax Credits (APTC) by Metropolitan Statistical Area (MSA)
| MSA | Lost federal APTC ($) | Lost economic activity ($) | Total population | Lost economic activity per capita |
|---|---|---|---|---|
| Atlanta-Sandy Springs-Roswell, GA | $265,735,206 | $478,323,371 | 5,565,952 | $86 |
| Chicago-Naperville-Elgin, IL-IN | $37,322,726 | $67,180,907 | 9,061,260 | $7 |
| Dallas-Fort Worth-Arlington, TX | $193,298,783 | $347,937,810 | 7,776,762 | $45 |
| Detroit-Warren-Dearborn, MI | $13,082,627 | $23,548,728 | 4,251,753 | $6 |
| Houston-Pasadena-The Woodlands, TX | $238,436,699 | $429,186,058 | 7,224,146 | $59 |
| Los Angeles-Long Beach-Anaheim, CA | $21,877,493 | $39,379,487 | 12,799,950 | $3 |
| Miami-Fort Lauderdale-West Palm Beach, FL | $94,364,639 | $169,856,351 | 3,495,696 | $49 |
| New York-Newark-Jersey City, NY-NJ | $78,719,778 | $141,695,601 | 19,400,420 | $7 |
| Philadelphia-Camden-Wilmington, PA-NJ-DE-MD | $90,535,238 | $162,963,429 | 6,180,498 | $26 |
| Washington-Arlington-Alexandria, DC-VA-MD-WV | $39,197,943 | $70,556,298 | 3,977,005 | $18 |

Sources: Authors' analyses of 2023 American Community Survey 1-Year microdata via IPUMS; 2024 Centers for Medicare & Medicaid Services Marketplace Open Enrollment Period Public Use Files; and Ku et al. 2025.
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