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

 

Economic Policy Institute

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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