Projection of gross costs of ACA coverage provisions in the U.S. 2015-2025

This statistic displays a projection of the gross costs accumulated by the Affordable Care Act (ACA) coverage provisions in the United States from 2015 to 2025. In 2018, gross cost of coverage provisions is expected to reach 176 billion U.S. dollars.

Affordable Care Act coverage

The gross costs of the Affordable Care Act (ACA) coverage provisions are expected to increase from 81 billion U.S. dollars in 2015 to 245 billion U.S. dollars in 2025. Under the ACA, the number of uninsured U.S. citizens is expected to decrease from 36 million nonelderly people in 2015 to a low of 29 million people in 2020. In 2014, the change in coverage will decrease by 14 million under the program, while there will be an additional 9 million covered by Medicaid and CHIP. It is projected that penalty payments by employers will start to increase, reaching 23 billion U.S. dollars in 2025 under the ACA.

Health care coverage premiums will also change with Vermont experiencing up to a 600 percent increase in premiums as of October 2013. Increasing costs and general changes in policy may create uncertainty in many individuals. Over 54 percent U.S. citizens reported disapproval of the restructured health care system under the ACA of 2010. Many disapproving citizens cite that they expected costs to increase and the quality of health care to decrease. About 418 million U.S. dollars spent between 2010 and 2014 on advertisements undermining the implementation of the ACA.

Projected gross costs of Affordable Care Act coverage provisions from 2015 to 2025

Fiscal yearGross cost in billion U.S. dollars
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Release date

January 2015


United States

Survey time period

January 2015

Supplementary notes

ACA: Affordable Care Act
By fiscal year.

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