Health insurance will cost more for millions of Americans — especially rural residents
- OAHP
- Aug 28
- 1 min read
Updated: Sep 16
In Oklahoma, 116,800 rural marketplace enrollees face price spikes, the analysis found

A combination of Trump administration policies will make health care coverage more expensive for people who purchase plans from health insurance marketplaces — and rural residents will be hit the hardest, according to a new analysis.
The details:
Researchers from the Century Foundation say the administration’s refusal to seek an extension of Biden-era tax credits (set to expire at the end of 2025) will drive out-of-pocket premiums up by 93% in the 32 states that rely on the federally run marketplace.
Additional rules and tariffs will contribute to higher costs but to a smaller degree.
In Oklahoma, 116,800 rural marketplace enrollees are expected to feel the brunt of the price spikes.
What they’re saying:
The analysis warns that without congressional action, affordability will deteriorate sharply, particularly in rural areas where options are already limited.
The fine print:
The findings are based on modeling from the Century Foundation, which examined how the loss of federal tax credits and recent policy changes would affect enrollees in federally facilitated marketplaces.




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