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Piggy with bandage Uninsured parents and children are much more likely than those with health coverage to delay care because of costs and problems paying medical bills.

Total health care spending in the United States is expected to drop by more than $11.4 billion if enhanced premium tax credits in the American Rescue Plan Act expire, a new report has found.

“The enhanced premium tax credits that were part of ARPA have increased affordability and enrollment,” said Katherine Hempstead, senior policy advisor for the Robert Wood Johnson Foundation. “Allowing them to lapse will throw that process into reverse, especially in the face of rising premiums. We face a coverage cliff if Congress fails to act.”

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