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Health Care Advocate: federal subsidy rollbacks and market shifts are driving Vermonters to drop coverage or face large premiums
Summary
Mike Fisher told the Senate Health & Welfare Committee that recent federal changes to premium tax credits and market shifts are pushing Vermonters—including immigrants, small‑employer workers and older adults—toward being uninsured or underinsured and urged coordinated state responses.
Mike Fisher, the state Health Care Advocate, told the Senate Health & Welfare Committee that recent federal changes—particularly the end of enhanced premium tax credits—have raised premiums dramatically for many Vermonters and that state follow‑up is needed to protect access.
Fisher outlined three population groups at risk: low‑income immigrants who were able to buy coverage through Vermont Health Connect but lost eligibility or subsidies; people in the individual market who benefited from enhanced tax credits in prior years; and small‑group employers (under 100 employees) whose costs are rising because of adverse selection and self‑funding trends.
Using case examples, Fisher illustrated the human impact. He described an immigrant named Veronica Carlos…
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