State

These Three Oregon Counties Will be Hit Hardest by Obamacare Cuts at the Heart of the Federal Budget Shutdown

These three counties depend heavily on outdoor recreation.

Hood River County depends heavily on outdoor recreation. (Brian Burk)

This story was produced by the Oregon Journalism Project, a nonprofit newsroom covering the state.

A key sticking point of the current federal government shutdown is something called “the enhanced premium tax credit,” which Democrats want to keep and Republicans want to end. The credit, if not extended, will have an outsized impact in three Oregon counties.

That credit, an outgrowth of the 2014 Affordable Care Act, aka Obamacare, allows people earning more than 100% of the federal poverty level to pay reduced premiums when they buy their ACA health insurance.

Republicans did not include the premium credits in the budget bill President Trump signed on July 4.

If the tax credit disappears, an estimated 110,000 Oregon workers will pay an additional $127 to $456 each month for plans through the ACA insurance marketplace, according to a Oregon Health Authority report.

Originally, the feds offered the premium tax credit only to those earning less than 400% of the federal poverty level ($15,560 for a one-person household, with $5,500 for each additional person). Congress temporarily raised, or “enhanced,” the income limit during the pandemic and then extended it through 2025.

The subsidy boosted health insurance coverage around the country, including in Oregon, where 97% of residents have health insurance.

According to an Oregon Journalism Project analysis of OHA data, the subsidy loss will hit populations in Hood River, Deschutes and Wallowa counties hardest in percentage terms.

These three counties depend heavily on outdoor recreation, says Todd Montgomery, director of Oregon State University’s Sustainable Tourism Lab. Those jobs are often filled by workers “making somewhere between minimum wage and maybe 20 bucks an hour,” Montgomery says. “And those are also the ones that are most likely to need that health care coverage. So if you start to take that away, it’s problematic.”

Residents impacted by the removal of enhanced premium tax credits. (Khushboo Rathore)
Khushboo Rathore

Khushboo Rathore is a data and engagement reporter for the Oregon Journalism Project. She has journalism and information science degrees from the University of Maryland, College Park.

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