Capping Costs for Consumers Act of 2026

The Capping Costs for Consumers Act of 2026 modifies cost-sharing reductions under the Affordable Care Act for health insurance marketplace plans. It directly affects low-to-moderate income individuals (household income between 150%-400% of the federal poverty level) purchasing coverage through the marketplace. Key provisions shift the cost-sharing tiers: for 2028 and later plan years, gold-level coverage replaces silver-level for determining cost-sharing reductions, increasing the percentage of covered costs (e.g., 85% for incomes above 300% of poverty instead of 73-70% under current rules). The bill also adjusts premium assistance credits to use gold plan costs instead of silver plan costs for tax years beginning after 2027.