The Affordable Care Act (ACA) provides financial assistance to hundreds of thousands of North Carolinians to lower the premiums of their private plans on the individual health insurance market. The American Health Care Act being debated in Congress would repeal that financial assistance—called premium tax credits—with a flat, age-related tax credit that does not adjust for income or health plan costs.

Under the American Health Care Act, the average tax credit in North Carolina will be $5,360 lower than the average credit under the ACA, putting coverage at risk for nearly half a million North Carolinians who enrolled in a private health plan with the help of a premium tax credit for 2017. As we’ve previously examined and the Congressional Budget Office observed, this tax credit would provide less purchasing power for many consumers, particularly older adults, people with low incomes, and people living in regions—like North Carolina—that have relatively higher health care costs.

In addition to the interactive table below, these one-page fact sheets that show how many constituents in each of North Carolina’s 13 congressional districts stand to lose financial help that makes private health insurance coverage affordable. Under the American Health Care Act, each of North Carolina’s congressional districts stands to lose coverage gains achieved under the Affordable Care Act.

District 1 — G. K. Butterfield (D-Wilson)
District 2 — 2nd George Holding (R-Raleigh)
District 3 — Walter Jones Jr. (R-Farmville)
District 4 — David Price (D-Raleigh/Fayetteville)
District 5 — Virginia Foxx (R-Winston-Salem)
District 6 — Mark Walker (R-Greensboro)
District 7 — David Rouzer (R-Benson)
District 8 — Richard Hudson (R-Concord)
District 9 — Robert Pittenger (R-Charlotte)
District 10 — Patrick McHenry (R-Cherryville)
District 11 — Mark Meadows (R-Cashiers)
District 12 — Alma Adams (D-Greensboro/Charlotte)
District 13 — Ted Budd (R-Guilford County)