On June 30, 2025, Dan Sullivan voted against an amendment to the One Big Beautiful Bill Act that would have extended the enhanced Affordable Care Act premium tax credits, and in the fall of 2025 he voted against a funding bill that would have made them permanent. The credits expired on December 31, 2025, and in 2026 marketplace deductibles hit a record.
The next day Sullivan voted for the One Big Beautiful Bill Act, which makes enrollees repay excess credits in full and, from 2028, effectively ends automatic renewal of marketplace coverage. He voted to confirm Mehmet Oz, whose agency tightened marketplace enrollment, and in Alaska insurers requested increases of up to 26.67% for 2027.
Dan Sullivan's Votes on Premium Tax Credits, Marketplace Rules and the Officials Running Them
- Sullivan Voted Against Extending the Premium Tax Credits in the One Big Beautiful Bill Act in June 2025. On June 30, 2025, Dan Sullivan voted no on waiving the budget rules for an amendment to "extend the enhanced premium tax credits and increase the individual tax rate for taxpayers with income over $10,000,000". All 53 Republican senators voted no. After the credits expired, average marketplace deductibles rose 37% (or $1,027 per person) to a record high in 2026 as enrollees moved to cheaper plans, the steepest increase in deductibles ever seen in this market.
- Sullivan Voted Against a Funding Bill That Would Have Made the Premium Tax Credits Permanent in Fall 2025. On September 30, 2025, Sullivan voted no on S. 2882, a funding bill with a permanent extension of enhanced tax credit, and he voted against taking it up again on October 9. Insurers proposing 2027 rates cite the expiration of enhanced premium tax credits at the end of 2025 as a reason for higher premiums, with a median proposed premium increase of 15% nationally.
- Sullivan Cast One of the 50 Votes for Marketplace Changes That Make Enrollees Repay Credits and End Automatic Renewal. On July 1, 2025, Sullivan voted for H.R. 1, which passed 50 to 50 with the Vice President's tie-breaking vote. Starting with tax year 2026 it requires that all premium tax credit recipients repay the full amount of any excess advance credit, so a family whose income rises during the year owes the full difference at tax time. From 2028 its new verification rule effectively ends auto-renewals of marketplace coverage, which the Congressional Budget Office estimates will leave 700,000 more people uninsured.
- Sullivan Voted to Keep the Administration's Marketplace Paperwork Rule in January 2026. On January 13, 2026, Sullivan voted against taking up S.J.Res. 84 to overturn the Centers for Medicare & Medicaid Services' marketplace rule; the resolution died when the motion failed 47 to 52. The rule added stricter enrollment and eligibility procedures, including additional verification of income and other details, and the agency estimated it would add between 725,000 and 1.8 million uninsured people in 2026; parts of it are on hold in court.
- Sullivan Voted Against Preserving the Premium Tax Credits in the First Budget Plan in February 2025. On February 21, 2025, Sullivan voted no on Senator Jeanne Shaheen's amendment for a reserve fund "preserving and extending" the enhanced premium tax credits. It failed 48 to 52. The budget process that followed produced a law with no extension of the credits, and Alaska's marketplace enrollment fell 13% in 2026.
- Sullivan Voted to Confirm Mehmet Oz, Whose Agency Tightened Marketplace Enrollment and Expanded Short-Term Plans. On April 3, 2025, Sullivan voted to confirm Mehmet Oz to run the Centers for Medicare & Medicaid Services. His agency is working to make it easier to enroll in short-term plans that, unlike marketplace insurance, can reject consumers based on their medical history, and in September 2026 it canceled approximately 315,000 marketplace enrollments.
- Sullivan Voted to Keep Prior Authorization in Traditional Medicare in July 2026. On July 16, 2026, Sullivan voted against taking up a resolution to end the WISeR model in traditional Medicare. Vendors reviewing Medicare patients' requests under the model receive a share of the savings associated with services that are denied.
What Rising Marketplace Costs Mean for Alaska Under Dan Sullivan's Votes
- 2027 rate requests. Insurers selling marketplace plans in Alaska requested 2027 increases of 9.30% (Moda Health) and 26.67% (Premera Blue Cross Blue Shield of Alaska); these are requests, and final rates may differ.
- Marketplace enrollment. Alaska's marketplace enrollment fell from 27,052 in 2025 to 23,546 in 2026 after the enhanced credits expired.
- Uninsured. Counting the law and the expired credits, KFF projects 29,000 more uninsured Alaskans in 2034.
Frequently Asked Questions About Dan Sullivan on Insurance costs
What is Dan Sullivan's record on health insurance costs under Trump?
Dan Sullivan voted on June 30, 2025 against an amendment to extend the enhanced premium tax credits and in September 2025 against a funding bill that would have made them permanent; the credits expired at the end of 2025. He voted for the One Big Beautiful Bill Act, which ends automatic renewal of marketplace plans from 2028, and to confirm Mehmet Oz. In Alaska, marketplace enrollment fell 13% in 2026.
Why did health insurance premiums go up so much in Alaska in 2026?
Dan Sullivan voted against the June 2025 amendment to extend the enhanced premium tax credits, and when they expired, KFF found that the amount enrollees paid rose 58%, from $113 to $178 a month on average nationally. Insurers say the loss of healthier enrollees is pushing 2027 rates up again, and Premera, one of Alaska's marketplace insurers, requested 26.67%.
How much will marketplace premiums go up in Alaska in 2027?
Dan Sullivan's state will see requested changes of 9.30% to 26.67% from its marketplace insurers for 2027, according to Peterson-KFF data; these are requests, and final rates may differ. For 2026, the median finalized rate change was 20% nationally.
Last updated: 2026-10-25