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Insurers have increased rates significantly for next year — an average of about 30 percent for a typical plan in the 30 states where the federal government manages markets, and an average of 17 percent in states that run their own markets, according to a new analysis from KFF, the health research group.

If the funding expires, costs will go up for more than 20 million Americans who currently buy their own insurance in the marketplaces established under the Affordable Care Act.

Since Congress first passed the extra subsidies in 2021, enrollment in the markets has doubled. Growth has been especially robust in the South, with sign-ups more than tripling in the Republican-controlled states of Texas, Louisiana, Mississippi, Tennessee, Georgia and West Virginia.