Wang SY, Valero‐Elizondo J, Ali HJ, et al. - In the United States, heart failure (HF) poses a major public health burden. The burden of out‐of‐pocket healthcare costs on patients with HF, as well as on their families, was determined. Researchers conducted a Medical Expenditure Panel Survey (MEPS) for identifying all families with ≥ 1 adult member with HF during 2014 – 2018. A total of 788 families were identified in MEPS with a member with HF representing 0.54% of all families nationally. Findings revealed the overall mean annual out‐of‐pocket healthcare expenses of $4,423 (95% CI, $3,908–$4,939), with medications and health insurance premiums representing the largest categories of cost. Overall large out‐of‐pocket healthcare expenses are afforded by patients with HF and their families. A large proportion face financial toxicity, with low‐income families encountering a disproportionate effect.