If his income was reduced because of his illness, it will not affect his ability to obtain the health insurance through the Marketplace, he would just not be eligible for the Advanced Premium Tax Credit, which is applied to reduce the amount he has to pay.
In general, the Premium Tax Credit is available to those who are between 100-400% of the Federal Poverty Limit. The amount of the credit is on a sliding scale based on income. For 2024, even if he did fall below the FPL, there is an exception so he will not have to pay back the credit if, at the time he applied, he was expecting to be within the qualified limits.
He will need to adjust the amount for 2025 if he has not done so and his income is expected to fall below the FPL, because the payback would apply for 2025.
I wish him a quick recovery and good health.
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