"A mass shift to high-deductible plans could leave millions of Americans who recently lost access to Obamacare subsidies vulnerable to unexpectedly high costs, health policy experts said. Republicans are eager to move ahead anyway."

Millions of Americans that can’t afford higher health insurance premiums are dropping Obamacare coverage in the months since Congress failed to extend the generous subsidies that had become a defining feature of the Affordable Care Act. nyti.ms/4tVzbif

Today is #Oklahoma ’s first day as a state-based marketplace on the federal platform (SBM-FP). The state will now certify #ACA plans and run its own consumer outreach program. The change was approved less than a month ago, making this the fastest SBM-FP transition to date. A few things to watch 👀

"The loss of enrollment will send shock waves through GA’s health care industry. The state’s health sector was expected to lose >$3.5B this year as a result of the expiring subsidies, as uninsured patients forgo care or show up in emergency rooms but can’t pay" georgiarecorder.com/2026/04/20/g...

When Marketplace enrollees filed their taxes this spring, they may not have realized it’d be the last year with key financial protections in place. Starting next year, they’ll face higher taxes due to the Republican megabill. www.cbpp.org/blog/marketp...

This report on 17 state-based ACA marketplaces confirms what we've been expecting: loss of PTC enhancements and higher premiums in 2026 is driving disenrollment and shifts to plans w/lower premiums but higher deductibles and cost sharing. statemarketplacenetwork.org/state-market...

Following the expiration of PTC enhancements, #ACA marketplace plan selections dropped by 1.2 million during the 2026 open enrollment period. A new analysis suggests that millions more will drop coverage over the year as enrollees confront higher monthly premiums. www.wakely.com/blog/who-pai...

Today marks the 16th anniversary of the #ACA. The law covers record numbers of people in #Medicaid and the marketplaces, bans insurer discrimination against people with health conditions, and helps millions afford their health costs. Unfortunately this is all now at risk.

New data show a fuller picture of how Congress's decision to let PTC enhancements expire impacted people. It's not just coverage loss, people are downgrading to less comprehensive coverage and cutting back on other basic needs.

Adults 50-64 are disproportionately affected by the expiration of ACA enhanced premium tax credits, as they make up a large number of Marketplace enrollees & premiums rise with age. Our analysis shows older enrollees with moderate to higher incomes have been hit hardest: https://on.kff.org/4l0zwfY

My latest: New A.C.A. Plans Could Increase Family Deductibles to $31,000 www.nytimes.com/2026/02/26/h...

President Trump didn't mention at all in his SOTU the most significant changes to health care he and Republicans in Congress have engineered: the biggest Medicaid cuts ever, expiration of enhanced ACA premium subsidies, and scaling back recommended vaccines.

This is just the beginning - more people are expected to drop coverage or face financial hardship as premium payments stack up throughout the year. And those who switched to lower-premium plans with higher deductibles may face sticker shock when they need care.

On the heels of expired PTC enhancements that resulted in 1 million—and counting—fewer people enrolling in #ACA marketplace plans for 2026, CMS released a proposed rule for 2027 that would reduce marketplace enrollment by 2 million people in 2027 alone. @claireheyison.bsky.social explains:

#ACA marketplace plan selections are down by more than a million people as of late January, but coverage losses will almost certainly be higher. And the harm stemming from Congressional Republicans' failure to extend PTC enhancements goes much deeper than coverage loss. More in my blog post below.

The impacts of letting PTC enhancements expire go beyond coverage loss - higher premiums have led many to purchase less generous coverage, as @statesnewsroom.com reports. www.newsfromthestates.com/article/aca-...

New KFF poll results: Health care is a top affordability worry, and two-thirds of those surveyed say Congress did the wrong thing not extending the ACA marketplace premium tax credit enhancements. www.kff.org/public-opini...

Powerful words at #HAC2026 !

In @nytopinion.nytimes.com Tapping retirement savings. Researching a move to a different country. Dropping health insurance altogether. These are the stories of Americans who are struggling to pay rising health care premiums after Obamacare subsidies expired.