A new analysis of initial rate filings from all 50 states and DC shows ACA Marketplace insurers are proposing a median premium increase of 18% for 2026, more than double last year’s 7% median proposed increase: on.kff.org/4m3EwQy

⚡ KFF’s @jaredortaliza.bsky.social writes about how until the uncertainty around the budget reconciliation bill is settled, ACA Marketplace insurers may find it difficult to set premiums for 2026. #QuickTake on.kff.org/3Gjl1DX

⚡ KFF’s @larrylevitt.bsky.social writes about how $268B in federal cuts related to the ACA Marketplaces would affect people’s ability to pay for coverage. #QuickTake on.kff.org/45VKjCq

⚡ KFF’s @jaredortaliza.bsky.social writes about the 8.2 million people who would become uninsured due to changes in the ACA Marketplaces from the expiration of the enhanced tax credits, reconciliation bill provisions, and proposed program integrity rule. #QuickTake on.kff.org/43CZfUM

NEW: STATE BY STATE How many more people might be #uninsured with the House GOP Reconciliation Bill? www.kff.org/affordable-c... @kff.org @mattrae.bsky.social @jaredortaliza.bsky.social @alicelburns.bsky.social

Changes to the ACA and Medicaid Could Lead to About 14 Million More Uninsured People www.kff.org/policy-watch...

CBO estimates that the combined effect of Republican Medicaid proposals, allowing enhanced ACA premium tax credits to expire, and President Trump’s proposed ACA rules would increase the number of uninsured by 13.7 million. That would take us back to close to pre-ACA levels.

Many of the Medicaid proposals from House Republicans are technical and wonky, and will be difficult for the public to absorb.   What won’t be difficult to absorb: CBO’s estimate that the changes will increase the number of people without health insurance by at least 8.6 million.

Not necessarily buying these estimates but...of the changes/cuts CBO has analyzed, almost the largest impact on the uninsured--3.8m--comes from the least discussed change, not extending the enhanced ACA tax credits.

New CBO estimates of Medicaid ideas floated by Republicans would reduce federal spending but result in potentially millions more people uninsured. CBO assumes states would replace about half of the federal cuts, which would also lead to cuts in other programs or higher state taxes.

(1/2) NEW: Enrollment in the ACA Marketplaces more than doubled since 2020, growing by 12.9M enrollees. Of that increase, 11.4M of the new enrollees (88% of the growth) are from states where President Trump won during the 2024 election. www.kff.org/policy-watch... @cynthiaccox.bsky.social

More than half of ACA Marketplace enrollees last year lived in congressional districts won by Republicans in 2024, and three-quarters are in states won by President Trump. See how the loss of enhanced premium subsidies next year would affect them:

A useful rundown of disappeared health data, courtesy of @kff.org (@cynthiaccox.bsky.social @mattrae.bsky.social @jenkatesdc.bsky.social @emmawage.bsky.social @jaredortaliza.bsky.social @lindseydawson.bsky.social) www.kff.org/policy-watch...

*NEW* Enhanced subsidies are set to expire at the end of this year. If not extended, premium payments will rise next year for all subsidized enrollees. See how much premium payments will go up by congressional district here: @cynthiaccox.bsky.social www.kff.org/affordable-c...

NEW BRIEF: 1 in 6 people in the U.S. had some form of ACA coverage in 2024 (Marketplace, Medicaid expansion or Basic Health Plan coverage - a 60% increase from 2020 to 2024: www.kff.org/affordable-c...

Some of Los Angeles’s signature hikes are burning. “These bits of the outdoors have defined my life here, as they have for so many others,” @andrewmoseman.bsky.social writes. What is L.A. without its trails?

In most states, MIDNIGHT TONIGHT is the deadline to get health insurance for 2025 (w/o a special enrolment period), regardless of whether you use the Marketplace or not. VA, MA, CA, DC, NJ, NY, & RI have later deadlines, and ID already ended. Details here: www.healthinsurance.org/faqs/what-ar...

⚡ After another record year for ACA enrollment, KFF’s @jaredortaliza.bsky.social explores what’s next for the Marketplaces — especially as the enhanced subsidies that have driven so much growth in ACA enrollment are set to expire at the end of this year. #QuickTake on.kff.org/4afzlYV

NEW: 1 in 6 people under age 65 enrolled in the Marketplaces, Basic Health Plans, or Medicaid Expansion in 2024. In eight states (including DC), over 20% of the nonelderly population were enrolled in one of these programs. www.kff.org/affordable-c...

NEW: A total of 44 million people have health insurance coverage through the Affordable Care Act (#Obamacare), including through the ACA's Medicaid Expansion, Marketplaces, and Basic Health Plan. That's 1 in 6 people under age 65. connect.kff.org/e3t/Ctc/RB+1...

Today is the last day to sign up for subsidized (free or reduced cost) health insurance through the ACA Marketplace on Healthcare.gov My colleague @jaredortaliza.bsky.social looks back at recent record high signups and discusses what may come next www.kff.org/quick-take/a...

Today is the last day of Open Enrollment for ACA Marketplace coverage in most states! Here, I reflect on the record breaking enrollment seen so far in 2025 and what could be in store for the ACA Marketplaces in the future: www.kff.org/quick-take/a...

Politico got a hold of a leaked list of GOP plans to cut federal spending on Medicaid and the Affordable Care Act www.politico.com/news/2025/01...

Affordable Care Act signups hit yet another record high. As I told The NY Times, the geographic distribution of who’s signing up for the enhanced ACA subsidies makes it possible some Republicans might see a benefit to their constituents if they renew the subsidies. www.nytimes.com/2025/01/08/u...

NEW / exclusive to HuffPost Democratic lawmakers tomorrow will launch a bid to save the extra ACA subsidies that have made coverage cheaper for millions www.huffpost.com/entry/aca-su...

We have a list of ways to help for those looking to assist residents impacted by the Los Angeles County wildfires.

BREAKING: The Pacific Palisades fire is now the most destructive in Los Angeles city history, with an estimated 1,000 structures destroyed. Follow AP's live coverage. apnews.com/live/live-up...

Images from the destructive Palisades Fire that erupted in Los Angeles yesterday, driven by extreme winds and dry conditions: theatln.tc/KOIEOlHL 📸: 1. Ethan Swope / AP. 2. Hans Gutknecht / MediaNews Group / Los Angeles Daily News / Getty. 3. Ethan Swope / AP. 4. Mario Tama / Getty.

The ACA has always capped what subsidized Obamacare enrollees spend at a certain share of their income. Recently, enhanced subsidies have reduced those payments. But if enhanced subsidies expire at the end of 2025, monthly payments will suddenly increase substantially -- for the first time

The CBO says not extending the enhanced ACA subsidies will lead to 3.8 million more people being uninsured. They also say premiums (before subsidies) will eventually be 7.9% higher without extension, because healthier people will drop coverage www.cbo.gov/system/files...

It's Cyber Monday, and all KFF information is free. Actually, our policy research, polling, and news reporting is always free. No paywalls, no subscription fees, etc. That's been a core principle for us. www.kff.org

Enhanced ACA premium subsidies expire at the end of 2025. Here's a new calculator showing how much out-of-pocket premiums would go up if Congress and the Trump administration don't extend them. The average premium increase would be 79%. www.kff.org/interactive/...

Some words that can mean Obamacare: ACA Affordable Care Act Marketplace Healthcare.gov Exchange HIX Covered California Kynect HealthSource RI Connector Your Health ID Health Link New York State of Health Pennie MNSure CoverME Medicaid/Cal (in expansion states) www.healthcare.gov/marketplace-...

NEW @kff.org calculator tool shows how much more ACA enrollees will pay if enhanced subsidies to expire www.kff.org/interactive/...

🆕 KFF has a new tool that gives a side-by-side estimate of how much people would pay in #ACA Marketplace premiums with and without the enhanced subsidies. Check it out here: www.kff.org/interactive/... @cynthiaccox.bsky.social @mattmcgough.bsky.social @justin lo

U.S. health spending rose to $13,493 per capita in 2022. Explore more about U.S. health spending with our updated NHE Interactive and analysis on how U.S. health spending has changed over time. www.healthsystemtracker.org/health-spend... www.healthsystemtracker.org/chart-collec...

The number of health insurance companies participating in the individual ACA Marketplaces has grown from 5.8 to 6.0 across the country on average from 2023 to 2024. This is tied with the record previously set in 2015! #healthpolicy See more: www.kff.org/other/state-...

For ACA marketplaces, lowest cost bronze premiums are going up 6% and benchmark silver premiums are going up 5% in 2024. IRA subsidies will protect consumers from these price increases by capping the amount they pay for benchmark premiums #healthpolicy   See more here: www.kff.org/state-catego...

Medicaid expansion will be fully implemented in North Carolina by 2024. This means some North Carolinians previously eligible for Marketplace subsidies may be eligible for Medicaid in 2024 #healthpolicy Check out the subsidy calculator for premium and subsidy estimates: www.kff.org/interactive/...

Happy first day of OE! 🥳 What’s new in 2024 ACA Marketplaces? - Unsubsidized premiums are on the up 📈 - A potential record breaking year for enrollment - Extra time to submit proof of income ⏰ - 2 years to reconcile tax credits 💵 Read more: www.kff.org/policy-watch... #healthpolicy

We also made a tool to help people estimate the Marketplace subsidies they (and their families) may be eligible for in 2024. Use it here: www.kff.org/interactive/... Disponible en español aquí: www.kff.org/interactive/...

Open Enrollment is almost here! Team ACA has been hard at work the past few months looking at premium data and policy changes for next year. Here’s what we found:

With Marketplace Open Enrollment starting Nov 1, KFF has updated our Marketplace resources. 📈Unsubsidized premiums are increasing by an average of 5% nationally www.kff.org/health-refor... 🔢Estimate eligibility for subsidies using our calculator www.kff.org/interactive/...

Premiums for employer-provided health coverage jumped 7% this year, with the cost of a family policy rising to nearly $24,000. It's quite possible bigger increases are coming next year. www.kff.org/health-costs...