Costs, Coverage, and Enrollment Changes: Exploring Current Public Opinion and Policy on the ACA Marketplaces

Event Date: Mar 26, 2026 at 12:00 p.m.

Following the expiration of the enhanced premium tax credits at the end of 2025, many Americans enrolled in the ACA Marketplaces have faced higher health care costs and reconsidered their coverage options given affordability concerns, as shown in a new KFF survey. Eight in 10 say their health care costs are up, including half (51%) who say they are a lot higher. Among returning ACA enrollees, one in six say they are not confident they will be able to afford their premiums for the entire year, and most expect to cut back on basic household expenses. In addition, KFF found that one in 10 enrollees dropped their Marketplace coverage and are now uninsured, and three in 10 switched ACA plans.

To learn more, join KFF public opinion and policy experts on Thursday, March 26, at 12 p.m. ET for a virtual event focused on the key issues facing ACA Marketplace enrollees and policy considerations, particularly as health care cost and coverage issues rise to the top of voters’ concerns prior to the midterms.