Affordable Care Act
This category includes information on state health insurance marketplaces, Medicaid expansion, uninsured individuals and the ACA, and medical loss ratios. Additionally, this category contains information on ACA repeal and replace efforts and rate review processes.
Select an indicator below to view state data. Results will be shown as a table, map, or trend graph, as available. To compile data from multiple indicators for one or more states, build a Custom State Report.
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Affordable Care Act Indicators
Health Insurance Marketplaces
- Marketplace Enrollment, 2014-2024
- Marketplace Average Benchmark Premiums, 2014-2025
- Average Marketplace Premiums by Metal Tier, 2018-2025
- Percent Change in Average Marketplace Premiums by Metal Tier, 2018-2025
- Number of Insurers Participating in the Individual Health Insurance Marketplaces, 2014-2025
- State Health Insurance Marketplace Types, 2025
2024 Marketplace Open Enrollment Period
- Total Marketplace Enrollment
- Marketplace Average Premiums and Average Advanced Premium Tax Credit (APTC)
- Marketplace Plan Selections with Financial Assistance
- Marketplace Plan Selections by Enrollment Type
- Marketplace Plan Selections by Metal Level
- Marketplace Plan Selections by Age
- Marketplace Plan Selections by Gender
- Marketplace Plan Selections by Household Income
- Marketplace Plan Selections by Race/Ethnicity
- HealthCare.gov Marketplace Plan Selections by Rural Status
- HealthCare.gov Marketplace Plan Selections, 2021
Marketplace Effectuated Enrollment and Financial Assistance
Current Medicaid/CHIP Enrollment
Medical Loss Ratio (MLR) Rebates
- Total Medical Loss Ratio (MLR) Rebates in All Markets for Consumers and Families
- Medical Loss Ratio (MLR) Rebates in the Individual Market for Consumers and Families
- Medical Loss Ratio (MLR) Rebates in the Small Group Market for Consumers and Families
- Medical Loss Ratio (MLR) Rebates in the Large Group Market for Consumers and Families
Coverage under the Medicaid Expansion
ACA and the Uninsured
Medicaid and Health Reform
- Status of State Action on the Medicaid Expansion Decision
- Medicaid Income Eligibility Limits for Adults as a Percent of the Federal Poverty Level
- Medicaid and CHIP Income Eligibility Limits for Children as a Percent of the Federal Poverty Level
- Medicaid and CHIP Income Eligibility Limits for Pregnant Women as a Percent of the Federal Poverty Level
- Integration of Medicaid and Non-Health Program Eligibility Systems