Filling the need for trusted information on national health issues…

President Donald Trump and Republicans in Congress pursued several major efforts to repeal and replace the Affordable Care Act (ACA) but were unable to get a bill through the U.S. Senate in 2017. However, the tax bill enacted in late December eliminated the tax penalty for not obtaining health coverage beginning in 2019.  Some members of Congress have suggested other changes to stabilize the ACA individual insurance marketplaces. The Trump Administration’s actions and decisions also revamped the 2018 marketplace open enrollment season and may continue to reshape how Americans get health insurance into 2019 and beyond.
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More Insurers Are Participating in the ACA Marketplaces in 2019

Insurer participation in the Affordable Care Act’s health insurance marketplaces is rising in 2019, finds a new analysis from KFF (the Kaiser Family Foundation).The increase follows consecutive years of improving insurance company profits and shows up in several different ways: Going into 2019, 608 counties nationwide are gaining at least…

Insurer Participation on ACA Marketplaces, 2014-2019

Since the Affordable Care Act (ACA) health insurance marketplaces opened in 2014, there have been a number of changes in insurance participation as companies entered and exited states and also changed their footprint within states. The map below shows how insurance participation has changed from 2014 – 2019 in every county in the U.S. There are a number of areas in the country with just one exchange insurer. In 2019, 58% of enrollees (living in about 23% of counties) have a choice of three or more insurers, up from 48% of enrollees in 2018.

What Does the Outcome of the Midterm Elections Mean for Medicaid Expansion?

While not typically an election issue, Medicaid — particularly the Medicaid expansion created under the Affordable Care Act (ACA) — was an important issue in the 2018 midterm elections in a number of campaigns throughout the country. This fact sheet highlights key states in which the results of the 2018 midterm elections have implications for Medicaid adoption or implementation. States examined include those that had Medicaid expansion ballot initiatives as well as states that have not yet adopted or implemented expansion but elected governors who support Medicaid expansion. In these states that had gubernatorial races with implications for Medicaid expansion, it will be important to monitor changes in the composition of state legislatures, as governors in most states will need to work with their legislatures in order to adopt the expansion.

2019 Premiums for ACA Silver Plans Will Be 16 Percent Higher Than They Would Have Been Absent the Repeal of the Individual Mandate, Expansion of Short-Term Plans and Loss of Federal Cost-Sharing Payments, Analysis Finds

Although 2019 premiums for plans in the Affordable Care Act marketplaces are flat or falling in many parts of the country, they would be substantially lower still if not for several Trump administration-backed changes to private insurance markets, finds a new KFF analysis. ACA silver-level plans sold in the marketplaces…

Public More Likely To Trust Democratic Party To Do A Better Job Dealing With Most Health Care Issues

A new analysis featuring data from the KFF Election Tracking Poll released in October 2018 finds that the public trusts the Democratic Party more than the Republican Party when it comes to dealing with health care issues, such as increasing women’s access to reproductive services, maintaining Medicaid expansion, and maintaining protections for pre-existing conditions.

The Henry J. Kaiser Family Foundation Headquarters: 2400 Sand Hill Road, Menlo Park, CA 94025 | Phone 650-854-9400
Washington Offices and Barbara Jordan Conference Center: 1330 G Street, NW, Washington, DC 20005 | Phone 202-347-5270

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Filling the need for trusted information on national health issues, the Kaiser Family Foundation is a nonprofit organization based in Menlo Park, California.