ACA Marketplaces - Research and Data from KFF

As ACA Deadline Approaches, Some Price-Sensitive Consumers May Consider Switching to Short-Term Plans

Dec 8, 2025

Quick Take

As the ACA open enrollment deadline approaches amid the expiration of the enhanced premium tax credits, nearly six in 10 Marketplace enrollees say they would not be able to afford $300 more in annual health care costs, which may lead some to alternative coverage products, such as short-term plans, a type of private coverage that tends to have lower premiums but few consumer protections and limited benefits.

Poll: 1 in 3 ACA Marketplace Enrollees Say They Would “Very Likely” Shop for a Cheaper Plan If Their Premium Payments Doubled; 1 in 4 Say They “Very Likely” Would Go Without Insurance

Dec 4, 2025

News Release

If the amount they pay in premiums doubled, about one in three enrollees in Affordable Care Act Marketplace health plans say they would be “very likely” to look for a lower-premium Marketplace plan (with higher deductibles and co-pays) and one in four would “very likely” go without insurance next year, finds a new survey of…

2025 KFF Marketplace Enrollees Survey

Dec 4, 2025

Poll Finding

This survey explores how ACA Marketplace enrollees expect to respond if their premium payments doubled as expected in 2026 when enhanced premium tax credits are set to expire. About a third would very likely look for a lower-cost plan, even if it had higher deductibles, and about a quarter would very likely end up uninsured. The survey also examines how increased health care costs may affect their finances and the potential impact in next year's elections.

As the 2026 Election Takes Shape, Health Care Is Becoming an Economic Issue for US Voters

Nov 25, 2025

Perspective

In this JAMA Viewpoints column, KFF's Drew Altman, Ashley Kirzinger and Mollyann Brodie explore the power of health care affordability as an economic issue, how it has played out in recent election cycles, and the implications for the 2026 midterm elections.

Mapping the Uneven Burden of Rising ACA Marketplace Premium Payments due to Enhanced Tax Credit Expiration

Nov 24, 2025

Issue Brief

Enhanced premium tax credits expire at the end of this year. Among those with incomes over 400% poverty who are losing the tax credit altogether, the impact will be greatest for those whose unsubsidized premiums are highest: older Marketplace enrollees and those living in higher-premium locales. The maps in this brief show how much average premium payments would increase for 2026 benchmark silver plans with the expiration of enhanced premium tax credits at three income levels above an income cap of 400% of federal poverty for a 40-year-old and 60-year-old individual, namely 401%, 501% and 601%.

Fake AI-Generated Videos Perpetuate Stereotypes About SNAP Recipients, And New KFF Poll Looks at Belief in the False Claim That Undocumented Immigrants Are Eligible for ACA Coverage — The Monitor

Nov 24, 2025

Feature

This volume examines how AI-generated videos contributed to false narratives about SNAP recipients; findings from KFF’s Health Tracking Poll on beliefs about undocumented immigrants’ ACA eligibility; how a new film amplifies false vaccine claims; Louisiana’s delayed whooping cough response; medical education efforts to address shame; and teens’ distrust of news media.

The New ACA Repeal and Replace: Health Savings Accounts

Nov 21, 2025

Policy Watch

Proposals from some Republicans in Congress would effectively repeal some or all of the ACA premium tax credits and replace them with contributions to Health Savings Accounts (HSAs) or something similar. Senator Rick Scott proposes “Trump Health Freedom Accounts” and Senator Bill Cassidy proposes HSA contributions available only for people who enroll in bronze level ACA plans to pay for out-of-pocket health care costs.

Access Uncertain for New Injectable PrEP as the Affordable Care Act’s (ACA) Open Enrollment Begins

Nov 18, 2025

Policy Watch

This analysis examines access to, and consumers ability to find information on, a new twice annual long-acting PrEP drug during the first ACA open enrollment period since its approval. Despite the drug widely being considered a major advance, early evidence suggests that insurance coverage and benefit design decisions may create barriers to access.

Deductibles in ACA Marketplace Plans, 2014-2026

Nov 6, 2025

Fact Sheet

This analysis documents average deductibles for Affordable Care Act Marketplace plans available on Healthcare.gov in 2026 for all metal tiers, including silver plans after cost-sharing reductions are applied, as well as trend data since 2014.

KFF Health Tracking Poll: Public Weighs in on Health Care Debate and Government Shutdown

Nov 6, 2025

Poll Finding

This poll finds that public support remains high for extending the enhanced ACA tax credits set to expire at the end of the year. Three quarters of the public favor of extending them, though support among Republicans has dipped since September. Most Democrats want a Congressional budget deal to include an extension of the tax credits.

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