ACA Marketplaces - Research and Data from KFF

KFF Health Tracking Poll: Health Care Costs, Expiring ACA Tax Credits, and the 2026 Midterms

Jan 29, 2026

Poll Finding

Looking ahead to the midterm elections, health care costs are the public’s top economic concern, and many voters say the issue will have a major impact on their vote. On health care issues, including the cost of health care, voters currently trust Democrats more than Republicans, though neither party has an advantage on addressing the overall cost of living. Following the expiration of the ACA enhanced tax credits, two-thirds of the public say Congress did…

Health Care Costs Tops the Public’s Economic Worries as the Runup to the Midterms Begins; Independent Voters Are More Likely to Trust Democrats than Republicans on the Issue

Jan 29, 2026

News Release

Heading into this midterm election year, the cost of health care tops the public’s economic anxieties and more than 4 in 10 voters say the issue will have a major impact on their vote, this KFF Health Tracking poll finds.

Quiz: Test Your Knowledge of the Affordable Care Act

Jan 21, 2026

Feature

Take this ten-question quiz to see how much you know about how the ACA affects health insurance coverage and costs as well as who is eligible for financial assistance

The ‘Great Healthcare Plan’ Leaves Open Questions for People with Pre-existing Conditions

Jan 16, 2026

Quick Insights

President Trump announced a health care framework that leaves open key questions, including those about out-of-pocket costs, premiums, federal spending, and health coverage for people with pre-existing conditions.

Higher Premium Payments or Higher Deductibles: The Tradeoffs ACA Enrollees Face

Jan 14, 2026

Issue Brief

This Health System Tracker analysis examines the tradeoffs ACA Marketplace enrollees must consider as they decide whether to keep their current plan or switch to a new one, following the expiration of the ACA’s enhanced premium tax credits at the end of 2025.

State-Based Efforts Will Provide Limited Relief from Enhanced Tax Credit Expiration

Jan 9, 2026

Policy Watch

After failed Senate votes late last year and no subsequent bipartisan agreement, the enhanced premium tax credits expired as of January 1. Some states, particularly those operating State-Based Marketplaces (SBMs), have been preparing for this possibility for months and are moving to blunt the impact on consumers by implementing their own state-funded subsidies and implementing other programs aimed at stabilizing the cost of unsubsidized premiums.

How Unaffordable is Health Care?

Jan 8, 2026

Perspective

In his latest JAMA Forum column, KFF’s Larry Levitt explores how unaffordable health care is in the U.S. in the context of the debate over extending enhanced Affordable Care Act premium tax credits and an upcoming election where affordability will likely be front and center.

Trump Has No Health Plan, He Has the Art of the Health Care Deal

Jan 6, 2026

From Drew Altman

In his first column for the new year, KFF CEO Dr. Drew Altman analyzes President Trump’s “make a deal” approach to health care. He explains that while the president doesn’t have a health reform plan, or even “concepts of a plan,” or a replacement for the ACA, he does have a distinctive set of tactics that features one-off deals with the health care industry that are more like “health policy by transaction.” He writes that…

Policy Changes Bring Renewed Focus on High-Deductible Health Plans

Jan 5, 2026

Issue Brief

Policy changes, anticipated increases in premium costs for enrollees, and new standards for health savings accounts may encourage consumers to seek out plans with lower premiums but higher deductibles. This issue brief explores the features of bronze and catastrophic plans, coverage and costs, and the complicated choices consumers face.

An image of text is an excerpt form Grace Spark's quick take which reads, "The expiration of enhanced ACA tax credits is reshaping coverage decisions for Marketplace enrollees, and in a recent KFF survey, Marketplace enrollees told us how rising premiums could affect insurance choices, affordability, and political attitudes."

In Their Own Words: ACA Marketplace Enrollees Explain How Higher Premium Payments Will Affect Them

Dec 19, 2025

Quick Insights

The expiration of enhanced ACA tax credits is reshaping coverage decisions for Marketplace enrollees, and in a recent KFF survey, Marketplace enrollees told us how rising premiums could affect insurance choices, affordability, and political attitudes.

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