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  • Frequently Asked Questions about the ACA’s Health Insurance Marketplace

    FAQs

    What are premium tax credits and how do they work? How much can I earn and qualify for premium tax credits in the Marketplace? What income is counted in determining my eligibility for premium tax credits? Who is eligible for Marketplace premium tax credits? Can I buy health insurance outside of the Marketplace that meets all ACA consumer protection standards? My employer pays 100% of the premium for workers, but nothing for spouses and kids.…

  • Preguntas frecuentes sobre el Mercado de Seguros Médicos de la Ley de Cuidado de Salud a Bajo Precio

    FAQs

    ¿Cómo funcionan los subsidios para las primas? ¿Cuánto puedo ganar y calificar para subsidios para las primas en el mercado? ¿Qué ingreso cuenta para determinar mi elegibilidad para recibir subsidios? ¿Quién es elegible para recibir subsidios para las primas? ¿Puedo comprar un seguro de salud por fuera del mercado que cumpla con todos los estándares de ACA? Mi empleador paga el 100% de la prima para los trabajadores, pero no aporta nada al costo de…

  • What We Know about Trump’s $500 ACA Checks and the User Fees Funding Them

    Issue Brief

    This analysis examines the $500 checks that the Trump administration is sending to some Affordable Care Act Marketplace enrollees and the user fees that are paying for them. The checks are going to about 1 million enrollees in the 30 states that rely on the federal HealthCare.gov Marketplace who are not receiving any tax credits this year – a small share of the 19.2 million people who were enrolled nationally as of February.

  • Midterm Election Update: Medicaid Changes

    Fact Sheet

    Major federal changes to Medicaid eligibility and financing from the 2025 reconciliation law are coming, including new work requirements that will affect millions of Medicaid enrollees. KFF’s fact sheet provides an overview of what has changed, what is still ahead, and what the public thinks about Medicaid heading into the midterms.

  • Individual Market Enrollment Continues to Fall Through Mid-2026

    Issue Brief

    Enrollment in the individual health insurance market fell by 18%—over 4.6 million people—from 25.2 million in June 2025 to 20.5 million in June 2026. Falling individual market enrollment suggests further decline in ACA Marketplace enrollment this year, since Marketplace enrollees represent the vast majority of individual market coverage.

  • How Does ACA Marketplace Enrollment in 2026 Vary Across Congressional Districts?

    Issue Brief

    KFF’s new interactive maps illustrate ACA Marketplace enrollment and changes in enrollment by congressional district and state. Marketplace enrollment declined in most congressional districts between 2025 and 2026, with two-thirds of the decline (67%) occurring in Republican-held congressional districts.

  • Midterm Election Update: The Affordable Care Act Marketplaces

    Fact Sheet

    More people than ever got coverage through the Affordable Care Act (ACA) Marketplaces in 2025, but the expiration of enhanced premium tax credits has driven up what people pay and contributed to declining enrollment in 2026. Law and regulatory changes also tightened ACA eligibility and enrollment requirements. Public opinion of the ACA remains generally favorable, although views remain divided along partisan lines.