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Beginning January 1, 2027, the 2025 reconciliation law will limit immigrant eligibility for ACA Marketplace subsidies. This brief provides an overview of implementation of the immigrant eligibility changes for Marketplace subsidies and issues to consider for affected individuals and states.
The ACA Marketplace Open Enrollment season begins November 1, bringing higher out-of-pocket premium payments, new eligibility requirements for certain groups, and state efforts to offset premium increases following the expiration of enhanced premium tax credits. Read our analysis of what these and other changes could mean for enrollees.
This interactive tracks announced insurer exits from and entries into the ACA Marketplaces for 2027.
This brief provides an overview of the financial assistance provided under the ACA for people purchasing coverage on their own through health insurance Marketplaces (also called exchanges).
KFF Founding President and CEO Dr. Drew Altman delivered the Victor J. Dzau Keynote Address at the National Academy of Medicine’s 2026 Annual Meeting (Scientific Symposium on Chronic Disease) on October 10, 2026, where he described the big challenges ahead in health policy, and where chronic illness fits.
Answers to frequently asked questions about the Affordable Care Act and Health Insurance Marketplace
¿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…
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.
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.
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.
© 2026 KFF
