A Brief History of the Affordable Care Act
With Election Day just over a month away, here is a timeline of significant ACA moments.
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Back to the Future? A look back at High-Risk Pools
Quick TakeSen. Vance suggested moving higher-risk individuals to different insurance risk pools than healthier ones... What could such a policy mean for health coverage and costs?
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The “Concept of a Plan” President Trump Proposed to Replace the ACA
Quick TakeTrump has long talked about making the ACA less expensive, but the question is less expensive for whom
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What Do the New Census Data Say About the Uninsured in 2023?
Quick TakeWhat do new Census Bureau data say about the uninsured? The uninsured rate remained at a near historic low of 8.0 % in 2023, per the Current Population Survey.
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ACA Marketplace Enrollees Will See Steep Increases in Premium Payments in 2026 if Enhanced Subsidies Expire
News ReleaseWithout the enhanced subsidies in the Inflation Reduction Act (IRA), Affordable Care Act (ACA) Marketplace enrollees in 12 of the states that use HealthCare.gov would see their annual premium payments at least double on average, according to a new KFF analysis.
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Inflation Reduction Act Health Insurance Subsidies: What is Their Impact and What Would Happen if They Expire?
Issue BriefEnhanced premium subsidies were first made available under the American Rescue Plan Act and extended until the end of 2025 under the Inflation Reduction Act. This analysis shows the impact that enhanced subsidies have had on enrollment and premium payments, and the potential implications if the enhanced subsidies expire.
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More Than 3 in 4 ACA Marketplace Enrollees Live in States Won by President Trump in 2024
Quick TakeAs Democrats push for an extension of the ACA’s enhanced premium tax credits, new data from KFF show the extent to which states won by Trump in 2024 have come to rely on the ACA Marketplaces and the tax credits, which make health care coverage more affordable for low- and middle-income Marketplace enrollees.
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Rolling Back the Big Beautiful Bill’s Health Care Provisions Would Not Provide Health Care to Undocumented Immigrants
Quick TakeUndocumented immigrants are not eligible for federally funded health coverage. The GOP’s Big Beautiful Bill didn’t change that. Overturning the health care provisions in the law won’t either.
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Occupations with Large Shares of Workers Who Rely on Individual Market Coverage
Policy WatchThis analysis examines the share of adult workers in occupations that rely more heavily on individual market coverage for health insurance, which is largely made up by the Affordable Care Act (ACA) Marketplaces.
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About Half of Adults with ACA Marketplace Coverage are Small Business Owners, Employees, or Self-Employed
Issue BriefThis analysis estimates that 48% of adults under age 65 with individual market coverage are either employed by a small business with fewer than 25 workers, self-employed entrepreneurs, or small business owners. Because the vast majority of this coverage is purchased through the Affordable Care Act (ACA) Marketplaces, changes to the ACA, including the expiration of the enhanced premium tax credits at the end of this year, would have significant implications for what small business owners and workers spend on their health care.