2025 KFF Marketplace Enrollees Survey
In 2025, about one in three ACA enrollees said they would be “very likely” to look for a lower-premium Marketplace plan If their premium payments doubled.
Affordable Care Act
The ACA Marketplace
Cost Concerns and Coverage Changes: A Follow-Up Survey of ACA Marketplace Enrollees
Following the expiration of the enhanced premium tax credits for people with Affordable Care Act (ACA) Marketplace plans, a new KFF follow-up survey of the same Marketplace enrollees KFF surveyed in 2025 finds half (51%) of returning enrollees say their health care costs are “a lot higher” this year compared to last year, including four in 10 who specifically say their premiums are “a lot higher.”
new and noteworthy
POLLING
Tracking the Public’s Views on the ACA
While overall opinion of the Affordable Care Act has been more favorable than unfavorable since 2017, there remain deep partisan divides. See how public opinion on the ACA has changed from the inception of the law to the present. This interactive tool highlights key moments when views shifted and trends based on party identification, income, age, gender, and race/ethnicity.
Timely insights and analysis from KFF staff
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Navigating Uncertainty: The Latest Challenge to the Title X Family Planning Safety Net
The Administration's latest funding deadline and guidance shift intensifies pressure to the reproductive health safety net at a time when the number of uninsured individuals is projected to rise due to Medicaid cuts and expiration of enhanced Affordable Care Act premium tax credits, and Planned Parenthood clinics have lost their federal Medicaid funding. ... more
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ACA Sign-Ups Are Down by Over a Million People, But It’s Still an Incomplete Picture
Data currently being released represent Open Enrollment Marketplace plan selections, or how many people have signed up for or been automatically renewed into 2026 coverage. These data do not necessarily translate to effectuated enrollments. That is because people who have selected a plan or been automatically renewed may not ultimately choose to pay for their… ... more
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In Their Own Words: ACA Marketplace Enrollees Explain How Higher Premium Payments Will Affect Them
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. ... more
Alina Salganicoff 
Jared Ortaliza 
Grace Sparks
Latest News
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Many ACA Customers Are Paying Higher Premiums. Most Blame Trump and Republicans, Poll Finds.
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What the Health? From KFF Health News: Health Spending Is Moving in Congress
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El alto costo del seguro médico pone en jaque a los granjeros
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Ante el aumento en los precios del seguro médico, las familias enfrentan decisiones difíciles
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