Affordable Care Act

New and noteworthy

ACA Marketplace Plans Nationally Are Seeking a Median 18% Premium Increase for 2026

This analysis of insurers’ initial rate filings for Affordable Care Act Marketplace plans in all 50 states and DC finds the median proposed increase for 2026 is 18%, more than double last year’s proposed increase. The analysis also shows proposed rate changes by state and insurer.

Estimates of Additional Uninsured People Across the States

KFF Health Tracking Poll: ACA Enhanced Subsidies

From Drew Altman: Making the Marketplaces Great Again?

ACA Provisions in the 2025 Federal Budget Reconciliation Law

ACA Marketplaces

From Drew Altman: The Spotlight Is on Medicaid Cuts, But the ACA Marketplaces Could See a One-Third Cut in Enrollment

President and CEO Drew Altman shows how proposals contained in the House reconciliation bill could result in a one-third reduction in ACA Marketplace enrollment. “While all eyes are on the big Medicaid cuts being proposed in the House,” he writes, “significant changes are also being proposed that together would dramatically reduce enrollment in the ACA Marketplaces.”

ANALYSIS

Latest News

A Guide To Finding Insurance at 26‌
Why Young Americans Dread Turning 26: Health Insurance Chaos
Trump Voters Wanted Relief From Medical Bills. For Millions, the Bills Are About To Get Bigger.
KFF Health News' 'What the Health?': Here Come the ACA Premium Hikes

More KFF Health News

Subscribe to KFF Emails

Choose which emails are best for you.
Sign up here

View the Latest: Affordable Care Act

Filter

Past Week
Past Month
Past 6 Months
Past Year
Custom
Start Date

End Date

Clear Selections

Event (147)
Fact Sheet (173)
FAQs (423)
Feature (279)
From Drew Altman (189)
Interactive (42)
Issue Brief (556)
News Release (381)
Other Post (8)
Perspective (194)
Policy Watch (48)
Poll Finding (219)
Quick Take (21)
Report (106)
State Health Facts Indicator (37)
Tracker (8)
Video (11)

Clear Selections

Abortion (43)
ACA Marketplaces (525)
Access to Care (236)
Accountable Care Organizations (ACOs) (5)
Actuarial Value (7)
Administrative Costs (5)
Adolescents (11)
Affordability (194)
Alabama (3)
Alaska (5)
Arizona (4)
Arkansas (10)
Benefits (43)
Black or African American (5)
Build Back Better (6)
California (33)
Cancer (4)
Care Coordination (1)
Children (50)
Children's Health Insurance Program (CHIP) (51)
Chronic Diseases (16)
Colorado (11)
Congressional Budget Office (CBO) (7)
Connecticut (11)
Consumer Assistance (50)
Contraception (17)
Cost Sharing (129)
County-Level Data (11)
Courts (97)
Coverage (608)
Deficit Reduction (47)
Delaware (3)
Delivery System (38)
Demographics (19)
Diabetes (5)
Disability (67)
Disproportionate Share Hospital (DSH) (4)
District of Columbia (7)
Dual Eligible Individuals (39)
Ebola (2)
Economy (27)
Eligibility (86)
Employer-Sponsored Health Insurance (156)
Employment (11)
En Español (27)
End of Life (4)
Enrollment (204)
Family Planning (53)
Federal Budget (83)
Financing (127)
Florida (7)
Food Security and Nutrition (3)
Food Stamps (2)
Fraud, Waste and Abuse (2)
Gender Identity (9)
Georgia (5)
Greater Than HIV (1)
Gun Violence (3)
Hawaii (2)
Health Care Markets (1)
Health Care Utilization (9)
Health Centers (18)
Health I.T. (17)
Health Status (18)
Health System Performance (4)
Health Workforce (17)
Heart Disease (1)
High-Deductible Plans (9)
High-Risk Pools (9)
Hispanic or Latino (4)
HIV/AIDS in U.S. (45)
Home care/HCBS (26)
Hospitals (32)
Idaho (2)
Illinois (5)
Income and Assets (4)
Indiana (10)
Individual Mandate (54)
Individual Market (307)
International Comparisons (4)
International Cooperation (1)
Iowa (4)
Kansas (2)
Kentucky (15)
Long-Term Care (43)
Louisiana (7)
Low Income (119)
Maine (7)
Managed Care (38)
Maryland (11)
Massachusetts (13)
Maternal and Child Health (12)
Measles (2)
Medicaid Work Requirements (16)
Medical Loss Ratio (MLR) (17)
Medical Technology (4)
Medicare Advantage (27)
Medicare Part D (29)
Medicare's Future (31)
Medicare-for-all (60)
Medigap (1)
Michigan (12)
Minnesota (2)
Mississippi (3)
Missouri (7)
Montana (4)
Nebraska (2)
Nevada (10)
New Hampshire (4)
New Jersey (2)
New Mexico (5)
New York (8)
North Carolina (5)
North Dakota (2)
Nurses (1)
Nursing Facilities (6)
Obesity (4)
Ohio (12)
Oklahoma (3)
Opioids (11)
Oral Health (7)
Oregon (9)
Over-the-Counter Contraceptives (5)
Paid Leave (1)
Pennsylvania (6)
Physicians (26)
Politics (423)
Pre-existing Conditions (99)
Pregnancy (8)
Premium Support (10)
Premiums (158)
Prescription Drugs (115)
Prevention (48)
Prices (22)
Prior Authorization (2)
Public Health (32)
Puerto Rico/Virgin Islands (7)
Quality Measures (13)
Quality of Life (1)
race (1)
Race/Ethnicity (28)
Rate Review (9)
Reproductive Health (96)
Retiree Coverage (4)
Rhode Island (6)
Rural Health (4)
Safety Net (42)
Seniors (67)
Sexual Orientation (1)
Sexually Transmitted Diseases (STDs) (1)
Small Group Coverage (26)
Smoking (1)
Social Media (4)
South Carolina (5)
South Dakota (2)
State Budgets (97)
State-Level Data (91)
Stigma (1)
Subsidies (171)
Substance Use (1)
Taxes (46)
Telehealth (1)
Tennessee (9)
Texas (11)
Treatment (1)
U.S. Government Programs (1)
U.S. Military (4)
Utah (10)
Vaccines (4)
Vermont (6)
Virginia (11)
Voting (2)
Waivers (80)
Washington (18)
Wellness Programs (12)
West Virginia (5)
Wisconsin (6)
Wyoming (2)
Zika Virus (12)

Clear Selections

Beyond the Data (18)
Employer Health Benefit Survey (6)
Health Policy 101 (2)
Health System Tracker (21)
Health Tracking Poll (327)
Health Wonk Shop (2)
KFF Health News Announcements (1)
KFF/NPR Surveys (8)
KFF/Washington Post Surveys (8)
Medicaid Budget Survey (1)
Medicaid Eligibility Age 65+, Disability/NonMAGI (3)
Medicaid Eligibility and Enrollment Survey (7)
Medicaid Home Care/HCBS Survey (1)
Medicaid Watch (23)
Women's Health Survey (4)

Filter

Past Week
Past Month
Past 6 Months
Past Year
Custom
Start Date

End Date

Clear Selections

Event (147)
Fact Sheet (173)
FAQs (423)
Feature (279)
From Drew Altman (189)
Interactive (42)
Issue Brief (556)
News Release (381)
Other Post (8)
Perspective (194)
Policy Watch (48)
Poll Finding (219)
Quick Take (21)
Report (106)
State Health Facts Indicator (37)
Tracker (8)
Video (11)

Clear Selections

Abortion (43)
ACA Marketplaces (525)
Access to Care (236)
Accountable Care Organizations (ACOs) (5)
Actuarial Value (7)
Administrative Costs (5)
Adolescents (11)
Affordability (194)
Alabama (3)
Alaska (5)
Arizona (4)
Arkansas (10)
Benefits (43)
Black or African American (5)
Build Back Better (6)
California (33)
Cancer (4)
Care Coordination (1)
Children (50)
Children's Health Insurance Program (CHIP) (51)
Chronic Diseases (16)
Colorado (11)
Congressional Budget Office (CBO) (7)
Connecticut (11)
Consumer Assistance (50)
Contraception (17)
Cost Sharing (129)
County-Level Data (11)
Courts (97)
Coverage (608)
Deficit Reduction (47)
Delaware (3)
Delivery System (38)
Demographics (19)
Diabetes (5)
Disability (67)
Disproportionate Share Hospital (DSH) (4)
District of Columbia (7)
Dual Eligible Individuals (39)
Ebola (2)
Economy (27)
Eligibility (86)
Employer-Sponsored Health Insurance (156)
Employment (11)
En Español (27)
End of Life (4)
Enrollment (204)
Family Planning (53)
Federal Budget (83)
Financing (127)
Florida (7)
Food Security and Nutrition (3)
Food Stamps (2)
Fraud, Waste and Abuse (2)
Gender Identity (9)
Georgia (5)
Greater Than HIV (1)
Gun Violence (3)
Hawaii (2)
Health Care Markets (1)
Health Care Utilization (9)
Health Centers (18)
Health I.T. (17)
Health Status (18)
Health System Performance (4)
Health Workforce (17)
Heart Disease (1)
High-Deductible Plans (9)
High-Risk Pools (9)
Hispanic or Latino (4)
HIV/AIDS in U.S. (45)
Home care/HCBS (26)
Hospitals (32)
Idaho (2)
Illinois (5)
Income and Assets (4)
Indiana (10)
Individual Mandate (54)
Individual Market (307)
International Comparisons (4)
International Cooperation (1)
Iowa (4)
Kansas (2)
Kentucky (15)
Long-Term Care (43)
Louisiana (7)
Low Income (119)
Maine (7)
Managed Care (38)
Maryland (11)
Massachusetts (13)
Maternal and Child Health (12)
Measles (2)
Medicaid Work Requirements (16)
Medical Loss Ratio (MLR) (17)
Medical Technology (4)
Medicare Advantage (27)
Medicare Part D (29)
Medicare's Future (31)
Medicare-for-all (60)
Medigap (1)
Michigan (12)
Minnesota (2)
Mississippi (3)
Missouri (7)
Montana (4)
Nebraska (2)
Nevada (10)
New Hampshire (4)
New Jersey (2)
New Mexico (5)
New York (8)
North Carolina (5)
North Dakota (2)
Nurses (1)
Nursing Facilities (6)
Obesity (4)
Ohio (12)
Oklahoma (3)
Opioids (11)
Oral Health (7)
Oregon (9)
Over-the-Counter Contraceptives (5)
Paid Leave (1)
Pennsylvania (6)
Physicians (26)
Politics (423)
Pre-existing Conditions (99)
Pregnancy (8)
Premium Support (10)
Premiums (158)
Prescription Drugs (115)
Prevention (48)
Prices (22)
Prior Authorization (2)
Public Health (32)
Puerto Rico/Virgin Islands (7)
Quality Measures (13)
Quality of Life (1)
race (1)
Race/Ethnicity (28)
Rate Review (9)
Reproductive Health (96)
Retiree Coverage (4)
Rhode Island (6)
Rural Health (4)
Safety Net (42)
Seniors (67)
Sexual Orientation (1)
Sexually Transmitted Diseases (STDs) (1)
Small Group Coverage (26)
Smoking (1)
Social Media (4)
South Carolina (5)
South Dakota (2)
State Budgets (97)
State-Level Data (91)
Stigma (1)
Subsidies (171)
Substance Use (1)
Taxes (46)
Telehealth (1)
Tennessee (9)
Texas (11)
Treatment (1)
U.S. Government Programs (1)
U.S. Military (4)
Utah (10)
Vaccines (4)
Vermont (6)
Virginia (11)
Voting (2)
Waivers (80)
Washington (18)
Wellness Programs (12)
West Virginia (5)
Wisconsin (6)
Wyoming (2)
Zika Virus (12)

Clear Selections

Beyond the Data (18)
Employer Health Benefit Survey (6)
Health Policy 101 (2)
Health System Tracker (21)
Health Tracking Poll (327)
Health Wonk Shop (2)
KFF Health News Announcements (1)
KFF/NPR Surveys (8)
KFF/Washington Post Surveys (8)
Medicaid Budget Survey (1)
Medicaid Eligibility Age 65+, Disability/NonMAGI (3)
Medicaid Eligibility and Enrollment Survey (7)
Medicaid Home Care/HCBS Survey (1)
Medicaid Watch (23)
Women's Health Survey (4)

List Grid

1 - 10 of 2,763 Results

Health Provisions in the 2025 Federal Budget Reconciliation Law

Aug 22, 2025
Issue Brief

On July 4, President Trump signed the budget reconciliation bill, previously known as the “One Big Beautiful Bill Act,” into law. This summary provides background, description, budgetary impact and related information on the health care provisions of the law in four categories: Medicaid, the Affordable Care Act, Medicare and Health Savings Accounts (HSAs).
How Will the 2025 Reconciliation Law Affect the Uninsured Rate in Each State?

Aug 20, 2025
Issue Brief

This analysis apportions the increase in the number of uninsured across the 50 states and DC. CBO estimates that the reconciliation law will increase the number of uninsured by 10M in 2034 and rise to over 14M if enhanced premium tax credits for ACA Marketplace enrollees expire later this year.
How Much and Why ACA Marketplace Premiums Are Going Up in 2026

Aug 6, 2025
Issue Brief

This analysis of initial rate filings from all 50 states and DC shows ACA Marketplace insurers are proposing a median premium increase of 18% for 2026, more than double last year’s 7% median proposed increase. The analysis includes proposed rate changes by state and insurer.
Total Monthly Medicaid & CHIP Enrollment and Pre-ACA Enrollment

Jul 25, 2025
State Health Facts Indicator

Medicaid Enrollment, Monthly Medicaid Enrollment, total Medicaid enrollment
KFF Health Tracking Poll: Public Views on Recent Tax and Budget Legislation

Jul 24, 2025
Feature

KFF's Health Tracking Poll looks at awareness and perceived impact of the tax and budget law signed by Trump in July 2025. Nearly half of the public says that they expect the new law to generally hurt them and their families, about twice the share who say it will generally help. The law itself remains largely unpopular, with many more people holding unfavorable views than favorable ones.
Poll: New Tax and Budget Law Remains Largely Unpopular; Nearly Half Say It Will Hurt Their Families, though Republicans and MAGA Supporters Are More Optimistic

Jul 24, 2025
News Release

Nearly half (46%) of the public says that they expect the new tax and budget law signed by President Trump earlier this month to generally hurt them and their families, nearly twice the share (26%) who say it will generally help, a new KFF Health Tracking Poll finds.
Insurers’ Preliminary Rate Filings Anticipate Biggest Increases in ACA Marketplace Plan Premiums Since 2018

Jul 18, 2025
News Release

This analysis of preliminary rate filings submitted by 105 ACA Marketplace insurers in 19 states and DC shows that ACA Marketplace insurers are requesting a median premium increase of 15% for 2026, which would represent the largest hike in premiums since 2018, the last time policy uncertainty contributed to sharp premium growth. The scheduled expiration of enhanced tax credits and impact of tariffs on some drugs, medical equipment, and supplies are among the factors pushing premiums higher
Individual Market Insurers Requesting Largest Premium Increases in More Than 5 Years

Jul 18, 2025
Issue Brief

This analysis of preliminary rate filings submitted by 105 ACA Marketplace insurers in 19 states and DC shows that ACA Marketplace insurers are requesting a median premium increase of 15% for 2026, which would represent the largest hike in premiums since 2018, the last time policy uncertainty contributed to sharp premium growth. The scheduled expiration of enhanced tax credits and impact of tariffs on some drugs, medical equipment, and supplies are among the factors pushing premiums higher
ACA Preventive Services Are Back at the Supreme Court: Kennedy v. Braidwood

Jul 17, 2025
Issue Brief

This brief provides an overview of the most recent ACA case under review at the Supreme Court (Kennedy v. Braidwood Management) and discusses the implications of the potential rulings by the high court.
Explaining Litigation Challenging the ACA’s Preventive Services Requirements: Braidwood Management Inc. v. Becerra

Jul 17, 2025
Issue Brief

This brief explains the preventive services coverage requirements, the basis of the Braidwood Management Inc. v. Becerra lawsuit, next steps in the litigation, and the potential implications.