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The ACA MarketplaceS

Tracking Insurer Changes in the ACA Marketplaces in 2027

As of June 22, six carriers have announced that they will exit the Marketplaces in plan year 2027, either in some or all states that they are currently offering plans; four carriers have announced they will enter new Marketplaces.

An image of text is an excerpt from Cynthia Cox's quick take which reads, "While the Trump administration attributes this drop in enrollment to their attempts to address fraud, this coverage loss happened at the same time millions of people faced steep increases in their premium payments — often in the double or even triple digits — with the expiration of enhanced tax credits."

ACA Marketplace Enrollment Is Down By 3 Million After Big Jump in Premium Payments

Enrollment dropped 13% following the expiration of enhanced premium tax credits at the beginning of this year. Enrollment fell from a high of 22.1 million people in 2025 to 19.2 million people in February 2026. While the Trump administration attributes this drop in enrollment to their attempts to address fraud, this coverage loss happened at the same time millions of people faced steep increases in their premium payments – often in the double or even triple digits – with the expiration of enhanced tax credits.

POLLING on the ACA

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.

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  • ¿Los planes del mercado cubren la atención dental?

    FAQs

    Depende de su edad. La cobertura dental para menores de 18 años es un "beneficio de salud esencial", lo que significa que debe estar disponible para todos sus hijos, ya sea como parte de un plan de salud o a través de un plan dental independiente, aunque no es obligatorio adquirirla. La cobertura dental para adultos no se considera un beneficio de salud esencial, por lo que los planes del Mercado de Seguros Médicos no…

  • ¿Tengo que probar elegibilidad para un período especial de inscripción?

    FAQs

    Sí, en algunos casos. Al solicitar cobertura del mercado y calificar para un período especial de inscripción, el mercado podría solicitar documentos adicionales para confirmar que califica para la cobertura en su aviso de elegibilidad del mercado. Si solicita cobertura del mercado luego de perder otra cobertura, cuidadodesalud.gov le permitirá seleccionar un plan de salud, pero retrasará la fecha de vigencia de la cobertura mientras verifica dicha pérdida. Si el mercado no puede verificar automáticamente…

  • ¿Cuándo pueden inscribirse los pequeños negocios en cobertura a través del mercado de seguros SHOP?

    FAQs

    Los pequeños empleadores pueden comprar cobertura para sus empleados a través del mercado SHOP en cualquier momento del año. Cuidadodesalud.gov ya no opera un sitio web del Mercado SHOP para pequeños empleadores. Sin embargo, si desea patrocinar la cobertura de un grupo pequeño a través del mercado para sus empleados, puede contactar directamente a las compañías de seguros o trabajar con un corredor certificado para vender pólizas SHOP. En los estados de CuidadoDeSalud.gov, puede encontrar…

  • Soy elegible para recibir beneficios de salud en el trabajo, pero quiero ver si puedo obtener una mejor oferta en el mercado. ¿Puedo hacer eso?

    FAQs

    Siempre puede comprar cobertura en el mercado, asumiendo que cumple con otros requisitos de elegibilidad, pero si tiene acceso a una cobertura a través del trabajo que se determina que es asequible (no más del 9,9% del ingreso del hogar en 2026), es posible que no califique para los subsidios para ayudar a pagar las primas. Puede encontrar más información en esta sección.

  • Contraception X Article: Out-of-Pocket Spending for Oral Contraceptives Among Women with Private Insurance Coverage After the Affordable Care Act

    Issue Brief

    In an article for Contraception X, KFF's Brittni Frederiksen, Matthew Rae, and Alina Salganicoff examine large employer plans to identify which types and brands of oral contraceptive pills have the largest shares of oral contraceptive users with out-of-pocket spending and which oral contraceptives have the highest average annual out-of-pocket costs after the ACA covered contraception under it's preventive services provisions.

  • Amid the Coronavirus Crisis, President Trump and Democratic Nominee Joe Biden Offer Widely Different Views on Health Care

    News Release

    President Trump and Democratic nominee Joe Biden hold widely divergent views on health issues, with the president’s record and response to the coronavirus pandemic likely to play a central role in November’s elections. A new KFF side-by-side comparison examines President Trump’s record and former Vice President Biden’s positions across a wide range of key health issues, including the response to the pandemic, the Affordable Care Act marketplace, Medicaid, Medicare, drug prices, reproductive health, HIV, mental…

  • Election 2020: Where Trump and Biden Stand on Mental Health and Substance Use Issues

    News Release

    Amid the coronavirus pandemic, half of Americans report that their mental health has been negatively impacted due to related stress and worry. Many are, or will be, struggling with mental health challenges due to anxiety, social isolation, loss of loved ones, and job losses – potentially leading to increased mental health care needs over the long term. A new issue brief examines where President Trump and Democratic presidential nominee Joe Biden stand on key aspects of the…

  • JAMA Forum: Trump vs Biden on Health Care

    Perspective

    In this September 2020 post for The JAMA Health Forum, Larry Levitt highlights differences in the records and policy plans of President Donald Trump and former Vice President Joe Biden on key health care issues.

  • Analysis Examines the Affordable Care Act’s Impact on Nearly All Americans

    News Release

    A week after the 2020 elections, the Supreme Court is scheduled to hear arguments on a legal challenge, supported by the Trump administration, that seeks to overturn the Affordable Care Act, an outcome that would have major effects throughout the health care system as the law’s provisions have affected nearly all Americans in some way. A KFF analysis examines key provisions of the 2010 law that have changed the nation’s health care system, including what’s…