Affordable Care Act

The ACA MarketplaceS

Change in February effectuated enrollment, by state, 2025-2026

How Has ACA Marketplace Enrollment Changed Across States in 2026?

ACA Marketplace enrollment fell this year in every state except New Mexico, which was the only state to fully replace the enhanced premium tax credits that expired last year with a state-funded subsidy, according to a new KFF analysis of effectuated enrollment data. The Marketplace enrollment decline—the first in seven years—follows several years of rapid enrollment growth and coincides with the end of the enhanced federal subsidies.

How Much and Why ACA Marketplace Premiums Are Going Up in 2027

ACA Marketplaces insurers are proposing a median premium increase of 15% in 2027, according to KFF’s updated analysis of 276 insurers with publicly available filings across all 50 states and the District of Columbia. This is the second consecutive year of double-digit premium hikes. Last year’s median nationwide proposed rate change was 18%, and the median finalized rate change was 20%. While this proposed rate change is lower than last year, it represents the second-highest requested rate change since 2018, as premium growth had been relatively flat in this market for several years.

About the ACA

Promotional image for KFF video How Affordable is the Affordable Care Act

Did the Affordable Care Act Make Health Care More Affordable?

The expiration of the ACA’s enhanced premium tax credits at the start of 2026, combined with rising insurer premiums, put a spotlight on health care affordability that extends beyond Marketplace enrollees. KFF’s Cynthia Cox examines the ACA’s record and the broader underlying question it raises: what’s a fair price for Americans people to pay for health care?

Stay informed.

Stay informed.

Filter

1,461-1,470 of 2,788 results

  • More Insurers Are Participating in the ACA Marketplaces in 2019

    News Release

    Insurer participation in the Affordable Care Act’s health insurance marketplaces is rising in 2019, finds a new analysis from KFF (the Kaiser Family Foundation).The increase follows consecutive years of improving insurance company profits and shows up in several different ways: Going into 2019, 608 counties nationwide are gaining at least one insurer in the marketplace, while only five counties will lose an insurer. In 2019, roughly 17 percent of enrollees (living in 37 percent of…

  • Some Can Get Marketplace Plans With No Premiums,Though With Higher Deductibles and Cost-Sharing

    News Release

    Many low-income consumers who are eligible for federal financial help under the Affordable Care Act can get a bronze-level plan and pay nothing out-of-pocket in premiums in more than 2,000 counties next year, depending on their annual income, according to a new analysis from KFF (the Kaiser Family Foundation). Such plans come with higher deductibles and out-of-pocket maximums, however. The analysis finds that the ACA’s premium tax credits would cover the full premium of the lowest-cost bronze…

  • Can I be charged more because of my age?

    FAQs

    Yes, in most states, you can be charged more based on your age, but within certain limits. For example, older adults in their sixties can be charged up to three times more than younger adults (e.g., in their early twenties). Some states have established lower limits or a complete prohibition on “age rating,” a federal policy that applies to all individual health insurance plans and those offered by fully-insured small employers, whether sold on or…

  • How can I compare covered benefits in different Marketplace plans?

    FAQs

    Although all Marketplace health plans are required to cover the ten categories of essential health benefits, insurers in many states have flexibility to modify coverage for some of the specific services within each category, subject to approval by their Marketplace. All health plans must provide consumers with a Summary of Benefits and Coverage (SBC) to make it easier to compare differences in health plan benefits and cost sharing. It is also available for each plan…

  • When can small employers enroll in coverage through the SHOP Marketplace?

    FAQs

    Small employers can buy coverage for their employees through the SHOP Marketplace at any time during the year. HealthCare.gov no longer operates a SHOP Marketplace website for small employers. However, if you want to sponsor small group coverage through the Marketplace for your employees, you can contact insurance companies directly or work with a broker who is certified to sell SHOP policies. In HealthCare.gov states, you can find a SHOP-certified broker using the Find Local Help tool. Be…

  • Tuve seguro de salud a través de un plan del mercado y recibí subsidios. Dado que el mercado ya determinó que yo era elegible para subsidios, ¿todavía tengo que presentar una declaración de impuestos fe...

    FAQs

    Sí. Al presentar su declaración de impuestos, deberá calcular el subsidio al que realmente tuvo derecho ese año. La determinación del mercado que recibió el año pasado se basó en su estimación de buena fe de sus ingresos anuales. Al presentar su declaración de impuestos, necesitará dos formularios especiales: el 1095-A y el 8962. Una vez que haya completado el formulario 8962, sabrá si sobreestimó o subestimó sus ingresos. Si subestimó sus ingresos al inscribirse,…

  • ¿Mi empleador debe ofrecerme seguro de salud?

    FAQs

    Si es un trabajador a tiempo completo y trabaja para un gran empleador, su empleador enfrentará una multa si no proporciona cobertura. Algunos empleadores pueden optar por pagar la multa y no ofrecer cobertura. Consulte con su empleador para ver lo que ofrecen.

  • ¿Pueden miembros de una familia con estatus migratorio mixto, donde algunos son ciudadanos o están legalmente presentes y otros son indocumentados, inscribirse en Medicaid o CHIP, o recibir ayuda para c...

    FAQs

    Los ciudadanos y los miembros de la familia que están legalmente presentes pueden obtener cobertura de salud a través de Medicaid, CHIP y los mercados de seguros, incluso si otros miembros de la familia son indocumentados. Los miembros de la familia que no están legalmente presentes pueden solicitar un seguro de salud para los ciudadanos y los miembros de la familia presentes legalmente. Por ejemplo, un padre indocumentado puede solicitar un seguro de salud para…

  • ¿Qué es un plan de salud catastrófico?

    FAQs

    Un "plan catastrófico" es un plan de salud calificado que se ofrece dentro y fuera del mercado de seguros que cubre beneficios esenciales de salud. Si bien los planes catastróficos tienen primas más bajas que otros planes de salud calificados, también requieren el nivel más alto de costo compartido permitido para un plan que cumple con ACA. En 2026, el deducible anual por servicios cubiertos en un plan catastrófico es $10.900 para un individuo o…