Affordable Care Act

The ACA MarketplaceS

Tracking Insurer Changes in the ACA Marketplaces in 2027

As of June 8, six health insurers have announced that they will exit ACA Marketplaces in 18 states next year, potentially leaving hundreds of thousands of ACA enrollees with fewer insurance options.

Insurer Participation Changes in the ACA Marketplaces in 2026

This brief describes how insurer participation changed at the state and county levels from 2025 to 2026 and provides insight into the number of issuers offering plans at specific metal levels.

The Average ACA Deductible Grew by About $1,000 Per Person in 2026, With More Enrollees Shifting to Higher-Deductible Plans as Enhanced Tax Credits Expired

After the enhanced tax credits ended, many Marketplace shoppers shifted toward lower-premium, higher-deductible plans, according to a new KFF analysis. Marketplace enrollment could fall from 22.3 million in 2025 to about 17.5 million in 2026.

State-Based Efforts Will Provide Limited Relief from Enhanced Tax Credit Expiration

Health Insurance Marketplace Calculator

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.