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.”

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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

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¿Tengo que renovar la cobertura de Medicaid cada año?

Sep 20, 2023
FAQs

Generalmente sí. Sin embargo, durante la emergencia de salud pública por COVID, los estados recibieron bonificaciones temporales para suspender los requisitos de renovación anual y mantener a las personas inscritas en Medicaid de manera continua. Desde abril de 2023, los estados están reanudando gradualmente los requisitos de renovación de Medicaid.
I will lose my employer coverage mid-month. Can my Marketplace coverage start the same month when my old coverage is terminated?

Sep 19, 2023
FAQs

Yes, your Marketplace coverage will begin the first day of the month after you select your QHP during the special enrollment period triggered by your loss of other job-based coverage.
KFF Examines Challenges in Navigating Coverage for Opill, the First Over-the-Counter Daily Oral Contraceptive Pill, Coming to Market Next Year

Sep 14, 2023
News Release

As Opill—the first over-the-counter daily oral contraceptive pill in the United States—is expected to be available for purchase in early 2024, new research conducted by KFF examines barriers to its accessibility for consumers and challenges in providing insurance coverage for it.
Insurance Coverage of OTC Oral Contraceptives: Lessons from the Field

Sep 14, 2023
Report

This report is based on 35 structured interviews conducted from January to August 2023, with nearly 80 experts and key players such as pharmacists, health plans, and state Medicaid officials involved in the coverage and provision of OTC contraception in seven states with one or more of these coverage approaches (IL, NJ, NM, NY, OR, UT, and WA). It discusses the challenges and successes in coverage under private health insurance and Medicaid and reviews policy options for operationalizing insurance coverage of non-prescribed OTC contraception such as Opill.
Already at Record High, ACA Marketplace Enrollment Could Increase Further

Sep 7, 2023
News Release

Enhanced Marketplace subsidies have continued to drive up enrollment in the individual market, and the loss of Medicaid coverage by millions of people could contribute to this trend, according to a new KFF analysis. Meanwhile, enrollment in non-ACA-compliant plans is at a record low. As of early 2023, an estimated 18.
As ACA Marketplace Enrollment Reaches Record High, Fewer Are Buying Individual Market Coverage Elsewhere

Sep 7, 2023
Issue Brief

This analysis looks at how many people are signed up for each type of individual ACA Marketplace coverage—both on- and off-Marketplace and with or without subsidies—as of early 2023 based on federal enrollment data and administrative data insurers report to state regulators, as compiled by Mark Farrah Associates. The number of people enrolled in compliant and non-compliant plans was also evaluated.
The 4 Arguments You Will Hear Against Drug Price Negotiation

Sep 6, 2023
Perspective

As the Biden administration begins the process of negotiation drug prices for Medicare as authorized in the Inflation Reduction Act, KFF's Larry Levitt probes some of the arguments against it and the policy and political implications of the debate in this New York Times op-ed column.
Marketplace Insurers are Proposing a 6% Average Premium Hike for 2024 and Pointing to Inflation as a Key Driver of Costs

Aug 4, 2023
News Release

ACA Marketplace insurers are requesting a median premium increase of 6% for 2024, according to a new KFF analysis of the preliminary rate filings. Insurers’ proposed rate changes – most of which fall between 2% and 10% – may change during the review process.
Health Care Issues in the Early Stages of the 2024 Election

Jul 20, 2023
Perspective

In this JAMA Health Forum column, Larry Levitt examines differences in the Republican presidential candidates’ records and positions on health issues, including Medicaid and abortion, that could play a role in the primaries and would set up a sharp contrast in the general election against President Biden.
Medicaid Expansion Has Had Beneficial Effects on Some Sexual and Reproductive Health Outcomes

Jun 29, 2023
News Release

A new KFF review of more than three dozen studies published between April 2021 and June 2023 finds that Medicaid expansion under the Affordable Care Act is associated with beneficial effects on a range of sexual and reproductive health outcomes.

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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

View the Latest: Affordable Care Act

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