Home Affordable Care Act Topics

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?

Latest News

More KFF Health News

Stay informed.

Get KFF's latest on the Affordable Care Act

Stay informed.

Get KFF's
latest on the Affordable
Care Act

View the Latest: Affordable Care Act

Filter

List Grid

431 - 440 of 2,787 Results

  • New Analysis Provides Early Look At Increase in Individual Market Enrollees 

    News Release

    A new Kaiser Family Foundation analysis of health insurer reports to state regulators provides a first glimpse of enrollment in the individual, or non-group, insurance market under the Affordable Care Act.  These initial filings reflect enrollment both through the new state insurance marketplaces created under the Affordable Care Act as well as through off-exchange plans. The analysis suggests a net increase from the end of 2013 of about 3 million to 3.5 million people with…

  • The Politics of ACA Rate Hikes Will Be 2016 in Reverse

    From Drew Altman

    Democrats are expected to turn the tables and attack Republicans for rising premiums and sabotaging the Affordable Care Act. In his Axios column, Drew Altman discusses a balancing act they face which has not received attention: score political points, but run the risk of a new debate scaring the broader public and undermining the ACA by focusing on its continuing problems.

  • KFF March Health Tracking Poll: One Year Later, Views on Health Reform Remain Divided

    Perspective

    Health reform is a year old and the latest Kaiser Health Tracking Poll finds a basic division that has changed little during the last 12 months. This month, 42 percent of Americans hold favorable views of the law while 46 percent view it unfavorably. In April 2010, the month after passage, 46 percent had favorable views and 40 percent unfavorable ones, but both figures have ticked up and down over the last year. Opinion of…

  • The Trump Administration’s Hidden Attacks on the Affordable Care Act

    Perspective

    In a Washington Post op-ed, “The Trump administration’s hidden attacks on the Affordable Care Act,” Larry Levitt discusses the latest proposed regulations by the Trump administration to expand association health plans: changes that could wound the ACA insurance marketplace, but are unlikely to make it collapse.

  • Optimizing Medicaid Enrollment: Spotlight on Technology – Wisconsin’s ACCESS Internet Portal

    Issue Brief

    This brief examines how ACCESS, a web-based, self-service tool developed by the state of Wisconsin, helps Wisconsin residents find out whether they may be eligible for BadgerCare Plus and other public programs, as well as apply for benefits, check and renew benefits, and report changes to keep their eligibility current -- all online. It is the second brief in a Spotlight on Technology series profiling several states' innovative applications of technology to Medicaid enrollment efforts.…

  • Proposed Models to Integrate Medicare and Medicaid Benefits for Dual Eligibles: A Look at the 15 State Design Contracts Funded By CMS

    Issue Brief

    This brief summarizes 15 states' preliminary proposals to better coordinate care for people who are in both the Medicare and Medicaid programs. The design contracts, funded by the federal Center for Medicare and Medicaid Innovation (CMMI), are an outgrowth of new efforts under the health reform law to develop service delivery and payment models that integrate care for the nation’s nearly 9 million "dual eligibles," whose medical needs and health care costs typically exceed those…

  • Online Applications For Medicaid And/Or CHIP: An Overview of Current Capabilities And Opportunities For Improvement

    Issue Brief

    This analysis provides an overview of online applications for Medicaid and/or CHIP and examines the extent to which they incorporate features that streamline and simplify the enrollment process for individuals. Thirty-two states currently offer an online application for one or both of these programs that is accessible by the public and can be electronically submitted, although they vary in their features. A key component of the Patient Protection and Affordable Care Act is the creation…

  • Firm Perspectives on the Medicare Advantage Market

    Issue Brief

    Based on interviews with senior executives at 14 large firms, the issue brief finds that insurers anticipate continuing to offer Medicare Advantage plans in 2012, in part because of a Medicare demonstration project that will award bonus payments to plans based on their quality standards. A companion issue brief examines trends in Medicare Advantage enrollment in 2011. The analysis was conducted by researchers at Mathematica Policy Research, Inc. and the Kaiser Family Foundation. Issue Brief…

  • 2008 Presidential Candidates: Health Care Issues Side-by-Side

    Other Post

    Health care has been an important issue in the 2008 presidential campaign and the candidates have staked out positions on key health care issues. Both major party candidates have developed comprehensive health care reform proposals addressing health coverage and access, rising health care costs and health care quality. The side-by-side comparison available here focuses on important health care issues not necessarily addressed in the candidates' health care reform proposals. It was prepared by the Kaiser…