The independent source for health policy research, polling, and news.
The ACA Marketplace Open Enrollment season begins November 1, and with it comes looming changes to the enhanced premium tax credits, increases in out-of-pocket premiums, and changes to Marketplace enrollment and eligibility rules.
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.
Timely insights and analysis from KFF staff
KFF Vice President Cynthia Cox takes a broader look at the expiring enhanced tax credits, which Congressional Democrats have made central to their government funding demands, and how they lower health costs for many traditionally Republican constituencies, such as people in southern states, small business owners and employees, farmers and ranchers, older adults, and rural… ... more
The ACA enhanced premium tax credit has driven growth in Marketplace enrollment and offset declines in Medicaid coverage, holding 2024's 8% uninsured rate at its near-historic low, according to new Census Bureau data. ... more
In total, due to the One Big Beautiful Bill Act and other policy changes, the number of people without health insurance is expected to increase by about 17 million. If all of this comes to pass, it would represent the biggest roll back of health insurance coverage ever due to federal policy changes. ... more
Choose which emails are best for you.
Sign up here
Cynthia Cox 
Jennifer Tolbert 
