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Affordable Care Act

The Enhanced Premium Tax Credits

Occupations Where at least 25% of Adult Workers Rely on Individual Market Coverage, 2023

With Big Potential Premium Increases Looming, About a Quarter of Farmers and Ranchers Get Health Insurance Through the ACA Marketplaces

A new KFF analysis finds that 27% of farmers, ranchers, and agricultural managers had health insurance coverage through the individual market in 2023. Many workers rely on the individual market for health insurance, and over 90% of individual market enrollees get their coverage through the Affordable Care Act (ACA) Marketplaces. Over a quarter of chiropractors, real estate brokers, and dentists were also covered through the individual market.

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.


How Much Premiums are Going up for Small Businesses in 2026

Tariffs Are Driving up Premiums for Small Businesses

Estimates of Additional Uninsured People Across the States

ACA Provisions in the 2025 Federal Budget Reconciliation Law

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  • State Exchange Profiles: Arizona

    Other

    Final update made on December 4, 2012 (no further updates will be made) Establishing the Exchange  On November 28, 2012, Governor Jan Brewer (R) informed federal officials that Arizona would default to a federally-facilitated health insurance exchange.

  • State Exchange Profiles: Wisconsin

    Other

    Final update made on December 11, 2012 (no further updates will be made) Establishing the Exchange  On November 16, 2012, Governor Scott Walker (R) notified federal officials that Wisconsin would default to a federally-facilitated health insurance exchange.

  • State Exchange Profiles: Oklahoma

    Other

    Final update made on December 13, 2012 (no further updates will be made) Establishing the Exchange  On November 19, 2012, Governor Mary Fallin (R) announced that Oklahoma would not pursue the creation of a state-based health insurance exchange.

  • State Exchange Profiles: North Dakota

    Other

    Final update made on December 11, 2012 (no further updates will be made) Establishing the Exchange In November 2012, Governor Jack Dalrymple (R) announced that North Dakota was not planning a state exchange.

  • State Marketplace Profiles: Connecticut

    Other

    Final update made on September 27, 2013 (no further updates will be made)  Establishing the Marketplace On July 1, 2011, Governor Dan Malloy (D) signed SB921 (Public Act 11-53) into law establishing the Connecticut Health Insurance Exchange.1   Legislation altering the composition of the Exchange Board passed in June 2012.

  • The Public’s Policy Agenda for the 113th Congress: Briefing and Panel Discussion

    Event Date:
    Event

    As the 113th Congress is sworn in, and President Barack Obama begins his second term of office, a comprehensive new Kaiser Family Foundation/Robert Wood Johnson Foundation/Harvard School of Public Health survey queried the public about their priorities for, and views on, a wide range of health and health policy issues.

  • About 1 in 20 People with Private Insurance Received Services that Could be Affected by a District Court Ruling Limiting the ACA’s Preventive Services Mandate

    News Release

    A new KFF analysis finds about 1 in 20 privately insured people (5.7%) received at least one ACA preventive service or drug that could be affected by a now-stayed U.S. District Court ruling in Braidwood Management v. Becerra, which found the Affordable Care Act’s (ACA) preventive services mandate partially unconstitutional.

  • Calculadora del Mercado de Seguros Médicos

    Feature

    Esta calculadora ilustra las primas (el costo mensual de su seguro) y subsidios para las personas que compran seguro médico por su propia cuenta en el mercado de seguros de salud (o de intercambio) creado por la Ley de Cuidado de Salud a Bajo Precio (Affordable Care Act, ACA, en inglés).