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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List Grid

71 - 80 of 2,762 Results

Integration of Medicaid and Non-Health Program Eligibility Systems

Apr 2, 2025
State Health Facts Indicator
ACA Marketplace Enrollment Has More Than Doubled Since 2020, with the Fastest Growth Occurring in States Won by President Trump in 2024

Apr 2, 2025
News Release

Enrollment in Affordable Care Act (ACA) Marketplace health plans reached a record 24.3 million people, more than double the total in 2020, with most of the growth occurring in states won by President Trump in the 2024 election, a new KFF analysis finds.
Enrollment Growth in the ACA Marketplaces

Apr 2, 2025
Policy Watch

This analysis of enrollment in Affordable Care Act (ACA) Marketplace health plans finds a record 24.3 million people enrolled in 2025, more than double the total in 2020, with most of the growth occurring in states won by President Trump in the 2024 election. In six states, enrollment more than tripled from 2020 to 2025: Texas, Mississippi, West Virginia, Louisiana, Georgia, and Tennessee.
System Automation of Real-Time Determinations and Ex Parte Renewals

Apr 1, 2025
State Health Facts Indicator
Medicaid/CHIP Coverage of Lawfully-Residing Immigrant Children and Pregnant Women

Apr 1, 2025
State Health Facts Indicator

immigrant children pregnant women Medicaid CHIP
Medicaid and CHIP Income Eligibility Limits for Pregnant Women as a Percent of the Federal Poverty Level

Apr 1, 2025
State Health Facts Indicator

eligibility Medicaid CHIP
Medicaid and CHIP Income Eligibility Limits for Children as a Percent of the Federal Poverty Level

Apr 1, 2025
State Health Facts Indicator

eligibility children Medicaid CHIP
Medicaid Income Eligibility Limits for Adults as a Percent of the Federal Poverty Level

Apr 1, 2025
State Health Facts Indicator

eligibility Medicaid Adults
Decoding the HHS Reorganization

Apr 1, 2025
From Drew Altman

In his latest column, KFF President and CEO Drew Altman examines the implications of Secretary Kennedy’s reorganization of HHS and why it’s a sharp break from past efforts to reorganize the department.
New Rule Proposes Changes to ACA Coverage of Gender-Affirming Care, Potentially Increasing Costs for Consumers

Mar 24, 2025
Issue Brief

This brief examines a proposed rule that seeks to change how ACA plans would cover gender affirming care services. If finalized the rule could lead insurers to drop coverage or shift costs to individuals and states, making access to gender affirming care more difficult.