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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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

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ACA Marketplaces (526)
Access to Care (236)
Accountable Care Organizations (ACOs) (5)
Actuarial Value (7)
Administrative Costs (5)
Adolescents (11)
Affordability (194)
Alabama (3)
Alaska (5)
Arizona (4)
Arkansas (10)
Benefits (43)
Black or African American (5)
Build Back Better (6)
California (33)
Cancer (4)
Care Coordination (1)
Children (50)
Children's Health Insurance Program (CHIP) (51)
Chronic Diseases (16)
Colorado (11)
Congressional Budget Office (CBO) (7)
Connecticut (11)
Consumer Assistance (50)
Contraception (17)
Cost Sharing (129)
County-Level Data (11)
Courts (97)
Coverage (608)
Deficit Reduction (47)
Delaware (3)
Delivery System (38)
Demographics (19)
Diabetes (5)
Disability (67)
Disproportionate Share Hospital (DSH) (4)
District of Columbia (7)
Dual Eligible Individuals (39)
Ebola (2)
Economy (28)
Eligibility (86)
Employer-Sponsored Health Insurance (156)
Employment (11)
En Español (25)
End of Life (4)
Enrollment (204)
Family Planning (53)
Federal Budget (83)
Financing (127)
Florida (7)
Food Security and Nutrition (3)
Food Stamps (2)
Fraud, Waste and Abuse (2)
Gender Identity (9)
Georgia (5)
Greater Than HIV (1)
Gun Violence (3)
Hawaii (2)
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Health I.T. (17)
Health Status (18)
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Heart Disease (1)
High-Deductible Plans (9)
High-Risk Pools (9)
Hispanic or Latino (4)
HIV/AIDS in U.S. (45)
Home care/HCBS (26)
Hospitals (32)
Idaho (2)
Illinois (5)
Income and Assets (4)
Indiana (10)
Individual Mandate (54)
Individual Market (307)
International Comparisons (4)
International Cooperation (1)
Iowa (4)
Kansas (2)
Kentucky (15)
Long-Term Care (43)
Louisiana (7)
Low Income (119)
Maine (7)
Managed Care (38)
Maryland (11)
Massachusetts (13)
Maternal and Child Health (12)
Measles (2)
Medicaid Work Requirements (16)
Medical Loss Ratio (MLR) (17)
Medical Technology (4)
Medicare Advantage (27)
Medicare Part D (29)
Medicare's Future (31)
Medicare-for-all (60)
Medigap (1)
Michigan (12)
Minnesota (2)
Mississippi (3)
Missouri (7)
Montana (4)
Nebraska (2)
Nevada (10)
New Hampshire (4)
New Jersey (2)
New Mexico (5)
New York (8)
North Carolina (5)
North Dakota (2)
Nurses (1)
Nursing Facilities (6)
Obesity (4)
Ohio (12)
Oklahoma (3)
Opioids (11)
Oral Health (7)
Oregon (9)
Over-the-Counter Contraceptives (5)
Paid Leave (1)
Pennsylvania (6)
Physicians (26)
Politics (423)
Pre-existing Conditions (99)
Pregnancy (8)
Premium Support (10)
Premiums (159)
Prescription Drugs (116)
Prevention (48)
Prices (23)
Prior Authorization (2)
Public Health (32)
Puerto Rico/Virgin Islands (7)
Quality Measures (13)
Quality of Life (1)
race (1)
Race/Ethnicity (28)
Rate Review (10)
Reproductive Health (96)
Retiree Coverage (4)
Rhode Island (6)
Rural Health (4)
Safety Net (42)
Seniors (67)
Sexual Orientation (1)
Sexually Transmitted Diseases (STDs) (1)
Small Group Coverage (27)
Smoking (1)
Social Media (4)
South Carolina (5)
South Dakota (2)
State Budgets (97)
State-Level Data (91)
Stigma (1)
Subsidies (171)
Substance Use (1)
Taxes (46)
Telehealth (1)
Tennessee (9)
Texas (11)
Treatment (1)
U.S. Government Programs (1)
U.S. Military (4)
Utah (10)
Vaccines (4)
Vermont (6)
Virginia (11)
Voting (2)
Waivers (80)
Washington (18)
Wellness Programs (12)
West Virginia (5)
Wisconsin (6)
Wyoming (2)
Zika Virus (12)

Clear Selections

Beyond the Data (18)
Employer Health Benefit Survey (6)
Health Policy 101 (2)
Health System Tracker (21)
Health Tracking Poll (327)
Health Wonk Shop (2)
KFF Health News Announcements (1)
KFF/NPR Surveys (8)
KFF/Washington Post Surveys (8)
Medicaid Budget Survey (1)
Medicaid Eligibility Age 65+, Disability/NonMAGI (3)
Medicaid Eligibility and Enrollment Survey (7)
Medicaid Home Care/HCBS Survey (1)
Medicaid Watch (23)
Women's Health Survey (4)

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I am covered in a Marketplace health plan now but I am behind on my premium payments. If I don’t actively renew my policy but the Marketplace auto-renews me in the same plan, and if I at least pay my January premium, will that ensure my coverage remains in effect for next year?

Jul 15, 2020
FAQs

Yes, your insurer must accept your January payment to start your coverage for next year and your payment for January 1 cannot be applied to the back-due premiums you owe.
I’m uninsured. Am I required to get health insurance?

Jul 15, 2020
FAQs

Congress eliminated the federal tax penalty for not having health insurance, effective January 1, 2019.Some states (CA, MA, NJ, and RI) and DC have adopted individual mandates with state tax penalties for not having health insurance. One state (VT) also has an individual mandate but does not impose a tax penalty for not having coverage.
I received a Form 1095-B in the mail. What’s that?

Jul 15, 2020
FAQs

Health insurance companies, certain employer-sponsored health plans, and public health programs such as Medicaid may provide you with documentation indicating the months during the prior year when you were covered under the plan. You should receive this Form 1095-B by mid-March, either by mail or electronically.
I received a Form 1095-C in the mail. What’s that?

Jul 15, 2020
FAQs

Large employers must provide their employees with Form 1095-C to document that health coverage was offered the previous year.
How the American Rescue Plan Will Improve Affordability of Private Health Coverage

Mar 17, 2021
Issue Brief

This brief explains the various provisions in the American Rescue Plan (ARP) that increase and expand the affordability of coverage for people enrolled in Marketplace health plans or COBRA.
Updated KFF Calculator Estimates Marketplace Premiums to Reflect Expanded Tax Credits in COVID-19 Relief Legislation

Mar 10, 2021
News Release

KFF has updated its 2021 Health Insurance Marketplace Calculator to reflect the expanded premium tax credits available to people who purchase their own coverage through their state’s health insurance exchange as passed by Congress in the American Rescue Plan Act and expected to be signed into law soon.
2021 Calculator – Before COVID-19 Relief

Mar 10, 2021
Interactive

The Health Insurance Marketplace Calculator, updated with 2021 premium data, provides estimates of health insurance premiums and subsidies for people purchasing insurance on their own in health insurance exchanges (or “Marketplaces”) created by the Affordable Care Act (ACA). With this calculator, you can enter your income, age, and family size to estimate your eligibility for subsidies and how much you could spend on health insurance.
2021 Calculadora – Antes COVID-19 Alivio

Mar 10, 2021
Interactive

Nota: esta calculadora refleja las primas para 2021.
2021 Calculadora – Antes COVID-19 Alivio

Mar 10, 2021
Interactive

Nota: esta calculadora refleja las primas para 2021.
2021 Calculator – Before COVID-19 Relief

Mar 10, 2021
Interactive

The Health Insurance Marketplace Calculator, updated with 2021 premium data, provides estimates of health insurance premiums and subsidies for people purchasing insurance on their own in health insurance exchanges (or “Marketplaces”) created by the Affordable Care Act (ACA). With this calculator, you can enter your income, age, and family size to estimate your eligibility for subsidies and how much you could spend on health insurance.

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Affordable Care Act

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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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