More people who lost coverage after congressional Republicans ended enhanced federal subsidies are now seeking care in emergency rooms and unable to pay bills.

Rising premiums forced many people in Affordable Care Act plans to give up their coverage. But the Trump administration claims a huge drop in enrollment is almost entirely due to its fraud crackdown.

Following several years of rapid enrollment growth in the Affordable Care Act (ACA) Marketplaces that corresponded with temporary enhanced premium tax credits, enrollment fell for the first time in se...

Enrollment is down in 2026 largely because Congress let enhanced premium tax credits expire — a decision that more than doubled 2026 premiums.

Enhancements to premium tax credits (PTCs) cut out-of-pocket premiums by more than half, on average, for over 20 million Affordable Care Act (ACA) marketplace enrollees, making health care more...

A new Affordable Care Act marketplace rule finalized by the Centers for Medicare & Medicaid Services adds to the burdens of millions of people in the United States who are already struggling to afford...

Eliminating the APTC repayment caps is expected not only to reduce marketplace enrollment over time but also to raise premium costs for those who remain enrolled.

State-based Marketplaces (SBMs) are closely monitoring enrollment patterns this year as markets shift alongside significant policy changes over the past year, including the expiration of federal enhan...

February 09, 2026: A new proposed rule from the Centers for Medicare and Medicaid Services (CMS) to make broad changes to the Affordable Care Act (ACA) marketplaces would reduce marketplace enrollment...

Annual premium increase, 60-year-old couple with income of $85,000 (401% FPL), by congressional district, 119th Congress Note: FPL = federal poverty level. Examples are based on 2026 average...

Congressional Republicans could have followed through on their promises to help families afford the basics by extending the premium tax credit enhancements to help them enroll in affordable, comprehen...

The health bill House Republicans are preparing to bring to the floor this week not only fails to prevent imminent premium spikes for more than 20 million people in marketplace plans, but would raise....

YouTube video by Center on Budget and Policy Priorities

Republican calls to give Americans cash instead of health insurance subsidies double down on a decades-old strategy of moving people into high-deductible plans with health savings accounts.

Two key Republican chairmen circulated the plan as the GOP struggles to unite around health policies.

Marketplace 2026 Open Enrollment Period Report: National Snapshot

With just weeks to go until the premium tax credit (PTC) enhancements expire — which would increase Affordable Care Act (ACA) marketplace enrollees’ annual premiums by more than $1,000 on average...

Without congressional action, PTC enhancements will expire at the end of 2025. This will cause millions —many of these lowest-income enrollees especially — to become uninsured, or to face impossible c...