Millions are losing health coverage or will soon because of the expiration of PTC enhancements, the Medicaid work requirement, and other harmful Republican policies. This proposal from President Trump for $500 cash payments would do nothing to help them. thehill.com/policy/healt...

Trump pledges $500 ObamaCare rebate checks

The Trump administration is pledging to send $500 rebate checks to nearly 1 million Americans who the White House says were overcharged for ObamaCare coverage.  In a recorded message post…

thehill.com

As Gideon says: "Employer coverage subsidies aren’t as visible as Medicaid & marketplace spending because they occur through tax provisions, but they’re just as real"!

Gideon Lukens@gidlukens.bsky.social · 2mo ago

New CBO report projects that federal subsidies for employer coverage will be 6X larger than ACA marketplace premium tax credits over 2026-2036. [1/5] www.cbo.gov/publication/...

Such good news (couldn’t we all use a little of that?)! 👏🏻

Families USA@familiesusa.bsky.social · 2mo ago

Good news for #ACA enrollees: a federal judge just blocked new rules that would've made marketplace coverage harder to get, more expensive, and less protective. The fight isn't over, but for now, it's a win for consumers: news.bloomberglaw.com/health-law-a...

Nearly every state saw ACA marketplace enrollment drop after the PTC enhancements expired, but some states fared worse than others. See how your state was impacted: www.cbpp.org/blog/aca-mar...

ACA Marketplace Enrollment Shrank in Nearly Every State After Premium Tax Credit Enhancements Expired

Enrollment in the Affordable Care Act marketplaces shrank in nearly every state after premium tax credit enhancements expired.

cbpp.org

New CMS data confirms large enrollment drops after Congressional Republicans and President Trump let PTC enhancements expire last year. ~3 million people dropped coverage between 2025 and 2026. More will likely follow suit as premiums stack up throughout the year. www.cbpp.org/blog/nearly-...

Nearly 3 Million Fewer People Secured Marketplace Coverage After Republican Health Care Cuts, New Data Show

This is the largest drop in effectuated enrollment since the ACA marketplaces were established.

cbpp.org

Directly funding cost-sharing reductions (CSRs), as Republicans are apparently considering, would INCREASE out-of-pocket premiums for millions of #ACA marketplace enrollees, cut funding by tens of billions of $, and leave hundreds of thousands of ppl uninsured.

"A mass shift to high-deductible plans could leave millions of Americans who recently lost access to Obamacare subsidies vulnerable to unexpectedly high costs, health policy experts said. Republicans are eager to move ahead anyway."

Politico@politico.com · 5mo ago

Republicans see high-risk plans as the future of health insurance

Millions of Americans that can’t afford higher health insurance premiums are dropping Obamacare coverage in the months since Congress failed to extend the generous subsidies that had become a defining feature of the Affordable Care Act. nyti.ms/4tVzbif

Today is #Oklahoma ’s first day as a state-based marketplace on the federal platform (SBM-FP). The state will now certify #ACA plans and run its own consumer outreach program. The change was approved less than a month ago, making this the fastest SBM-FP transition to date. A few things to watch 👀

"The loss of enrollment will send shock waves through GA’s health care industry. The state’s health sector was expected to lose >$3.5B this year as a result of the expiring subsidies, as uninsured patients forgo care or show up in emergency rooms but can’t pay" georgiarecorder.com/2026/04/20/g...

Georgia’s ACA enrollment plunges, raising concerns for rural hospitals • Georgia Recorder

More than half a million Georgians have dropped health insurance coverage amid stiff premium price hikes for federally subsidized Affordable Care Act plans, according to data obtained by The Current G...

georgiarecorder.com

When Marketplace enrollees filed their taxes this spring, they may not have realized it’d be the last year with key financial protections in place. Starting next year, they’ll face higher taxes due to the Republican megabill. www.cbpp.org/blog/marketp...

Marketplace Enrollees Could Face Surprise Tax Increases Next Year Thanks to the Republican Megabill

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.

cbpp.org

This report on 17 state-based ACA marketplaces confirms what we've been expecting: loss of PTC enhancements and higher premiums in 2026 is driving disenrollment and shifts to plans w/lower premiums but higher deductibles and cost sharing. statemarketplacenetwork.org/state-market...

State Marketplace Network: Enrollment Snapshot - State Marketplace Network

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...

statemarketplacenetwork.org

Following the expiration of PTC enhancements, #ACA marketplace plan selections dropped by 1.2 million during the 2026 open enrollment period. A new analysis suggests that millions more will drop coverage over the year as enrollees confront higher monthly premiums. www.wakely.com/blog/who-pai...

Who Paid, and Who Stayed? Early 2026 Enrollment Trends in the Individual Market - Wakely

A new report from Wakely Consulting Group, an HMA Company, models changes to the 2026 ACA market enrollment due to the loss of federal subsidies. Findings

wakely.com

Today marks the 16th anniversary of the #ACA. The law covers record numbers of people in #Medicaid and the marketplaces, bans insurer discrimination against people with health conditions, and helps millions afford their health costs. Unfortunately this is all now at risk.

New data show a fuller picture of how Congress's decision to let PTC enhancements expire impacted people. It's not just coverage loss, people are downgrading to less comprehensive coverage and cutting back on other basic needs.

KFF@kff.org · 6mo ago

About 1 in 10 Marketplace enrollees dropped their ACA coverage and are now uninsured and nearly 3 in 10 changed Marketplace plans, our latest survey shows. When asked about what influenced their decision, most say their plan being too expensive was a “major reason.” https://on.kff.org/3NKfN84

Adults 50-64 are disproportionately affected by the expiration of ACA enhanced premium tax credits, as they make up a large number of Marketplace enrollees & premiums rise with age. Our analysis shows older enrollees with moderate to higher incomes have been hit hardest: https://on.kff.org/4l0zwfY

My latest: New A.C.A. Plans Could Increase Family Deductibles to $31,000 www.nytimes.com/2026/02/26/h...

New A.C.A. Plans Could Increase Family Deductibles to $31,000

nytimes.com

President Trump didn't mention at all in his SOTU the most significant changes to health care he and Republicans in Congress have engineered: the biggest Medicaid cuts ever, expiration of enhanced ACA premium subsidies, and scaling back recommended vaccines.

This is just the beginning - more people are expected to drop coverage or face financial hardship as premium payments stack up throughout the year. And those who switched to lower-premium plans with higher deductibles may face sticker shock when they need care.

CNBC@cnbc.com · 7mo ago

The ACA health coverage subsidy lapse hit 22 million people. Here are some of their stories

On the heels of expired PTC enhancements that resulted in 1 million—and counting—fewer people enrolling in #ACA marketplace plans for 2026, CMS released a proposed rule for 2027 that would reduce marketplace enrollment by 2 million people in 2027 alone. @claireheyison.bsky.social explains:

CMS Proposed Rule Would Reduce ACA Marketplace Enrollment by 2 Million People

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...

cbpp.org

#ACA marketplace plan selections are down by more than a million people as of late January, but coverage losses will almost certainly be higher. And the harm stemming from Congressional Republicans' failure to extend PTC enhancements goes much deeper than coverage loss. More in my blog post below.

Center on Budget and Policy Priorities@centeronbudget.bsky.social · 8mo ago

Just under 23 million people selected an #ACA marketplace plan for 2026. This is a drop of more than one million people compared to 2025. But this decline is only the tip of the iceberg. More from @jenniferlsullivan.bsky.social: www.cbpp.org/blog/people-...

The impacts of letting PTC enhancements expire go beyond coverage loss - higher premiums have led many to purchase less generous coverage, as @statesnewsroom.com reports. www.newsfromthestates.com/article/aca-...

As ACA subsidies expire, thousands of Missourians drop coverage or downgrade plans

As small-business owners, Sonya Andrews and her husband are used to uncertainty.Sonya runs a business offering graphic and web design services, while her husband is a commercial photographer. They als...

newsfromthestates.com

New KFF poll results: Health care is a top affordability worry, and two-thirds of those surveyed say Congress did the wrong thing not extending the ACA marketplace premium tax credit enhancements. www.kff.org/public-opini...

Powerful words at #HAC2026 !

In @nytopinion.nytimes.com Tapping retirement savings. Researching a move to a different country. Dropping health insurance altogether. These are the stories of Americans who are struggling to pay rising health care premiums after Obamacare subsidies expired.

Opinion | The Health Care Diaries of Five Americans

We heard from 300 people about what they are paying in health insurance premiums after Affordable Care Act subsidies expired.

nyti.ms