ACA Health Insurance Premiums Set to Spike in 2026

Insurers are filing for substantial premium increases for 2026, citing the end of enhanced premium tax credits as a primary driver. These credits, implemented during the COVID-19 pandemic, significantly reduced the cost of ACA plans, leading to record enrollment. As these subsidies expire, individuals may face premium increases exceeding 75%. KFF analysis indicates that a median premium increase of 15% is expected across numerous ACA Marketplace insurers. This analysis includes insurers from the District of Columbia, and the following 19 states: Connecticut, Georgia, Hawaii, Idaho, Illinois, Indiana, Iowa, Maine, Maryland, Massachusetts, Michigan, Minnesota, New York, North Carolina, Oregon, Rhode Island, Texas, Vermont, and Washington.

The Congressional Budget Office (CBO) estimates that allowing the subsidies to expire could increase the number of uninsured by 4.2 million people. Healthy individuals may opt out of coverage due to higher costs, leaving a risk pool of those with chronic conditions or expensive medication needs, thus driving up premiums further. While Congress could extend the subsidies, it is unlikely given Republican opposition to the Affordable Care Act. Some Republicans argue that the subsidies perpetuate a cycle of rising premiums and federal bailouts.

States with large ACA marketplace growth, such as Texas, Florida, and Georgia, could see a reversal if higher premiums price people out of coverage. The CBO estimates that 8.2 million people who currently receive ACA insurance may become uninsured due to the expiration of enhanced tax credits and other regulatory changes.

The primary reason is the expiration of enhanced premium tax credits, which have lowered monthly premium payments since the COVID-19 pandemic.

Across over 100 ACA Marketplace insurers, premiums are rising by a median of 15% in 2026. Some insurers are proposing increases of 20% or more.

Millions of Americans could lose their health insurance coverage, and those who remain insured may face significantly higher premiums.

Low- to middle-income individuals and families who rely on ACA Marketplace plans and receive subsidies will be most affected.

Yes, rising healthcare costs (including prescription drug prices and hospital charges) and tariffs on medical goods are also contributing to the increases.

The expected increase in ACA health insurance premiums for 2026 is a critical issue for individuals and families who rely on these plans. The expiration of enhanced premium tax credits will lead to significantly higher costs, potentially making coverage unaffordable for many. It's essential to stay informed about potential changes to your premiums and explore options for financial assistance. Monitor updates from your insurer and be prepared to re-evaluate your health insurance options during the open enrollment period.

Do you think Congress will act to extend the enhanced ACA subsidies? How will these potential premium increases impact your healthcare decisions? Share this article with others who need to stay ahead of this trend!