health
Eroding ACA enrollment portends higher insurance rates
May 19, 2026 / 5:00 AM EDT / KFF Health News
TL;DR
- ACA enrollment has decreased, with a significant drop in January compared to the previous year.
- Average premiums increased by 26% this year, and subsidies have been reduced or eliminated.
- A substantial percentage of enrollees are reportedly failing to pay their share of premiums, particularly in states without additional financial aid.
- Insurers anticipate raising rates for the next year due to market uncertainty and declining enrollment trends.
- The shift towards plans with higher deductibles and lower monthly premiums is a growing trend among consumers.
- Political challenges exist for the GOP regarding enhanced ACA subsidies, while some critics suggest enrollment drops are also due to fraudulent sign-ups.