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ACA 2026 Rates Go Live With 26% Increases as Subsidy Fight Intensifies

Unresolved congressional action on expiring subsidies threatens to push many enrollees' payments sharply higher.

Overview

  • HealthCare.gov opened window-shopping for 2026 marketplace plans just ahead of the Nov. 1 start of open enrollment.
  • KFF analysis shows average benchmark premiums rising about 26% nationwide, roughly 30% in HealthCare.gov states and 17% on state-run exchanges.
  • If enhanced pandemic-era tax credits expire, average out-of-pocket premium payments would jump about 114%, and the CBO projects millions could lose coverage.
  • The budget standoff continues to block a subsidy extension, with Senate Democrats demanding it in funding deals and Republican leaders refusing to negotiate until the shutdown ends.
  • CMS Administrator Mehmet Oz downplayed consumer impacts, citing low-cost bronze options and a $13 average increase, a framing disputed by KFF and other health policy analysts.