Overview
- Roughly 22 million marketplace enrollees lost enhanced assistance on Jan. 1, immediately increasing what they owe for 2026 coverage.
- KFF estimates average annual out-of-pocket premiums for subsidized consumers will rise about 114%, and the pre-2021 income cliff returns for higher earners.
- Independent analyses project roughly 4 to 4.8 million people could become uninsured in 2026, while open enrollment continues in most states until Jan. 15.
- House leaders expect to vote in mid-January on a three-year extension after a discharge petition gained GOP support, as bipartisan Senate talks proceed without a clear path.
- States are pursuing stopgaps, with New Mexico pledging to cover all expiring aid, and providers warn of more than $32 billion in lost revenue if relief is not restored.