Overview
- KFF estimates subsidized enrollees’ average annual premium payments will rise about 114% in 2026, from roughly $888 to $1,904.
- Roughly 22 million of about 24 million marketplace enrollees had relied on the enhanced credits and now face higher out-of-pocket costs.
- States are moving to blunt the impact, with California allocating $190 million to keep many residents’ 2026 premiums at 2025 levels.
- Hospitals and local officials warn of greater uncompensated care and delayed treatment, with Cook County Health projecting $380 million in charity care in 2026.
- Coverage losses are expected without federal action, with projections including 125,000 to 150,000 more uninsured in Arizona and up to 400,000 potentially losing coverage in California.