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Idaho Opens ACA Enrollment as Shutdown Fight Puts Subsidies at Risk and Premium Hikes in View

States warn of steep premium spikes unless Congress extends the expanded tax credits now central to the shutdown.

Overview

  • Idaho kicked off open enrollment, with households receiving notices of sharp 2026 increases if enhanced subsidies lapse, including one couple warned their monthly premium would jump from $51 to $2,232.
  • Covered California has delayed open-enrollment letters and prepared two versions as it projects a 97% average increase for affected enrollees and up to 400,000 people leaving the exchange without an extension.
  • Colorado’s insurance commissioner cautioned that Silver-plan costs could rise about 170% and that 75,000 to 100,000 residents may lose access to care, prompting a delay in rate notices until later this month.
  • Republican leaders say the government must reopen before subsidy talks, as Vice President Vance highlights fraud concerns tied to $0-premium plans; CMS logged over 180,000 complaints about unauthorized enrollments and 90,000 about plan switching.
  • Insurers are pricing 2026 plans for a possible end to the enhanced credits, with Blue Cross Blue Shield of Illinois citing the expected expiration, while KFF and marketplaces warn average out-of-pocket premiums would more than double and coverage could drop for millions.