9% of ACA enrollees go uninsured after enhanced subsidies expire, poll finds
A KFF survey shows 9% of ACA marketplace enrollees dropped coverage after enhanced premium tax credits expired, with many facing higher costs and financial strain, pollsters said.
- A new KFF survey of 1,117 ACA enrollees shows 9% are now uninsured, following the lapse of enhanced subsidies, based on the Feb. 12–March 2, 2026 survey.
- The Dec. 31, 2025 expiration of enhanced premium tax credits left about 22 million ACA enrollees without the subsidies, as Congress did not extend them amid political deadlock.
- Most returning ACA marketplace enrollees re-enrolled for 2026, with many downgrading to bronze plans as premiums doubled and 55% cut basic household spending.
- Some enrollees switched to non-ACA plans or risked dropping coverage, with about 22% obtaining employer-based coverage, Medicare, Medicaid or non-ACA plans and about 17% risking premium payment loss throughout the year.
- CBO projections show long-term coverage effects, with the lapse of subsidies potentially causing enrollment to fall to 12.5 million by 2028, impacting political dynamics in November. Lopes warned 'We know how close some of these elections could be,' emphasizing the role of coverage changes.
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36 Articles
What Americans are giving up to afford ACA health insurance, according to a new poll
NEW YORK (AP) — Lately, Priscilla Brown has had to choose between properly managing her Type 2 diabetes and affording other necessities, like gas in her car.
'Sometimes I don’t even take my medicine': Americans are choosing between insulin and buying gas following Trump's Obamacare cuts
Lately, Priscilla Brown has had to choose between properly managing her Type 2 diabetes and affording other necessities, like gas in her car. Some days, she takes half or a third of her prescribed insulin dose — just to stretch it out longer. “Sometimes I don’t even take my medicine,” said the 48-year-old truck dispatcher in Orlando, Florida. “It’s so much with insurance, it’s crazy.” About 8 in 10 Americans, like Brown, who re-enrolled in Affor…
Many ACA customers are paying higher premiums. Most Blame Trump and Republicans, poll finds
Most people who get their health coverage through the Affordable Care Act say they face sharply higher costs, with many worried they will have to pare back other expenses to cover them, according to a poll released Thursday. Some are…
REPUBLICANS DID THAT: Millions of Americans Go Uninsured Due to Expiration of ACA Tax Credits
KFF poll finds majority of voters blame GOP for high costs The refusal by House Republicans to extend the enhanced ACA tax credits has triggered a sharp rise in premiums, leaving families with impossible choices. According to new reports, a staggering majority of ACA enrollees are now cutting back on food, utilities, and other essentials just to afford their monthly premiums. As premiums skyrocket, the number of uninsured Americans is climbing …
What ACA enrollees are cutting back on to afford health care, according to a new poll
A new KFF survey shows many Americans who had Affordable Care Act marketplace health insurance last year are struggling with high health costs.
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