Affordable Care Act
Coverage of Affordable Care Act in the Nexus archive.
- Alongside Kiggans, US House Speaker says Va.’s 2nd District ‘will determine the fate of the country’
During a campaign event in Virginia Beach, Speaker Mike Johnson stated that Virginia’s 2nd District will determine the fate of the country during close congressional elections. Kiggans countered the attacks from opponent Elaine Luria, who criticized her voting record regarding Medicaid health insurance and the expiration of Affordable Care Act subsidies.
- Inside America's health insurance 'death spiral'
The Affordable Care Act is currently facing what policy experts describe as its most serious affordability crisis since it began offering coverage more than a decade ago.
- ‘It’s a double-edged sword’: My husband got a $42,000 bonus. Will it wipe out our Affordable Care Act subsidy?
Receiving a $42,000 bonus raised concerns that it might eliminate the family's Affordable Care Act subsidy. Consequently, they were advised to return the bonus funds and instead take out a home-equity loan.
- As federal protections fade, disabled Americans fear a return to institutions
Disability advocates are concerned that federal and state policy changes and budget cuts could jeopardize home- and community-based care for people with disabilities, risking a return to institutions. Advocates report that the federal government has withdrawn from decades-old requirements, while state leaders are rolling back services citing budget shortfalls. These efforts are being actively fought by advocates like Rob Stone to preserve crucial support systems.
- As federal protections fade, disabled Americans fear a return to institutions
Disability advocates are concerned that federal and state policy changes and budget cuts are eroding protections meant to keep people with disabilities living in their communities rather than institutions. The article notes that the federal government has reduced requirements for states to deliver disability services, while state leaders are rolling back community services citing budget shortfalls, impacting programs like Medicaid.
- Republicans cut healthcare spending. Now Arizonans are paying the price.
Congressional Republicans enacted the One Big Beautiful Bill Act in 2025, slashing healthcare funding for families in need by over $1 trillion through 2034. This led to soaring premiums, hospital closures like Select Specialty Hospital-Tucson East, and projected Medicaid coverage losses for 123,000 to 246,000 Arizonans by 2028.
- RFK Jr., Oz blame ACA enrollment drop on fraud, but experts cite rising costs
RFK Jr. and Oz attribute the decline in Affordable Care Act enrollment to fraud, while experts point to rising premiums as the cause. The Trump administration claims its fraud crackdown is responsible for the enrollment drop.
- Kennedy, Oz Contend Fraud Crackdown, Not Skyrocketing Prices, Led Millions To Leave Obamacare
The Trump administration attributes a 3 million drop in Affordable Care Act (ACA) enrollment to fraud crackdowns, but experts argue rising premiums and deductibles are the primary cause. The Department of Health and Human Services claims 2.9 million fraudulent enrollments were removed, aligning with the enrollment decline, while critics dispute the report's assumptions and highlight unaffordable costs for consumers.
- Journalists Catch You Up on Fauci Hearing, Peptides, and Kids’ Caffeine Consumption
Journalists from KFF Health News discussed the Anthony Fauci Senate hearing, potential FDA changes to peptide drug restrictions, and the impact of children's caffeine consumption on health. Additional topics included the Affordable Care Act enrollment in New Mexico and the effects of losing EPA grant money.
- States rip feds over new Affordable Care Act coverage provisions
A coalition of states, including California, sued federal health agencies over new Affordable Care Act provisions, arguing they unlawfully increase costs and reduce enrollment. The states claim the 2027 Notice of Benefit and Payment Parameters shifts costs to enrollees and states while expanding access to low-coverage catastrophic plans.
- The Trump administration is ending a Medicare drug subsidy program. Here’s how it could affect costs
The Trump administration is ending a Medicare drug subsidy program initiated by the Biden administration in 2024, leading to potential 2027 premium increases for 25 million Medicare Part D beneficiaries. Federal officials claim the impact will be minimal, with most seeing less than a $10-per-month increase, while Democrats criticize the move as increasing healthcare costs for seniors.
- Number of uninsured patients in emergency rooms rises sharply in U.S.
The number of uninsured patients in U.S. emergency rooms and clinics is rising sharply, causing concern among hospitals. These patients often cannot pay medical bills, attributed to millions losing coverage under the Affordable Care Act after President Donald [...]
- The Trump administration is ending a Medicare drug subsidy program. Here's how it could affect costs
The Trump administration is ending a Medicare Part D subsidy program, which could lead to higher monthly costs for 25 million beneficiaries starting in 2027. The program, initially implemented by the Biden administration in 2024, offset prescription drug premiums. Federal officials claim the impact will be minimal, but Democrats criticize the move as increasing healthcare costs for seniors.
- Obamacare enrollment declines in 49 states
Obamacare enrollment declined in 49 states following the expiration of federal subsidies, with New Mexico being the sole exception after using state funds to replace the aid. The Trump administration attributed part of the decline to fraudulent enrollments, while KFF linked it to the loss of pandemic-era subsidies.
- Obamacare enrollment declines in 49 states; Virginia saw 8% drop
Obamacare enrollment declined in 49 states due to expired federal subsidies, with Virginia experiencing an 8% drop. New Mexico was the only state to see an increase in enrollment after using state funds to replace the expired subsidies. KFF reported average enrollment drops of 6% in states with state-run exchanges and 15% in federal marketplace states.
- Obamacare enrollment declines in 49 states
Obamacare enrollment declined in 49 states due to expired federal subsidies, with New Mexico being the only exception where state funds replaced the aid. The Trump administration attributed past enrollment growth to fraud, while KFF linked the recent drop to subsidy expiration.
- Obamacare enrollment declines in Pennsylvania and 48 other states
Obamacare enrollment declined in 49 states following the expiration of federal subsidies, with New Mexico being the only state to fully replace the aid using state funds. The Trump administration attributed prior enrollment growth to fraudulent activity, while KFF linked the decline to subsidy expiration.
- Obamacare enrollment declines in 49 states
Obamacare enrollment declined in 49 states due to expired federal subsidies, with New Mexico being the only exception where enrollment increased after using state funds to replace subsidies. The Trump administration attributed past enrollment growth to fraud, while KFF linked the recent drop to subsidy expiration.
- Louisiana’s Obamacare drop rate among the nation’s largest
Enrollment in Obamacare plans declined in 49 states due to expired federal subsidies, with Louisiana and Mississippi among the hardest-hit states at 26% drops. New Mexico was the only state to see an increase in enrollment after using state funds to replace expired subsidies.
- California medical insurance rates skyrocket — affecting millions of people
Rates for health insurance plans through Covered California will increase by an average of 9.9% in 2027, impacting millions of people in California. The plans are part of the state’s health insurance marketplace under the Affordable Care Act, also known as Obamacare.
- AMA President: It's Time to Lift Limits on Physician-Owned Hospitals
The AMA President calls for removing limits on physician-owned hospitals. The Affordable Care Act (ACA) has expanded health insurance to millions, protected people with pre-existing conditions, and strengthened healthcare safety nets since 2010.
- Journalists Assess Risks of Tick Bites, Wildfire Smoke, Rising Health Costs
Journalists from KFF Health News discussed health-related topics including tick bites, wildfire smoke, and rising health costs in recent media appearances. The coverage included discussions on the affordability of Affordable Care Act plans, effects of severe heat, and challenges in maintaining consistent health coverage.
- Poll: Americans don’t think recipients are ripping off Medicaid
A KFF poll shows most Americans doubt Medicaid recipients are the main source of fraud, viewing allegations as political maneuvering. The poll highlights concerns about healthcare affordability over Medicaid fraud, as Trump-era Medicaid cuts and tax policies face scrutiny.
- Owen Foster stepping down as chair of state’s most powerful healthcare regulator
Owen Foster is stepping down as chair of Vermont's Green Mountain Care Board by September 2024 to focus on family and professional pursuits. He will remain on the board as a regular member, and under his leadership, the board has adopted a stricter approach to hospital budgets and insurance premium increases.
- Poll: Americans don’t think recipients are ripping off Medicaid
A KFF poll shows most Americans do not believe Medicaid recipients are the primary source of fraud and view the anti-fraud push as political. The poll highlights greater concern about taxes than Medicaid fraud, while a Senate bill proposes cutting Medicaid funding for clinics providing abortions. President Trump's 'Big Beautiful Bill' reduced Medicaid by $1 trillion over 10 years, contributing to coverage drops in states like Ohio.
- Cooper, Whatley makes dueling visits in Gaston County as Senate race heats up
Michael Whatley and Roy Cooper made opposing visits to Gaston County to discuss affordability issues in North Carolina’s Senate race. Whatley praised Trump’s energy policies and criticized Cooper for accepting healthcare industry donations, while Cooper accused Whatley of prioritizing corporate interests and supporting Medicaid cuts. They also disagreed on Iran’s nuclear threat and a COVID-19 prisoner release settlement.
- Pennsylvania ACA health insurers propose double-digit premium increases for 2027
Pennsylvania health insurers on the ACA marketplace Pennie are requesting average premium increases of 10.5% to 41% for 2027 coverage. The Pennsylvania Insurance Department released these rate requests, with a public comment period open until Aug. 22. Rising healthcare costs and expired federal tax credits are cited as reasons, with some residents paying over $1,000 monthly and 177,000 canceling their ACA plans.
- Orange County's public health system joins Covered California. What it means for residents
CalOptima Health, Orange County's public health system, joined the Covered California marketplace, enabling members to enroll for the 2027 period. This allows over 819,000 residents to retain coverage if they lose Medi-Cal eligibility, ensuring continuity of care for those with chronic conditions.
- Sixth Circuit won’t compel RFK Jr. to enforce nondiscrimination provision of ACA
The Sixth Circuit declined to force the federal government to enforce the Affordable Care Act's nondiscrimination provision against private insurers paying nurse anesthetists less than doctors for the same services. The American Association of Nurse Anesthesiology sued the U.S. Department of Health and Human Services, arguing insurers' disparate compensation violates the ACA, but the court found the association lacked standing because the harm stemmed from insurers, not HHS.
- U.S. workers are staying in unwanted jobs for health insurance
23 million U.S. workers are experiencing job lock, staying in unwanted jobs to avoid losing health insurance, according to a Gallup analysis. Women and those with chronic health conditions are most affected, with factors like medical debt and financial burden contributing to job retention. The Trump administration's decision to not extend Affordable Care subsidies led 5 million Americans to drop insurance in 2026.
- ER visits by uninsured patients in Virginia hospitals spiked by 8% last year
Virginia hospitals reported an 8% increase in ER visits by uninsured patients last year, attributed to federal healthcare shifts and reduced primary care access. State lawmakers allocated funding for free clinics and a new subsidy to address ACA subsidy expirations, while 13 rural hospitals face closure risks due to Medicare/Medicaid reimbursement cuts and expired subsidies.
- ER visits by uninsured patients in Virginia hospitals spiked by 8% last year
Virginia hospitals reported an 8% increase in ER visits by uninsured patients last year, labeled as 'self-pay' cases. State lawmakers have allocated funds for free clinics and a healthcare subsidy to address gaps from expired ACA subsidies, while rural hospitals face closure risks due to federal policy changes and reimbursement cuts.
- Journalists Dig Into HHS’ Covid Injury List, ACA Sign-Ups, and Telehealth
Journalists discussed the Department of Health and Human Services' plan to compensate for automatic Covid vaccine injuries, a drop in Affordable Care Act enrollment, and telehealth abortion access on various media outlets. Céline Gounder and Sam Whitehead addressed these topics on CBS and WUGA broadcasts, while an article highlighted telehealth providers' views on abortion pill access.
- You Don’t Need to Vote for Socialists to Get Universal Health Care
The Trump administration's rollback of social spending has led to millions losing Medicaid and rising health insurance premiums. Bernie Sanders advocates for Medicare for All to address the crisis, but the article argues restoring Biden-era subsidies could be a simpler solution. The Congressional Budget Office projects a significant increase in the number of uninsured Americans by 2028.
- 2.6 million Americans dropped ACA coverage as subsidies expired — fraud or price shock?
2.6 million Americans dropped Affordable Care Act (ACA) coverage in 2026 due to expired subsidies, causing premiums to more than double. Enrollment fell 12% year-over-year, with states using HealthCare.gov experiencing sharper declines than state-run exchanges. The Trump administration attributed some losses to fraud, while analysts highlight affordability as the primary driver.
- STAT+: Hospital chain HCA warns of lower profits as more patients go uninsured
HCA Healthcare, the largest hospital chain, lowered its 2026 profit outlook due to an increase in uninsured patients linked to the expiration of Affordable Care Act enhanced subsidies. The company now expects a $1 billion to $1.2 billion income reduction this year from the surge in uninsured patients.
- Michigan Affordable Care Act marketplace enrollment slumps amid rising costs
Enrollment in Michigan's Affordable Care Act marketplace has declined as costs rise. The article references the US Affordable Care Act health insurance website, healthcare.gov.
- Obamacare premiums likely to surge again next year
Obamacare premiums are projected to rise by a median of 14% in 2027, with insurers citing expired subsidies, rising healthcare costs, and federal regulation changes. A report by the Peterson Center on Healthcare and KFF analyzed proposed rate increases from 77 insurers across 16 states, showing most plan hikes between 10-20%, with none proposing decreases.
- Affordable Care Act premiums likely to surge again next year
Affordable Care Act Marketplace insurers are proposing a median premium increase of 14% for 2027, marking the second consecutive year of double-digit hikes. The expiration of enhanced subsidies, rising healthcare costs, and regulatory changes are cited as reasons, while enrollments in Marketplace plans dropped by 2.6 million in February compared to the prior year.
- Affordable Care Act enrollment drops by nearly 3 million as costs rise after subsidies expire
Affordable Care Act enrollments decreased by nearly 3 million people as premiums increased in 2026 following the expiration of federal subsidies. Congress allowed the subsidies to expire, leading to higher costs.