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5M people may drop coverage from ACA marketplaces: Analysis

KFF said higher premiums and expiring subsidies are pushing middle-income enrollees out, with average monthly payments up 58% and deductibles rising 37%.

  • KFF released an analysis on May 19 projecting 5 million fewer Affordable Care Act enrollees this year as enhanced premium tax credits expired at the end of 2025.
  • The report found average ACA plan deductibles grew 37%, or over $1,000, rising from $2,759 in 2025 to $3,786 in 2026. "Costs went up significantly and a lot of people dropped their plans," said Cynthia Cox, director of KFF's Program on the ACA.
  • Recent figures indicate 145,000 people canceled health insurance plans, including around 60,000 after open enrollment ended in January. Payment failure rates in some states reached 15.7% as enrollees faced higher premiums and deductibles.
  • KFF projects most of the 5 million dropping out became uninsured, while the situation poses political challenges for President Donald Trump and the GOP, who opposed subsidies and passed the One Big Beautiful Bill Act.
  • Insurers are now preparing 2027 rates amid market uncertainty. "It will absolutely be worse because of the sticker shock," said Ellen Montz, managing director with Manatt Health, regarding future premium projections.
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WPMT FOX43 broke the news on Monday, May 18, 2026.
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