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Open Enrollment to Begin without ACA Subsidies

About 22.3 million ACA recipients face an average 114% premium increase if enhanced subsidies expire amid ongoing congressional deadlock and a government shutdown.

  • On Nov. 1, ACA open enrollment begins, marking this year's largest cost increase since ACA exchanges started.
  • The U.S. Congress has not extended the enhanced premium tax credits, which are scheduled to expire at the end of 2025, affecting about 22 million ACA recipients amid the U.S. government shutdown.
  • A KFF analysis shows insurers are raising premiums by an average of 30% in HealthCare.gov states and 17% in state-run marketplaces.
  • The Congressional Budget Office projects 3.8 million people will become uninsured annually if enhanced subsidies expire, while estimates suggest a million lowest-income enrollees could lose coverage.
  • To have coverage start Jan. 1, 2026, enroll by Dec. 15, 2025, Cynthia Cox advised shopping over Thanksgiving or early December since plans chosen after Dec. 15 generally take effect Feb. 1.
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Obamacare enrollee sees premium spike over 300% as sign-up period begins: 'This will devastate us'

Millions across the country will discover just how much their plans will cost when open enrollment for Affordable Care Act insurance plans begins on Nov. 1.

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KDVR broke the news in Denver, United States on Friday, October 31, 2025.
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