Jared Ortaliza

KFF bar chart showing the distribution of proposed 2026 rate increases among 312 ACA Marketplace insurers in 50 states and D.C. The chart shows that the median proposed increase is about 18%.

A new analysis of initial rate filings from all 50 states and DC shows ACA Marketplace insurers are proposing a median premium increase of 18% for 2026, more than double last year’s 7% median proposed increase: on.kff.org/4m3EwQy

KFF graphic featuring a quote from Jared Ortaliza, KFF policy analyst for the program on the ACA. It says,“Until a version of the One Big Beautiful Bill Act becomes law, [Marketplace] insurers will face difficulty in setting their premium rates for the upcoming year and run the risk of having to refile them at a later date or operate with premiums that do not match regulatory and market conditions.”

⚡ KFF’s @jaredortaliza.bsky.social writes about how until the uncertainty around the budget reconciliation bill is settled, ACA Marketplace insurers may find it difficult to set premiums for 2026. #QuickTake on.kff.org/3Gjl1DX

KFF graphic featuring a quote from Larry Levitt, KFF Executive Vice President for Health Policy. It says, “Republicans are not talking about repealing and replacing the ACA anymore, and the budget reconciliation bill doesn't do that, at least not directly. However, the bill would restrict health insurance for many people who have been helped by the ACA, and it would be the biggest rollback in federal support for health care coverage ever.”

⚡ KFF’s @larrylevitt.bsky.social writes about how $268B in federal cuts related to the ACA Marketplaces would affect people’s ability to pay for coverage. #QuickTake on.kff.org/45VKjCq

KFF graphic featuring a quote from Jared Ortaliza, KFF Policy Analyst, Program on the ACA. It says, “ACA Marketplace changes are technical and numerous but consequential... While more attention has been focused on cuts to Medicaid, upcoming changes to the ACA Marketplaces could lead to just as many people losing health insurance coverage.”

⚡ KFF’s @jaredortaliza.bsky.social writes about the 8.2 million people who would become uninsured due to changes in the ACA Marketplaces from the expiration of the enhanced tax credits, reconciliation bill provisions, and proposed program integrity rule. #QuickTake on.kff.org/43CZfUM

How Will the 2025 Reconciliation Bill Affect the Uninsured Rate in Each State?: Allocating CBO’s Partial Estimates of Coverage Loss | KFF Legislation passed by the Energy and Commerce Committee could increase the number of people without health insurance by 8.6 million, due largely to changes to Medicaid and the ACA. Combining the provi...

NEW: STATE BY STATE
How many more people might be #uninsured with the House GOP Reconciliation Bill?

www.kff.org/affordable-c... @kff.org @mattrae.bsky.social @jaredortaliza.bsky.social @alicelburns.bsky.social

How Will the 2025 Budget Reconciliation Affect the ACA, Medicaid, and the Uninsured Rate? | KFF This analysis details the number of people who would become uninsured from policy changes in the ACA Marketplace and Medicaid. The Congressional Budget Office estimates that, taken together, these cha...

Changes to the ACA and Medicaid Could Lead to About 14 Million More Uninsured People www.kff.org/policy-watch...

CBO estimates that the combined effect of Republican Medicaid proposals, allowing enhanced ACA premium tax credits to expire, and President Trump’s proposed ACA rules would increase the number of uninsured by 13.7 million. That would take us back to close to pre-ACA levels.

Many of the Medicaid proposals from House Republicans are technical and wonky, and will be difficult for the public to absorb.
 
What won’t be difficult to absorb: CBO’s estimate that the changes will increase the number of people without health insurance by at least 8.6 million.

Not necessarily buying these estimates but...of the changes/cuts CBO has analyzed, almost the largest impact on the uninsured--3.8m--comes from the least discussed change, not extending the enhanced ACA tax credits.

New CBO estimates of Medicaid ideas floated by Republicans would reduce federal spending but result in potentially millions more people uninsured.

CBO assumes states would replace about half of the federal cuts, which would also lead to cuts in other programs or higher state taxes.

(2/2) ACA Marketplace enrollment more than doubled in 20 states from 2020 to 2025. Enrollment has more than tripled in six states: Texas, Mississippi, West Virginia, Louisiana, Georgia, and Tennessee.

Enrollment Growth in the ACA Marketplaces | KFF This analysis of enrollment in Affordable Care Act (ACA) Marketplace health plans finds a record 24.3 million people enrolled in 2025, more than double the total in 2020, with most of the growth occur...

(1/2) NEW: Enrollment in the ACA Marketplaces more than doubled since 2020, growing by 12.9M enrollees. Of that increase, 11.4M of the new enrollees (88% of the growth) are from states where President Trump won during the 2024 election. www.kff.org/policy-watch... @cynthiaccox.bsky.social

Congressional District Interactive Map: How Much Will ACA Premium Payments Rise if Enhanced Subsidies Expire? | KFF This analysis and interactive map illustrate how much more enrollees in Affordable Care Act (ACA) Marketplace plans would pay in premiums at the congressional district level if the enhanced subsidies were to expire in 2026 as under current law. The tool presents scenarios for an older couple who would lose subsidy eligibility due to their income level and for a single person with a $31,000 income. It also presents net average premium payment increases in each district in states that use Healthcare.gov.

More than half of ACA Marketplace enrollees last year lived in congressional districts won by Republicans in 2024, and three-quarters are in states won by President Trump.

See how the loss of enhanced premium subsidies next year would affect them:

A Look at Federal Health Data Taken Offline | KFF This post looks at federal government databases with key health data that went offline on Jan. 31, 2025, including several related to HIV, some of which had returned by Feb. 2, 2025. It briefly descri...

A useful rundown of disappeared health data, courtesy of @kff.org (@cynthiaccox.bsky.social @mattrae.bsky.social @jenkatesdc.bsky.social @emmawage.bsky.social @jaredortaliza.bsky.social @lindseydawson.bsky.social)

www.kff.org/policy-watch...

Welcome to the Health Insurance Marketplace® Welcome to the Health Insurance Marketplace®. Official government website.

In HealthCare.gov states, there are 39 congressional districts where at least 10% of the population was enrolled in the ACA Marketplace and where average premium payments would have at least doubled in 2024, without the enhanced subsidies. 30 of these 39 districts are in Texas, Florida, and Georgia.

Congressional District Interactive Map: How Much Will ACA Premium Payments Rise if Enhanced Subsidies Expire? | KFF This analysis and interactive map illustrate how much more enrollees in Affordable Care Act (ACA) Marketplace plans would pay in premiums at the congressional district level if the enhanced subsidies ...

*NEW* Enhanced subsidies are set to expire at the end of this year. If not extended, premium payments will rise next year for all subsidized enrollees. See how much premium payments will go up by congressional district here: @cynthiaccox.bsky.social
www.kff.org/affordable-c...

A Look at ACA Coverage through the Marketplaces and Medicaid Expansion Ahead of Potential Policy Changes | KFF In 2024, ACA enrollment (including Marketplace, Medicaid expansion, and BHP) reached 44 million, or 16.4% of the nonelderly U.S. population. From 2020-2024, enrollment in ACA coverage increased by ove...

NEW BRIEF: 1 in 6 people in the U.S. had some form of ACA coverage in 2024 (Marketplace, Medicaid expansion or Basic Health Plan coverage - a 60% increase from 2020 to 2024: www.kff.org/affordable-c...

What Is L.A. Without Its Trails? Easy access to nature is what makes my hometown special. Now some of its signature hikes are burning.

Some of Los Angeles’s signature hikes are burning. “These bits of the outdoors have defined my life here, as they have for so many others,” @andrewmoseman.bsky.social writes. What is L.A. without its trails?

What are the deadlines for the ACA's open enrollment period? | healthinsurance.org A list of the open enrollment deadlines for enrollment in 2025 ACA-compliant health insurance in every state. Open enrollment runs from November 1 to January 15 in most states, but some state-run exch...

In most states, MIDNIGHT TONIGHT is the deadline to get health insurance for 2025 (w/o a special enrolment period), regardless of whether you use the Marketplace or not.

VA, MA, CA, DC, NJ, NY, & RI have later deadlines, and ID already ended. Details here: www.healthinsurance.org/faqs/what-ar...

KFF graphic featuring a quote from Jared Ortaliza, KFF policy analyst for the Program on the ACA. It says, “While enrollment numbers for some states are not yet up-to-date so far in 2025, ACA Marketplace enrollment has more than tripled since 2020 in at least 6 states: Texas, Mississippi, Georgia, Louisiana, West Virginia, and Tennessee. All of these states were won by President Trump.”

⚡ After another record year for ACA enrollment, KFF’s @jaredortaliza.bsky.social explores what’s next for the Marketplaces — especially as the enhanced subsidies that have driven so much growth in ACA enrollment are set to expire at the end of this year. #QuickTake on.kff.org/4afzlYV

A Look at ACA Coverage through the Marketplaces and Medicaid Expansion Ahead of Potential Policy Changes | KFF In 2024, ACA enrollment (including Marketplace, Medicaid expansion, and BHP) reached 44 million, or 16.4% of the nonelderly U.S. population. From 2020-2024, enrollment in ACA coverage increased by ove...

NEW: 1 in 6 people under age 65 enrolled in the Marketplaces, Basic Health Plans, or Medicaid Expansion in 2024. In eight states (including DC), over 20% of the nonelderly population were enrolled in one of these programs.
www.kff.org/affordable-c...

NEW: A total of 44 million people have health insurance coverage through the Affordable Care Act (#Obamacare), including through the ACA's Medicaid Expansion, Marketplaces, and Basic Health Plan.

That's 1 in 6 people under age 65.

connect.kff.org/e3t/Ctc/RB+1...

After Another Record Year for ACA enrollment, What's Next for the Marketplaces? So far in 2025, ACA Marketplace enrollment has more than tripled since 2020 in at least 6 states: Texas, Mississippi, Georgia, Louisiana, West Virginia, and Tennessee. All of these states were won by ...

Today is the last day to sign up for subsidized (free or reduced cost) health insurance through the ACA Marketplace on Healthcare.gov

My colleague @jaredortaliza.bsky.social looks back at recent record high signups and discusses what may come next

www.kff.org/quick-take/a...

After Another Record Year for ACA enrollment, What's Next for the Marketplaces? So far in 2025, ACA Marketplace enrollment has more than tripled since 2020 in at least 6 states: Texas, Mississippi, Georgia, Louisiana, West Virginia, and Tennessee. All of these states were won by ...

Today is the last day of Open Enrollment for ACA Marketplace coverage in most states! Here, I reflect on the record breaking enrollment seen so far in 2025 and what could be in store for the ACA Marketplaces in the future: www.kff.org/quick-take/a...

Politico got a hold of a leaked list of GOP plans to cut federal spending on Medicaid and the Affordable Care Act
www.politico.com/news/2025/01...

Obamacare Enrollment Hits Record Ahead of Trump’s Return Almost 24 million Americans have signed up for plans offered under the Affordable Care Act, driven by subsidies that are expiring and that Congress may not renew.

Affordable Care Act signups hit yet another record high.

As I told The NY Times, the geographic distribution of who’s signing up for the enhanced ACA subsidies makes it possible some Republicans might see a benefit to their constituents if they renew the subsidies.

www.nytimes.com/2025/01/08/u...

The Next Big Obamacare Fight Is Coming The hope is to preserve a Biden-era program that's driven enrollment to record levels, while avoiding premium increases that could spook even some Republicans.

NEW / exclusive to HuffPost

Democratic lawmakers tomorrow will launch a bid to save the extra ACA subsidies that have made coverage cheaper for millions

www.huffpost.com/entry/aca-su...

How to help those affected by fires raging across Los Angeles County Those looking to assist residents affected by the Los Angeles County firestorm have a number of options to donate money, materials or their time.

We have a list of ways to help for those looking to assist residents impacted by the Los Angeles County wildfires.

Live updates: Pacific Palisades wildfire is most destructive in LA history with at least 1,000 structures burned The Palisades fire, Pasadena's Eaton fire and Hurst fire in the San Fernando Valley are raging in the Los Angeles area, fueled by powerful Santa Ana winds. At least two people are dead and over 1,000 ...

BREAKING: The Pacific Palisades fire is now the most destructive in Los Angeles city history, with an estimated 1,000 structures destroyed.

Follow AP's live coverage.
apnews.com/live/live-up...

Images from the destructive Palisades Fire that erupted in Los Angeles yesterday, driven by extreme winds and dry conditions: theatln.tc/KOIEOlHL

📸: 1. Ethan Swope / AP. 2. Hans Gutknecht / MediaNews Group / Los Angeles Daily News / Getty. 3. Ethan Swope / AP. 4. Mario Tama / Getty.