Upcoming Changes to ACA Marketplaces: Impact on Premiums and Enrollment

Congress and the Trump Administration are considering significant regulatory and legislative changes to the Affordable Care Act (ACA) Marketplaces. These changes include adjustments through the House budget reconciliation bill and administrative actions that could reshape Marketplace operations. Key issues under discussion involve the expiration of enhanced tax credits that have expanded coverage affordability and driven record enrollment levels, set to end unless Congress acts to extend them.

KFF plans a virtual briefing on June 11 featuring leaders from two state-based Marketplaces to discuss the potential impacts of these regulatory proposals. Topics will cover changes to Marketplace premiums, consumer out-of-pocket costs, federal spending implications, efforts to curb fraud and abuse, and the effects on enrollment and uninsured populations. The event will provide insights from local Marketplace perspectives and include a Q&A session for audience engagement.