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20% Premium Hike Threatens Coverage for 16 Million Americans

8/25/2025

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Summary

Story summary

ACA marketplace insurers propose average premium increases of 20% for 2026, with some states facing higher rates.
Expiring subsidies and health spending cuts could leave 16 million Americans uninsured by 2034.
Employer-based premiums have quadrupled since 1999, outpacing wage and inflation growth.
Some states are considering public options, but access to care continues to be a challenge.

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Story summary

ACA marketplace insurers propose average premium increases of 20% for 2026, with some states facing higher rates.
Expiring subsidies and health spending cuts could leave 16 million Americans uninsured by 2034.
Employer-based premiums have quadrupled since 1999, outpacing wage and inflation growth.
Some states are considering public options, but access to care continues to be a challenge.