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ACA Enrollment Projected to Plummet Amid Rising Costs

3/20/2026

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Summary

Story summary

Kaiser Family Foundation (KFF) projects ACA enrollment will fall to 12.5 million by 2028, erasing gains since 2021.
The survey finds that 9% of last year's ACA enrollees are now uninsured.
It reports that 17% of returning enrollees doubt their ability to afford premiums.
About 80% of enrollees report higher costs, leading many to cut spending on essentials.
Most respondents blame health insurance companies and Republican lawmakers for rising costs.

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Story summary

Kaiser Family Foundation (KFF) projects ACA enrollment will fall to 12.5 million by 2028, erasing gains since 2021.
The survey finds that 9% of last year's ACA enrollees are now uninsured.
It reports that 17% of returning enrollees doubt their ability to afford premiums.
About 80% of enrollees report higher costs, leading many to cut spending on essentials.
Most respondents blame health insurance companies and Republican lawmakers for rising costs.