Federal Policy
ACA Marketplace Premiums Projected to Rise Again in 2027
Federal policy changes are expected to drive another round of premium increases for Affordable Care Act marketplace plans in 2027, following steep hikes already anticipated for 2026. The increases stem from the expiration of enhanced premium tax credits and other federal policy shifts affecting the individual marketplace. Consumers buying coverage on ACA exchanges, including many who move between Medicaid and marketplace coverage due to income changes, will face higher costs. The trend has implications for state insurance departments and Medicaid agencies managing eligibility transitions between programs.
Why it mattersState Medicaid agencies and health plans should expect increased churn and coverage-transition complexity as marketplace affordability declines and more individuals cycle between Medicaid and subsidized exchange coverage.