Arizona ACA Premiums Rise 28-35% Following Federal Healthcare Cuts, Hospital Closures Begin
Arizona marketplace premiums increased 28% to 35% in 2026 following the 2025 One Big Beautiful Bill Act, which reduced healthcare funding by over $1 trillion through 2034. Insurers have requested additional rate hikes averaging 25.4% for 2027, and Select Specialty Hospital-Tucson East announced closure in September 2026. Medicaid work requirements and coverage restrictions effective January 2027 are projected to result in 123,000 to 246,000 Arizonans losing Medicaid expansion coverage by 2028. The changes follow expiration of enhanced ACA premium tax credits and cuts to Medicaid funding.
Projected Medicaid expansion coverage losses of up to 246,000 Arizonans by 2028 will shift uncompensated care costs to providers and states as work requirements take effect in January 2027.
Managed Care · Finance
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