Congressional Stalemate Creates Chaos for Obamacare Shoppers
This year, Affordable Care Act marketplace consumers will need to be more informed than ever to navigate their health coverage choices.
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Deal or No Deal? States Prepare for Congress To Act at the Last Minute on Obamacare
Get our weekly newsletter, The Week in Brief, featuring a roundup of our original coverage, Fridays at 2 p.m. ET.
By Amanda Seitz Happy Open Enrollment Eve!
Episode 420A standoff in Congress is keeping much of the government shut down as open enrollment begins in most states for Affordable Care Act plans. Democrats are demanding Republicans agree to extend ACA tax credits, but there has been little negotiating — even as customers are learning what they’ll pay for coverage next year. Meanwhile, the Trump administration is telling states they can’t pass their own laws to keep medical debt off consumers’ credit reports. Paige Winfield Cunningham of The Washington Post, Maya Goldman of Axios, and Alice Miranda Ollstein of Politico join KFF Health News’ Julie Rovner to discuss those stories and more.
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A New Car vs. Health Insurance? Average Family Job-Based Coverage Hits $27K
KFF data shows that 2025 marked the first time in two decades that the annual cost of covering a family of four rose by 6% or more for three consecutive years.
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Why Democrats Are Casting the Government Shutdown as a Health Care Showdown
Democrats are pressuring Republicans to extend billions of dollars in federal tax credits that have dramatically lowered premiums and contributed to record-low rates of uninsured Americans. It’s a chance to talk about a winning issue — and maybe regain support from working-class voters.
By Amanda Seitz -
Political Risks in ACA Subsidy Debate Spark Blame Game, Test Parties’ Resolve
Get our weekly newsletter, The Week in Brief, featuring a roundup of our original coverage, Fridays at 2 p.m. ET.
The Struggle To Afford Insurance in 2026 Hits Home
Season 14, Episode 1The senior producer of “An Arm and a Leg” starts planning for health insurance in 2026, and — like millions of others signing up during this year’s open enrollment — faces a steep price increase.
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Listen: Young Adults Turning 26 Face Health Insurance Cliff
The erosion of the Affordable Care Act has created an insurance cliff for Americans who are turning 26 and don’t have a job that provides medical coverage. Scared off by high price tags and the complexity of picking a policy, some young adults are going without insurance.
On Capitol Hill, RFK Defends Firings at CDC
Episode 412A combative Robert F. Kennedy Jr, the U.S. secretary of health and human services, appeared before a Senate committee Thursday, defending his firing of the newly confirmed director of the Centers for Disease Control and Prevention as well as other changes that could limit the availability of vaccines. Meanwhile, Congress has only a few weeks to complete work on annual spending bills to avoid a possible government shutdown and to ward off potentially large increases in premiums for Affordable Care Act health plans. Jessie Hellmann of CQ Roll Call, Sarah Karlin-Smith of Pink Sheet, and Alice Miranda Ollstein of Politico join KFF Health News’ Julie Rovner to discuss these stories and more. Also this week, Rovner interviews KFF Health News’ Tony Leys, who discusses his “Bill of the Month” report about a woman’s unfortunate interaction with a bat — and her even more unfortunate interaction with the bill for her rabies prevention treatment.
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Perspective
The Price Increases That Should Cause Americans More Alarm
The cost of health insurance is rising faster than the price of eggs or gasoline.
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Breaking Down Why Medicare Part D Premiums Are Likely To Go Up
Insurers will take drug costs, frequency of use, and other factors into account as they set premium amounts for the 2026 plan year.
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Considering a Life Change? Brace for Higher ACA Costs
Consumers contemplating an early retirement or starting a business should calculate how Trump administration and congressional policy changes could increase their health insurance costs — and plan accordingly.
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Why Young Americans Dread Turning 26: Health Insurance Chaos
Young adults without jobs that provide insurance find their options are limited and expensive. The problem is about to get worse.
By Elisabeth Rosenthal and Hannah Norman -
A Guide To Finding Insurance at 26
It’s a difficult rite of passage for young adults without job-based insurance. Here are some tips for getting started.
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Readers Weigh In on Making American Health Care Affordable Again
KFF Health News gives readers a chance to comment on a recent batch of stories.
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Diagnosis: Debt
Trump Voters Wanted Relief From Medical Bills. For Millions, the Bills Are About To Get Bigger.
Moves by the Trump administration to pare back Medicaid, rescind medical debt rules, and loosen vaccine requirements threaten to increase medical bills for millions of Americans.
Here Come the ACA Premium Hikes
Episode 407Medicaid may have monopolized Washington’s attention lately, but big changes are coming to the Affordable Care Act as well. Meanwhile, Americans are learning more about what’s in Trump’s big budget law, and polls suggest many don’t like what they see. Julie Appleby of KFF Health News, Jessie Hellmann of CQ Roll Call, and Alice Miranda Ollstein of Politico join KFF Health News’ Julie Rovner to discuss these stories and more. Also this week, Rovner interviews historian Jonathan Oberlander to mark Medicare’s 60th anniversary.
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Insurers and Customers Brace for Double Whammy to Obamacare Premiums
Consumers face both rising premiums and falling subsidies next year in Obamacare plans, with insurers seeking increases to cover not only rising costs but also some policy changes advanced by President Donald Trump and the GOP.
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States Brace for Reversal of Obamacare Coverage Gains Under Trump’s Budget Bill
States that run their own health insurance marketplaces fear an end to automatic Obamacare reenrollment under the tax and spending megabill would have an outsize effect on their policyholders.
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Four Ways Trump’s ‘One Big Beautiful Bill’ Would Undermine Access to Obamacare
The combination of the House-passed spending and tax bill and the Trump administration’s regulatory action could change Affordable Care Act enrollment and the cost of insurance. The result, according to the Congressional Budget Office, is that millions of people may become uninsured.