HHS Proposes Sweeping Changes For 2027 Marketplace Plans (Part 3) Katie Keith February 17, 2026

https://www.healthaffairs.org/content/forefront/hhs-proposes-sweeping-changes-2027-marketplace-plans-part-3 This article is the latest in the Health Affairs Forefront featured topic, “Health Policy at a Crossroads,” produced with the support of the Commonwealth Fund. Articles in this topic offer timely analysis of regulatory, legislative, and judicial developments in health policy under the Trump-Vance Administration and the 119th Congress. On February 9, 2026, the U.S. Department of Health and Human Services (HHS) issued a highly anticipated 577-page proposed Notice of Benefit and Payment Parameters rule for 2027 that would, if finalized, make sweeping changes to marketplace coverage under the Affordable Care Act (ACA). Comments are due on March 13. The rule was accompanied by a press release and fact sheet.