Midterm Election Update: The Affordable Care Act Marketplaces Published: Oct 6, 2026

Midterm Election Update: The Affordable Care Act Marketplaces Published: Oct 6, 2026 https://www.kff.org/elections/midterm-election-update-the-affordable-care-act-marketplaces/?utm_campaign=55398279-KFF-Elections&utm_medium=email&_hsenc=p2ANqtz-9wm_EquastS3ClJhvY4O3gvIwSL5ON7cg4l4ayGtbilnyeogRmjOB1LULsFDRnvHYdNWy8hOdgGgHdK3jP2R52sc0bjg&_hsmi=446596526&utm_content=446596526&utm_source=hs_email KFF Backgrounders on Election-Related Health Policy Issues ACA Marketplaces More people than ever got coverage through the Affordable Care Act Marketplaces in 2025, but the expiration of enhanced premium tax credits has driven up what people pay and contributed to declining enrollment in 2026.