KFF (Kaiser Family Foundation)

Rule Changes

Independent analyst questioning the removals

On Aug. 31, CMS canceled 315,000 ACA marketplace policies covering 760,000 people, citing suspected fraud. The White House made the move public Sept. 22, saying brokers enrolled many without their knowledge and some enrollees may not exist; since then, CMS has reinstated a small number of people whose coverage was wrongly canceled and cut subsidies for 189,000 enrollees with duplicate or deceased coverage, saving $738 million.

Updated Oct 15

Rule Changes

As of October 2026: Tracking the impact of the Medicaid eligibility changes

On October 1, refugees, asylum seekers, and other legal immigrants began losing Medicaid coverage nationwide. The cutoff comes from H.R. 1, the Republican budget bill passed in July 2025, which limits the program to green card holders and a few other groups. State tallies are emerging: Arizona reported 29,000 people cut, Florida close to 177,000, and KFF estimates more than 281,000 people in nine states and the District of Columbia have lost coverage.

Updated Oct 11

Rule Changes

As of May 2026: Produced the 114% premium spike estimate that framed the subsidy-cliff debate

Enhanced premium tax credits expired January 1, 2026. By late January, 1.2 to 1.4 million fewer Americans had enrolled for marketplace coverage, with total 2026 enrollment at 22.8–22.9 million.

Updated May 11