KFF Survey: ACA Enrollees Struggle With Rising Premiums After Federal Subsidy Expiration
March 20, 2026
Survey: ACA Enrollees Face Growing Financial Pressure as Enhanced Subsidies Expire
A recent Kaiser Family Foundation poll of Affordable Care Act enrollees found that rising premiums — driven by the expiration of enhanced federal subsidies — are forcing difficult financial tradeoffs, delaying care, and pushing some enrollees to reduce or drop coverage in 2026.
Survey's Key Findings
- About 80% of returning enrollees report higher premiums or out-of-pocket expenses; roughly half say costs have increased significantly
- 55% plan to cut spending on other household expenses to cover health care costs
- 17% say they may be unable to continue paying their premiums through the end of the year
While most enrollees have maintained coverage, some have switched plans, sought alternative insurance, or dropped coverage altogether due to affordability concerns
Broader Implications
The survey highlights widespread anxiety about paying for medical care and suggests that rising health care costs could shape both financial decisions and political attitudes as the year progresses.
Source: Kaiser Family Foundation
ArMA member and emergency medicine physician Dr. Amish Shah won Arizona’s 1st Congressional District, bringing a physician’s voice to Congress.
A federal judge rejected CMS’ narrowed “medically frail” standard for Medicaid work requirements. Here’s what it means for Arizona and AHCCCS.
