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Enrollment changes, subsidy policy, and how much unpaid care health centers may take on.
Open enrollment for 2027 began November 1 with higher prices. KFF reported on November 6 that average benchmark silver premiums rise 13% and 11 insurers announced exits from at least one state. Mississippi's benchmark rises 23% as Cigna and Molina leave, and on November 9 Stateline reported UnitedHealthcare will sell short-term plans through the state's portal by early 2027. Michigan approved individual increases averaging 14.2%. Effectuated enrollment fell 12% to 19.2 million by February 2026. Covered California raised state subsidies from $190 million to $300 million, which cannot replace nearly $2.5 billion a year in expired federal credits. Florida's navigator grant is 90% below 2024. Comments are due November 27 on a CMS rule to verify income and status before subsidies start, and November 30 on IRS premium tax credit rules. Covered California enrollment runs to January 31, 2027.
As of
Based on: Connect for Health Colorado press release, Oct 30, 2026 · KFF · Mississippi Today · Bridge Michigan · Covered California · Florida Phoenix · Centers for Medicare & Medicaid Services · Internal Revenue Service · Stateline, States Newsroom
KFF
KFF reported that average 2027 benchmark silver premiums rise 13% and 11 insurers had announced exits from at least one state. Effectuated enrollment fell 12% to 19.2 million by February 2026. No health center is named.
Mississippi Today
Mississippi Today reported that the average benchmark marketplace premium in Mississippi will rise 23% in 2027, according to KFF data.
Florida Phoenix
Florida Phoenix reported that Florida’s federal navigator grant is $1.379 million, a 90% cut from 2024. More than 3.85 million Floridians paid for 2026 marketplace coverage, down 10% from 4.3 million in 2025.
KFF
KFF reported that average 2027 benchmark silver premiums rise 13% and 11 insurers had announced exits from at least one state. Effectuated enrollment fell 12% to 19.2 million by February 2026. No health center is named.
WyoFile
WyoFile reported that when 2027 ACA enrollment opened November 1, Wyoming residents again found double-digit percentage cost increases.
Mississippi Today
Mississippi Today reported that the average benchmark marketplace premium in Mississippi will rise 23% in 2027, according to KFF data.
Covered California
Covered California said open enrollment runs from November 1 to January 31, 2027. State subsidy funds rise from $190 million to $300 million, reaching incomes up to 200% of poverty. More than 1.7 million are enrolled.
CT Mirror
CT Mirror reported that Access Health CT enrollment began October 23 and runs through December 15 for January 1 coverage.
California Legislative Analyst’s Office
California’s Legislative Analyst said the budget adds $110 million a year for Covered California premium subsidies, bringing state spending to $300 million.
Centers for Medicare & Medicaid Services
CMS published a proposed rule to verify income, status and residence before paying marketplace subsidies from 2028. CMS estimates 332,500 fewer people would enroll each year. Comments are due November 27.
KFF
KFF said it is unclear what legal authority supports $500 checks to about 1 million HealthCare.gov enrollees without tax credits. KFF says $500 covers 29% of one example’s 2026 bronze premium rise. No health center is named.
Internal Revenue Service
The IRS published proposed rules for premium tax credit changes in the 2025 budget law. Comments are due November 30, 2026, and a telephone hearing is set for December 8.
Stateline, States Newsroom
Stateline reported that conservative states are making short-term health plans easier to sell after ACA premiums rose. UnitedHealthcare will offer short-term plans through Mississippi’s state-run portal by early 2027.
Kansas Reflector
Kansas Reflector reported that Children’s Mercy will be out of network for any ACA marketplace plan from January 1.
Delaware Department of Justice
Delaware joined 19 attorneys general and Pennsylvania's Governor in filing suit against provisions of the federal 2027 Notice of Benefit and Payment Parameters affecting catastrophic and bronze plans, out-of-pocket limits, and enrollment requirements.
and 89 more organizations