8 Things to Watch for the 2026 ACA Open Enrollment Period

(Authors: Rayna Wallace, Jared Ortaliza, Matt McGough, Cynthia Cox, Emma Wager, Michelle Long, and Kaye Pestaina for The Kaiser Family Foundation Published: Oct 28, 2025)

The Affordable Care Act (ACA) Marketplace Open Enrollment season starts November 1, 2025 in most states. The premiums insurers charge are increasing. And, with enhanced premium tax credits set to expire at the end of the year, out-of-pocket premiums are expected to increase drastically. Additionally, changes to Marketplace enrollment and eligibility rules in this year’s budget reconciliation law and in the Trump Administration’s “Marketplace Integrity and Affordability” regulation (program integrity regulation) include other changes to open enrollment.

Here are the eight things to know for the 2026 Open Enrollment period. Continue reading here…

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