A 2025 Congressional Budget Office estimate found that as many as four million people could become uninsured if premium tax credits for Affordable Care Act marketplaces are not renewed.
October 07, 2025
high
temporal
Estimate of the potential coverage impact tied to renewal of ACA marketplace premium tax credits.
For Affordable Care Act marketplaces, health insurers typically finalize premiums in October and open enrollment typically begins on November 1.
October 07, 2025
high
temporal
Regular timing of insurer rate finalization and the start of ACA marketplace open enrollment.
As of 2025, about 24 million people who do not have employer-based insurance or coverage through public programs such as Medicaid use the Affordable Care Act (ACA) marketplaces to buy health plans.
October 06, 2025
high
temporal
Scale of enrollment in ACA marketplaces among people without employer or public program coverage.