Tuesday, April 7, 2026

The State of the Reasonably priced Care Act

The Host

Julie Rovner KFF Well being Information


@jrovner

@julierovner.bsky.social

Learn Julie’s tales.

Julie Rovner is chief Washington correspondent and host of KFF Well being Information’ weekly well being coverage information podcast, “What the Well being?” A famous professional on well being coverage points, Julie is the writer of the critically praised reference e book “Well being Care Politics and Coverage A to Z,” now in its third version.

Open enrollment for well being plans underneath the Reasonably priced Care Act started Nov. 1, but it stays unclear how a lot the estimated 24 million People who buy from the ACA marketplaces shall be anticipated to pay in premiums beginning in January. Until Congress acts to increase tax credit added to this system in 2021, most shoppers shall be anticipated to contribute far more out-of-pocket; in some circumstances, double or triple what they’re paying in 2025.

The politics of this yr’s ACA combat are additionally difficult. Democrats are utilizing the one leverage they’ve — a authorities shutdown — to attempt to pressure Republicans to barter over the expiring ACA tax credit. But many, if not most, of the individuals who will face a lot greater premiums in 2026 are from GOP-dominated states similar to Texas and Florida, and belong to professions that are usually extra Republican than Democratic, similar to farmers and ranchers, or small-business homeowners.

On this particular episode of “What the Well being?” from KFF Well being Information and WAMU, host Julie Rovner talks to Cynthia Cox, a vp at KFF and the director of its Program on the ACA. Cox explains what the nation’s well being system seemed like earlier than the passage of the well being regulation, the way it has contributed to decrease well being spending and higher insurance coverage protection, and the peculiar politics of the present combat.

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Cynthia Cox KFF


Learn Cynthia’s bio.

Credit

Taylor Cook dinner
Audio producer

Stephanie Stapleton
Editor

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