Charles Gaba's blog

Almost exactly a year ago I began my 2025 ACA Open Enrollment Period guide with the following words:

This is the best OEP ever for the ACA for several reasons:

  • The expanded/enhanced premium subsidies first introduced in 2021 via the American Rescue Plan, which make premiums more affordable for those who already qualified while expanding eligibility to millions who weren't previously eligible, are continuing through the end of 2025 via the Inflation Reduction Act;
  • A dozen states are either launching, continuing or expanding their own state-based subsidy programs to make ACA plans even more affordable for their enrollees;
  • 100,000 or more DACA recipients are finally eligible to enroll in ACA exchange plans & receive financial assistance!

What a difference a year can make.

SCROLL DOWN FOR UPDATES

Every year, I spend months painstakingly tracking every insurance carrier rate filing (nearly 400 for 2025!) for the following year to determine just how much average insurance policy premiums on the individual market are projected to increase or decrease.

Carriers tendency to jump in and out of the market, repeatedly revise their requests, and the confusing blizzard of actual filing forms sometimes make it next to impossible to find the specific data I need.

I really only need three pieces of information for each carrier:

USE THE DROPDOWN MENU ABOVE TO PICK A STATE.

9/29/25: Welcome Paul Krugman subscribers! I greatly appreciate the shoutout by him but should add the following clarification:

Regarding the chart below which he reposted comparing the original ACA subsidy scale to the current version: You probably think that if the enhanced subsidies expire it will revert back to the original version, which would be bad enough. In fact, however, the Trump Regime has also made THAT version even worse, like so:

I should also note that I've started cross-posting key entries at Substack as well.

July 15th, 2025: Trump pollster's healthcare advice for Republicans: Extend the ACA tax credits or you're screwed

To: Plymouth Union Public Advocacy
From: Tony Fabrizio & Bob Ward
Date: July 14, 2025
Re: Expiration of Premium Tax Credits Survey – Targeted Congressional Districts

Our survey of voters in the most competitive Congressional Districts shows Republicans have an opportunity to overcome a current generic ballot deficit and take the lead by extending the healthcare premium tax credits for those who purchase health insurance for themselves. Without Congressional action, the tax credit expires this year.

For 12 years now, one of the traditions of ACA Signups has been The Graph: A line graph tracking enrollment in ACA policies over the course of each Open Enrollment Period.

The original Graph from 2013-2014 looked quite different from more recent years, partly because I was attempting to track Medicaid/CHIP enrollment and other coverage categories at the same time, and partly because, frankly, I didn't really know what I was doing at the time.

Over the next few years I modified & improved both my methodology as well as the format, culminating in last year's 2025 Open Enrollment Period Graph, which featured the highest enrollment figures in the ACA's history: ~24.3 million Qualified Health Plan (QHP) enrollees, plus another ~1.8 million Basic Health Plan (BHP) enrollees in Minnesota, New York & Oregon specifically, for a grand total of just a hair over 26 million people.

For the 2026 Open Enrollment Period, however, actual hard enrollment data has been, shall we say, difficult to come by so far.

I don't know if this is new or not, but it turns out that Covered California--the largest state-based ACA exchange in the country--has an Open Enrollment Dashboard after all!

This means that in addition to two small states regularly reporting Open Enrollment data (Maine and New Mexico), the largest one is as well!

Here's what Covered CA is reporting as of November 29th:

  • New enrollments: 45,023
  • Active renewals: 365,879
  • Passive/Autorenewals: 1,412,526
  • Total: 1,823,428

As I've noted in both my Maine and New Mexico updates, while I include the passive/auto-renewal number for completeness sake, that number won't really be relevant until after the deadline for January 1st coverage passes (which is December 15th in most states, although not until 12/23 in MA & 12/31 in MD, NV, NJ, NM & RI).4,

via MNsure, Minnesota's ACA exchange (email only for now):

Minnesota residents affected by the end of Strategic Limited Partners coverage can enroll in new health insurance through MNsure

ST. PAUL, Minn.—MNsure is opening a limited special enrollment period (SEP) for Minnesota residents who purchased insurance through Strategic Limited Partners offsite of the MNsure website. The SEP follows enforcement action by the Minnesota Department of Commerce.

Commerce found that Strategic Limited Partners, an unlicensed company, sold unauthorized and deceptive health coverage to Minnesotans through misleading ads. Under a consent order, Strategic Limited Partners must cease operations by December 31, 2025, notify customers of its exit, repay outstanding claims, and pay a civil penalty.

To protect affected consumers, MNsure is offering this limited SEP:

Back in October, I noted that the New Mexico Insurance Superintendent--in the midst of dropping some very bad news about the upcoming 36% average premium increases for New Mexico ACA policies--included an extremely important caveat:

While it appears that Congress will allow enhanced federal Premium Tax Credits to expire, New Mexico’s Health Care Affordability Fund (HCAF) will cover the loss of the enhanced premium tax credits for households with income under 400% of the Federal Poverty Level (or $128,600 for a family of four), providing up to $68 million in premium relief for working families who enroll in coverage through BeWell in 2026. Federal and state premium assistance will continue to reduce the impact of the rate increases.

CoverME, Maine's ACA exchange, is the second state after New Mexico to publish official 2026 Open Enrollment data:

The Maine Department of Health and Human Services (DHHS) Office of the Health Insurance Marketplace (OHIM) will release biweekly updates on plan selections through CoverME.gov, Maine’s Health Insurance Marketplace.  

Plan selections provide a snapshot of activity by new and returning consumers who have selected a plan for 2026. “Plan selections” become “enrollments” once consumers have paid their first monthly premium to begin coverage. These numbers are subject to change as consumers may modify or cancel plans after their initial selection.   

The deadline to select a plan for coverage beginning January 1, 2026 is December 15, 2025. Consumers who select a plan between December 16, 2025 and January 15, 2026 will have coverage beginning February 1, 2026. 

BeWell NM, New Mexico's ACA exchange, is the only state marketplace with ongoing daily enrollment data reports:

New Mexico Open Enrollment 2026 - Enrollment Summary

Last Refreshed On: December 2, 2025

Officially, they're reporting 75,926 Qualified Health Plan (QHP) enrollments already, which is actually 8% higher than the 70,373 which they ended with during the 2025 Open Enrollment Period (OEP) last January.

HOWEVER...and this is a major caveat...that 75,926 includes all current enrollees being auto-renewed for 2026, which doesn't really count for my purposes. Most state exchanges used to hold off on lumping in the auto-renewals until after the initial December deadline, only reporting current enrollees who actively re-enroll along with new enrollees.

When I look at it that way, I get:

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