ACA Marketplace premiums jumped 20% nationally for 2026, but state-level changes range from –3% to 67%. MoneyGeek’s analysis of all 50 states and Washington, D.C., finds that the variation stems from three policy choices: Medicaid expansion, reinsurance programs, and state-run marketplaces. States with these protections experienced measurably lower premium growth.
Top increases: Arkansas (+66.7%), New Mexico (+50.7%), Tennessee (+38.4%), Mississippi (+37.2%), and Texas (+34.2%).
The South averaged +29% compared with +9% in the Northeast.
Data Sources: CMS Exchange PUFs (2025–2026); U.S. Census 2020–2024 population data.
Posted by mark-fitzbuzztrick
5 comments
Maybe this is a way to make Medicare for All palatable.
This is what the democrats are shutting down the government for. So we’ll see.
Areas where Ozempic is prescribed the most?
The sharp increases are mostly in republican states. Cost of living will be a big issue in midterm election. I don’t see how Republicans think it’s a good idea to let premiums rise by 20%.
I *wish* it was only up 34.2% in Texas.
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