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.
by mark-fitzbuzztrick
2 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.