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Gone quiet · last update Sep 21, 2026 / Donald Trump

The lapse of the Affordable Care Act's extra subsidies and the rise in premiums

Overview · reviewed October 28, 2026

The enhanced tax credits that had helped Americans pay for Affordable Care Act health insurance for four years expired on January 1, 2026, after Congress failed to extend them, raising costs for millions of people.[1] Insurers then proposed double-digit premium increases for 2027 for the second year in a row,[2][3] and in September 2026 the Trump administration said it was removing about 760,000 people from ACA coverage, citing alleged fraud.[4]

Read the timeline

Follow this story to see new developments when you return.

Insurers then proposed double-digit premium increases for 2027 for the second year in a row,[2][3] and in September 2026 the Trump administration said it was removing about 760,000 people from ACA coverage, citing alleged fraud.[4]

Coverage over time

Share of tracked outlets · weekly (UTC)

Week of 2025-11-24 (UTC): 5%, 7 of 153 tracked outlets (2 left, 5 center, 0 right)Week of 2025-12-01 (UTC): no coverage from tracked outletsWeek of 2025-12-08 (UTC): 6%, 11 of 184 tracked outlets (4 left, 6 center, 1 right)Week of 2025-12-15 (UTC): 12%, 23 of 187 tracked outlets (7 left, 13 center, 3 right)Week of 2025-12-22 (UTC): no coverage from tracked outletsWeek of 2025-12-29 (UTC): 10%, 16 of 166 tracked outlets (2 left, 12 center, 2 right)Week of 2026-01-05 (UTC): no coverage from tracked outletsWeek of 2026-01-12 (UTC): no coverage from tracked outletsWeek of 2026-01-19 (UTC): no coverage from tracked outletsWeek of 2026-01-26 (UTC): no coverage from tracked outletsWeek of 2026-02-02 (UTC): no coverage from tracked outletsWeek of 2026-02-09 (UTC): no coverage from tracked outletsWeek of 2026-02-16 (UTC): no coverage from tracked outletsWeek of 2026-02-23 (UTC): no coverage from tracked outletsWeek of 2026-03-02 (UTC): no coverage from tracked outletsWeek of 2026-03-09 (UTC): no coverage from tracked outletsWeek of 2026-03-16 (UTC): 4%, 7 of 178 tracked outlets (1 left, 4 center, 2 right)Week of 2026-03-23 (UTC): no coverage from tracked outletsWeek of 2026-03-30 (UTC): no coverage from tracked outletsWeek of 2026-04-06 (UTC): no coverage from tracked outletsWeek of 2026-04-13 (UTC): no coverage from tracked outletsWeek of 2026-04-20 (UTC): no coverage from tracked outletsWeek of 2026-04-27 (UTC): no coverage from tracked outletsWeek of 2026-05-04 (UTC): no coverage from tracked outletsWeek of 2026-05-11 (UTC): no coverage from tracked outletsWeek of 2026-05-18 (UTC): no coverage from tracked outletsWeek of 2026-05-25 (UTC): no coverage from tracked outletsWeek of 2026-06-01 (UTC): no coverage from tracked outletsWeek of 2026-06-08 (UTC): no coverage from tracked outletsWeek of 2026-06-15 (UTC): no coverage from tracked outletsWeek of 2026-06-22 (UTC): no coverage from tracked outletsWeek of 2026-06-29 (UTC): no coverage from tracked outletsWeek of 2026-07-06 (UTC): 6%, 34 of 560 tracked outlets (10 left, 13 center, 11 right)Week of 2026-07-13 (UTC): under 1%, 1 of 559 tracked outlets (1 left, 0 center, 0 right)Week of 2026-07-20 (UTC): 1%, 4 of 562 tracked outlets (0 left, 4 center, 0 right)Week of 2026-07-27 (UTC): under 1%, 2 of 561 tracked outlets (0 left, 2 center, 0 right)Week of 2026-08-03 (UTC): no coverage from tracked outletsWeek of 2026-08-10 (UTC): no coverage from tracked outletsWeek of 2026-08-17 (UTC): no coverage from tracked outletsWeek of 2026-08-24 (UTC): no coverage from tracked outletsWeek of 2026-08-31 (UTC): no coverage from tracked outletsWeek of 2026-09-07 (UTC): no coverage from tracked outletsWeek of 2026-09-14 (UTC): no coverage from tracked outletsWeek of 2026-09-21 (UTC): 15%, 71 of 479 tracked outlets (20 left, 30 center, 21 right)Week of 2026-09-28 (UTC): no coverage from tracked outletsWeek of 2026-10-05 (UTC): no coverage from tracked outletsWeek of 2026-10-12 (UTC): no coverage from tracked outletsWeek of 2026-10-19 (UTC): no coverage from tracked outletsWeek of 2026-10-26 (UTC): no coverage from tracked outletsWeek of 2026-11-02 (UTC): no coverage from tracked outletsWeek of 2026-11-09 (UTC): no coverage from tracked outlets, so far

LeftCenterRightLighter bar: this week so far

Each bar is the share of the outlets on our Left / Center / Right rating scale that we tracked publishing that week which carried reporting on this story, split by the outlets' ratings. We track more outlets now than in the archive, so a share keeps earlier and later weeks comparable. An outlet counts once a week however much it published, and outlets in one ownership or syndication group count as one on each side they appear on. A rating describes the outlet, not the report. A gap means no such reports were collected that week, not that nothing was reported anywhere. Weeks run Monday to Sunday in UTC, so a report published on a Sunday evening in US Eastern time counts in the next week. 3 more outlets off the scale (not rated, or outside the left-right graphs) also reported; they are not in this chart. See them.

Weekly counts, outlets and reports (10 weeks with coverage)
Outlets on the rating scale that carried this story each week, of the outlets tracked that week, newest first
Week of (UTC)LeftCenterRightOf trackedShareReceipts
Sep 21, 202620302171 of 47915%
Jul 27, 20260202 of 561under 1%
Jul 20, 20260404 of 5621%
Jul 13, 20261001 of 559under 1%
Jul 6, 202610131134 of 5606%
Mar 16, 20261427 of 1784%
Dec 29, 2025212216 of 16610%
Dec 15, 2025713323 of 18712%
Dec 8, 202546111 of 1846%
Nov 24, 20252507 of 1535%

Latest coverage

The newest reporting in this story's record.

  1. Sep 21, 2026 · first reported · Headline from Deseret News

    Trump administration to drop 750K Americans from ACA coverage over alleged fraud

Background

The subsidies were at the heart of the fall 2025 government shutdown, which is followed in its own arc.[5] In November the White House circulated a proposal to extend them for two years,[5] but in December Congress deadlocked over dueling Democratic and Republican bills,[6] and House Republicans unveiled a narrow health package that did not extend them.[7] Four moderate House Republicans joined Democrats in a petition to force a vote on an extension,[8][9] but the credits lapsed at the new year.[1]

A KFF survey in March 2026 found many former marketplace enrollees struggling with health costs.[10] In July insurers proposed a median 14% premium increase for 2027,[3] driven by rising medical costs and policy changes by Congress and the administration.[2] In September Vice President JD Vance and Dr. Mehmet Oz, who runs the Centers for Medicare and Medicaid Services, announced the removal of about 760,000 people from coverage.[4] The cuts to Medicaid are followed in a related arc.

Supporting stories (10)
  1. Affordable Care Act subsidies expire, millions of Americans now faced with steep health insurance hikes
  2. Affordable Care Act insurers want more premium increases as enrollment sags
  3. Obamacare premiums likely to surge again next year
  4. Trump administration to remove 760,000 Affordable Care Act enrollees over fraud claims
  5. What’s known about White House’s circulating plan to extend Obamacare subsidies
  6. Senate to vote on dueling health care bills as ACA subsidies set to expire and costs rise for many
  7. House GOP unveils health care measure that does not extend ACA subsidies
  8. Republicans defy Speaker Johnson to force House vote on extending ACA subsidies
  9. 4 Republican congressmen join Democrats to force vote on extending ACA subsidies
  10. What ACA enrollees are cutting back on to afford health care, according to a new poll

The full record

Each date is when an update was first reported.

All 11 recorded updates

September 2026

  1. Trump administration to remove 760,000 Affordable Care Act enrollees over fraud claimsHeadline from WDIO Duluth · 71 outlets

July 2026

  1. Coloradans on the Western Slope could see Affordable Care Act premiums rise by nearly 15% in 2027Headline from Aspen Times · 6 outlets
  2. Affordable Care Act insurers want more premium increases as enrollment sagsHeadline from The Brunswick News · 5 outlets
  3. Obamacare premiums likely to surge again next yearHeadline from Source New Mexico · 29 outlets

March 2026

  1. What ACA enrollees are cutting back on to afford health care, according to a new pollHeadline from MyNorthwest · 7 outlets

December 2025

  1. Affordable Care Act subsidies expire, millions of Americans now faced with steep health insurance hikesHeadline from Fox32 Chicago · 16 outlets
  2. 4 Republican congressmen join Democrats to force vote on extending ACA subsidiesHeadline from NPR · 9 outlets
  3. Republicans defy Speaker Johnson to force House vote on extending ACA subsidiesHeadline from MyNorthwest · 17 outlets
  4. Senate to vote on dueling health care bills as ACA subsidies set to expire and costs rise for manyHeadline from NBC 5 Dallas-Fort Worth · 6 outlets
  5. House GOP unveils health care measure that does not extend ACA subsidiesHeadline from ABC 7 San Francisco · 7 outlets

November 2025

  1. What’s known about White House’s circulating plan to extend Obamacare subsidiesHeadline from Fox7 Austin · 7 outlets

Coverage & sources

Read the reports, see how much was collected over time, or compare outlets by political leaning.

Coverage & sources →