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The health care affordability crisis Donald Trump and Republicans created is deepening by the day. Across the country, families are getting hit with another wave of premium hikes, insurers are pulling back from the Affordable Care Act marketplaces, hospitals are warning of growing financial strain, and small businesses are struggling to keep coverage affordable for their employees. State after state is reporting double-digit premium increases for 2027, following last year’s massive spikes, as Americans continue to pay the price for Republicans’ decision to rip away the health care tax credits that helped millions afford coverage. Every headline tells the same story: health care is becoming even more expensive, coverage is slipping further out of reach, and the damage from Republican health care cuts is only getting worse. 

Recent National Coverage

KCUR: Healthcare Costs Have More Than Doubled for Many Farmers This Year, on Top of Soaring Expenses

Stateline: Obamacare Enrollment Declines in 49 States

Reuters: Molina Plummets as It Expects to Halve Its Obamacare Presence

Fierce Healthcare: Molina Healthcare Plans More Marketplace Exits as ACA Segment Falters

MarketScreener: Molina Healthcare Sharply Cuts Its Obamacare Business as Costs Rise

BenefitsPRO: Affordable Care Act Subsidy Cuts Hit Hospitals Hard

NPR: Staying in a Job for the Health Insurance? About 1 in 4 Americans Do, a Survey Says

KFF: How Has ACA Marketplace Enrollment Changed Across States in 2026?

California 

Santa Cruz Sentinel: Covered California Rates to Jump Nearly 10% as Thousands Struggle to Afford Coverage

CBS News: Rising Health Insurance Costs Force Bay Area Small Businesses Into Tough Choices

Politico Pro: Covered California Insurance Premiums to Jump Almost 10 Percent Next Year

Bakersfield.com: Covered California Health Insurance Premiums for San Joaquin Valley Enrollees Will Rise by About 11% or More in 2027

SFGate: Regional: Covered California Premiums To Increase By Almost 10% In 2027

Mountain View Voice: Covered California Health Care Premiums to Increase by Almost 10%

Colorado

CPR News: Consumers Who Buy Individual Health Insurance Through ACA Can Expect Premiums to Rise Next Year

Denver Post: Colorado Health Insurers Seek 11% Increase in Premiums on ACA Market

Aspen Times: Coloradans on the Western Slope Could See Affordable Care Act Premiums Rise by Nearly 15% in 2027

Florida

Orlando Sentinel: Opinion: Teachers’ Rising Healthcare Costs May Be Unbearable Burden

Iowa

Dakota News Now: Iowa ACA Health Insurance Premiums Set to Rise for Thousands in 2027

KTIV: Iowa ACA Health Insurance Premiums Set to Rise for Thousands in 2027

Massachusetts

CommonWealth Beacon: Small Businesses Still in Line for Double-Digit Health Premium Increases — With Some Relief

Michigan

Alpena News: Michigan Affordable Care Act Marketplace Enrollment Slumps Amid Rising Costs

Mississippi

Mississippi Today: Health Insurance Costs Leave Older Mississippians Without Care

New York

SILive: Nearly 500K New Yorkers Lose Health Plan After Federal Cuts

LoHud: Health Insurance Costs Poised to Spike in NY. What to Expect in 2027

Ohio

WOUB: Ohio Leads the Nation in Percentage of Those Who Dropped ACA Healthcare Coverage

Spectrum1: Rising Healthcare Costs Are Reshaping Ohio’s Midterm Elections

Cleveland.com: ACA Plan Selections Fall More Than 20% in Cuyahoga, Summit Counties

Pennsylvania

CBS Pittsburgh: Affordable Care Act Rates Could Increase Again in Pennsylvania

Pittsburgh Post-Gazette: Requested 2027 Affordable Care Act Rate Increases Average 17.1% 

WHYY: Pennsylvania ACA Health Insurers Propose Double-Digit Premium Increases for 2027

PennLive: Pa. Health Insurers Want Significant Hike in Obamacare Rates for 2027

TribLive: Health Insurance Companies Seek Average 17.1% Premium Increase for Pennie

South Carolina

Greenville News: Opinion: Expand Healthcare Access, Lower Costs for Healthy Communities

Wyoming 

Wyoming Public Radio: A Tale of Two States: New Mexico and Wyoming in a Post-ACA Subsidy Era