HPIO releases policy explainer on ACA insurance marketplaces

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The Health Policy Institute of Ohio has released a new policy explainer on changes to the federal health insurance marketplace.
 
The Affordable Care Act health insurance marketplaces are at the center of the federal government shutdown, particularly the upcoming expiration of enhanced premium tax credits that reduce the cost of these insurance plans for consumers. The debate over extending the enhanced credits comes at the same time as broader conversations on the difficulties that Ohio families are facing with the cost of living and increased cost of health insurance.
 
Nearly 600,000 Ohioans got health insurance through the marketplace in 2025. With enhanced tax credits expiring next year and large increases in the cost of premiums, more than 100,000 Ohioans are expected to no longer purchase insurance coverage in 2026.

The policy explainer is the latest in a series of publications that HPIO has developed to explore the healthcare access and affordability impacts of recent policy changes, such as HR 1 and the state’s biennial budget bill.