ACA Marketplace Instability Drives Premium Hikes in Virginia

In Rappahannock County, Virginia, an insurer is leaving the Affordable Care Act marketplace, requiring residents to find new health insurance solutions by December 31. Premiums on federal and state-run marketplaces are projected to increase by approximately 15 percent next year, marking the second consecutive year of double-digit increases. Federal enrollment data shows nearly 3 million people left the marketplace during a period ending in early 2026, and another 5 million could lose ACA insurance by the end of 2026 due to rising costs and subsidy changes.

The departure of insurers and sharp premium increases are contributing to instability in the ACA marketplace. This market pressure could lead to increased operational strain on the Department of Health & Human Services and drive political pressure for Medicare expansion.