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Charles Gaba ✡️ @charlesgaba.com@bsky.brid.gy · Aug 06, 2026
🚨 NEW: Across 25 states, average unsubsidized #ACA premiums set to jump another 14.5% on average in 2027: acasignups.net/26/08/06/acr... Across 25 states, avg. unsubsi...
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BruceMirken
Bruce Mirken @BruceMirken@mas.to · Jul 30, 2026
"Months after congressional #Republicans refused to extend enhanced subsidies for Americans who receive their health insurance through the Affordable Care Act, hospitals across the US are seeing a surge in uninsured patients seeking emergency medical care." This is classic Republican false economy. The #EmergencyDepartment is the most expensive way to deliver care --and patients suffer needlessly from delaying care. https://www.commondreams.org/news/uninsured-emergency-room-surge #Healthcare #ACA
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Charles Gaba ✡️ @charlesgaba.com@bsky.brid.gy · Jul 22, 2026
👍 COLORADO: State legislature extends supplemental #ACA subsidies thru 2027 to mitigate damage from GOP letting federal subsidies expire: acasignups.net/26/07/22/col... Colorado: State legislature ex...
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Charles Gaba ✡️ @charlesgaba.com@bsky.brid.gy · Jul 21, 2026
Replying to @charlesgaba.com@bsky.brid.gy
Heading into *2027*, the insurance carriers participating in California's #ACA individual market next year have submitted preliminary rate filings averaging 9.9% higher than this year for unsubsidized enrollees.
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Charles Gaba ✡️ @charlesgaba.com@bsky.brid.gy · Jul 21, 2026
Replying to @charlesgaba.com@bsky.brid.gy
Heading into *2027*, the 10 insurance carriers participating in Michigan's #ACA individual market next year have submitted preliminary rate filings averaging 14.2% higher than this year for unsubsidized enrollees. Meanwhile, small group market carriers are seeking 9.8% avg. rate hikes.
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Charles Gaba ✡️ @charlesgaba.com@bsky.brid.gy · Jul 10, 2026
👍 GOOD NEWS: #VIRGINIA becomes the 10th state to offer supplemental state subsidies to #ACA enrollees to mitigate damage from GOP cuts! 👎 BAD NEWS: This comes as ~100K Virginians have lost coverage & ~72,000 fewer are enrolled in ACA coverage than as of last summer. acasignups.net/26/07/10/vir... Virginia becomes 10th state to...
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Charles Gaba ✡️ @charlesgaba.com@bsky.brid.gy · Jul 07, 2026
Replying to @charlesgaba.com@bsky.brid.gy
In any event, thanks to this database (assuming the data therein is accurate), here's an updated visualization of how much *effectuated* #ACA enrollment has changed over the course of every year since 2019. Black line = 2026. Dotted lines = projections *if* it follows 2025 or 2019 patterns.
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Charles Gaba ✡️ @charlesgaba.com@bsky.brid.gy · Jul 07, 2026
Replying to @charlesgaba.com@bsky.brid.gy
COMBINED, that's more than 50% more this year than last...meaning that on average, #ACA enrollees are paying roughly $1,500 MORE APIECE in total healthcare expenses in 2026 vs. 2025. And yes, the vast majority of this is due SPECIFICALLY to Congressional Republicans & the Trump Regime. /END
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Charles Gaba ✡️ @charlesgaba.com@bsky.brid.gy · Jul 07, 2026
🚨🚨🚨 NATIONAL: How much more are #ACA enrollees *really* paying this year due to Trump/GOP policies?  (final post in a state-by-state series) acasignups.net/enrollee_cos... NATIONAL: How much more are AC...
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Charles Gaba ✡️ @charlesgaba.com@bsky.brid.gy · Jun 30, 2026
Replying to @charlesgaba.com@bsky.brid.gy
The good news is that unlike most states, Texas actually had ~200,000 *more* residents sign up for #ACA coverage this year than last during Open Enrollment, thanks largely to their robust Premium Alignment pricing policy (which @nathanjohnsontx.bsky.social@bsky.brid.gy was a key figure in getting passed, BTW!)
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Charles Gaba ✡️ @charlesgaba.com@bsky.brid.gy · Jun 26, 2026
🚨🚨🚨 BREAKING: It's worse than I thought! The Trump regime just published a new report officially stating that #ACA enrollment had ALREADY plummeted by over 2.6 million people as of FEBRUARY. This is worse than the prior assumption of 3.0M losing coverage thru April. acasignups.net/26/06/26/bre... Breaking: HHS report admits Tr...
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Charles Gaba ✡️ @charlesgaba.com@bsky.brid.gy · Jun 23, 2026
Replying to @charlesgaba.com@bsky.brid.gy
🚨 IN ADDITION, tens of thousands of ACA enrollees are about to have extra COST SHARING SUBSIDIES which the state is currently providing them CUT OFF. OVERALL, to the best of my calculations, NY #ACA enrollees are paying around $100 more per month this year...and that's WITH the state CSR help.
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Charles Gaba ✡️ @charlesgaba.com@bsky.brid.gy · Jun 22, 2026
Replying to @charlesgaba.com@bsky.brid.gy
Don't get me wrong: I'm glad to see that most voters are more likely to vote for a candidate who supports reinstating the enhanced #ACA subsidies, but I'm fairly certain that the ACA didn't exist in 1975, 1985, 1995 or 2005, and the enhanced subsidies weren't implemented until 2021, so...
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Charles Gaba ✡️ @charlesgaba.com@bsky.brid.gy · Jun 19, 2026
🎉🎉🎉 WOOT! #MICHIGAN state Senate passes bill to establish state-based #ACA exchange in time for 2028 Open Enrollment Period! (it still has to make it through the state House, however) acasignups.net/26/06/19/mic... Michigan: State-based exchange...
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Charles Gaba ✡️ @charlesgaba.com@bsky.brid.gy · Jun 17, 2026
Replying to @charlesgaba.com@bsky.brid.gy
No other state relies more on #ACA federal tax credits than MISSISSIPPI: Last year *98%* of enrollees received the enhanced subsidies to make their health insurance premiums affordable. Result of those subsidies being dramatically slashed this year? Nearly 25,000 couldn't even afford to sign up...
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Charles Gaba ✡️ @charlesgaba.com@bsky.brid.gy · Jun 05, 2026
🚨 CONNECTICUT: Preliminary 2027 unsubsidized #ACA rate changes: Individual market up 15.7%, small group up 17.8% Plus, UHC absorbs Oxford & CTCare drops a division acasignups.net/26/06/05/con... Connecticut: Preliminary 2027 ...
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Charles Gaba ✡️ @charlesgaba.com@bsky.brid.gy · Jun 05, 2026
🚨 #OREGON can't catch a break: Preliminary 2027 unsubsidized #ACA rate filings: Indy mkt up 17%, sm. group market up 16%: acasignups.net/rate_changes... Oregon can't catch a break: Pr...
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Charles Gaba ✡️ @charlesgaba.com@bsky.brid.gy · Jun 01, 2026
Replying to @charlesgaba.com@bsky.brid.gy
On average, Georgia #ACA enrollees went from paying around $2,100 apiece last year to over $4,000 this year. That's more than a $1,900 avg. increase *per enrollee* in 2026.
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