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Texas Health Insurers Seek 24% ACA Premium Hike Amid Rising Costs and Federal Cuts

Escalating healthcare expenses, combined with proposed reductions in federal support, can drive...
Key Metrics

14.3

Heat Index
  • Impact Level
    Medium
  • Scope Level
    National
  • Last Update
    2025-08-26
Key Impacts
Negative Impacts (9)
U.S. Managed Care / Health Insurance Sector
Centene Corporation
Oscar Health Inc.
Pharmaceutical Sector
Hospital & Medical Office REITs
HCA Healthcare
Total impacts: 9 | Positive: 0 | Negative: 9
Event Overview

Escalating healthcare expenses, combined with proposed reductions in federal support, can drive insurers to implement significant premium increases, potentially undermining market stability. Such pronounced adjustments impact affordability and may alter consumer participation in regulated insurance programs. These dynamics reflect ongoing tensions in the interplay between policy, provider costs, and consumer access underpinning the health insurance marketplace.

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Texas Health Insurers Request 24% Average ACA Premium Increase for 2026
2025-08-07 13:04

Health insurance companies have requested an average premium increase of 24% for Affordable Care Act (ACA) plans in Texas for 2026. This potential hike, reported as the largest since 2018 when rates rose by 35%, comes in response to proposed federal cuts and rising healthcare sector costs. Last year's average rate increase across insurance carriers was 3.8%. Data analysis from KFF indicates that such rate hikes could destabilize the insurance marketplace and may result in customers opting for less or no coverage. ACA uptake in Texas has tripled since 2020, with nearly 4 million Texans purchasing ACA marketplace coverage for 2025, following Congress's expansion of tax credits to lower users' monthly premiums. Average post-subsidy monthly premiums for Texans enrolled in the ACA dropped from $136 in 2018 to a low of $50 in 2024.

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