
Low-Income ACA Enrollees Shifted Heavily From High-CSR Silver to Bronze in 2026
In 2026, low‑income ACA marketplace enrollees dramatically shifted from high‑CSR silver plans to bronze, accelerating a multi‑year trend. The average actuarial value (AV) for HealthCare.gov states fell from about 80% in 2025 to 76% in 2026, while total enrollment dropped 4.9%, resulting in a 10% decline in overall coverage value. Strict silver‑loading policies in Washington, Arkansas and Illinois made gold plans cheaper than silver, prompting many to select gold instead. The combined effect leaves vulnerable consumers facing higher out‑of‑pocket costs and a weaker risk pool.

Families USA's Stop the Bleed Campaign Aims to Secure Candidate Commitments to Reduce Healthcare Costs
Families USA has launched the Stop the Bleed campaign to solicit concrete commitments from political candidates on reducing health‑care costs and curbing corporate greed. The initiative asks a single, open‑ended question and will publish candidate responses beginning in April 2026....