{"event":"us-health-care-changes-2026-tracker","title":"US health care changes 2026-27 tracker: ACA, Medicaid, Medicare","state":"developing","updated":"2026-10-11T00:00:00.000Z","entries":[{"id":"v32c86","at":"2026-10-11T00:00:00.000Z","title":"Medicare Open Enrollment set to open on 15 October","status":"confirmed","body":"Medicare Open Enrollment runs to 7 December 2026, and ACA Open Enrollment starts on 1 November.","cites":[{"id":"health-care-system-medicare-oe-2027","n":6,"url":"https://www.cms.gov/newsroom/press-releases/medicare-advantage-medicare-prescription-drug-programs-expected-remain-stable-2027","publisher":"U.S. Centers for Medicare & Medicaid Services","short":"U.S. Centers for Medicare…"}]},{"id":"1mplqgu","at":"2026-10-06T00:00:00.000Z","title":"Enhanced credits still expired heading into 2027","status":"confirmed","cites":[{"id":"health-care-system-eptc-still-expired-oct-2026","n":2,"url":"https://www.kff.org/elections/midterm-election-update-the-affordable-care-act-marketplaces/","publisher":"KFF","short":"KFF"}]},{"id":"3gjvdm","at":"2026-09-30T00:00:00.000Z","title":"Deadline for CMS final offers on third-cycle drugs","status":"confirmed","cites":[{"id":"health-care-system-negotiation-round3-timeline","n":24,"url":"https://www.kff.org/medicare/key-facts-about-medicare-drug-price-negotiation/","publisher":"KFF","short":"KFF"}]},{"id":"13h5dcg","at":"2026-09-28T00:00:00.000Z","title":"CMS projects lower 2027 Medicare Advantage premiums","status":"confirmed","cites":[{"id":"health-care-system-ma-premium-2027","n":35,"url":"https://www.cms.gov/newsroom/press-releases/medicare-advantage-medicare-prescription-drug-programs-expected-remain-stable-2027","publisher":"U.S. Centers for Medicare & Medicaid Services","short":"U.S. Centers for Medicare…"},{"id":"health-care-system-pdp-premium-2027","n":36,"url":"https://www.cms.gov/newsroom/press-releases/medicare-advantage-medicare-prescription-drug-programs-expected-remain-stable-2027","publisher":"U.S. Centers for Medicare & Medicaid Services","short":"U.S. Centers for Medicare…"}]},{"id":"1fkdtzu","at":"2026-09-22T00:00:00.000Z","title":"CMS cancels coverage for 760,000 in anti-fraud action","status":"confirmed","cites":[{"id":"health-care-system-fraud-cancellations","n":17,"url":"https://www.cms.gov/newsroom/press-releases/cms-cracks-down-fraud-waste-abuse-federal-health-insurance-marketplacer","publisher":"U.S. Centers for Medicare & Medicaid Services","short":"U.S. Centers for Medicare…"},{"id":"health-care-system-broker-moratorium","n":34,"url":"https://www.cms.gov/newsroom/press-releases/cms-cracks-down-fraud-waste-abuse-federal-health-insurance-marketplacer","publisher":"U.S. Centers for Medicare & Medicaid Services","short":"U.S. Centers for Medicare…"}]},{"id":"cdybxz","at":"2026-09-10T00:00:00.000Z","title":"White House announces $500 Marketplace refunds","status":"confirmed","body":"The refunds go to nearly 1 million unsubsidized enrollees in 30 federal-Marketplace states.","cites":[{"id":"health-care-system-500-refunds","n":18,"url":"https://www.cnbc.com/2026/09/10/trump-obamacare-refunds-aca.html","publisher":"CNBC","short":"CNBC"}]},{"id":"1w6j52o","at":"2026-08-03T00:00:00.000Z","title":"Insurers propose median 15% premium rise for 2027","status":"confirmed","cites":[{"id":"health-care-system-2027-proposed-median-15","n":4,"url":"https://www.healthsystemtracker.org/brief/how-much-and-why-aca-marketplace-premiums-are-going-up-in-2027/","publisher":"Peterson-KFF Health System Tracker","short":"Peterson-KFF Health System…"},{"id":"health-care-system-2027-medical-trend","n":33,"url":"https://www.healthsystemtracker.org/brief/how-much-and-why-aca-marketplace-premiums-are-going-up-in-2027/","publisher":"Peterson-KFF Health System Tracker","short":"Peterson-KFF Health System…"}]},{"id":"1gx7t35","at":"2026-07-28T00:00:00.000Z","title":"CMS ends Part D premium stabilization demonstration","status":"confirmed","cites":[{"id":"health-care-system-partd-demo-ends","n":32,"url":"https://www.cms.gov/newsroom/fact-sheets/medicare-part-d-2027-national-average-monthly-bid-amount-information","publisher":"U.S. Centers for Medicare & Medicaid Services","short":"U.S. Centers for Medicare…"}]},{"id":"futjyz","at":"2026-06-26T00:00:00.000Z","title":"Paid Marketplace enrollment down 13%","status":"confirmed","cites":[{"id":"health-care-system-2026-effectuated","n":3,"url":"https://www.kff.org/quick-insights/aca-marketplace-enrollment-is-down-by-3-million-after-big-jump-in-premium-payments/","publisher":"KFF","short":"KFF"}]},{"id":"1x2xu6m","at":"2026-06-09T00:00:00.000Z","title":"Medicare Trustees project 2027 Part B premium of $209.50","status":"confirmed","body":"The Part A trust fund is projected to be depleted in 2033.","cites":[{"id":"health-care-system-partb-2027-projection","n":22,"url":"https://www.cms.gov/oact/tr/2026","publisher":"Boards of Trustees, Medicare Trust Funds (CMS Office of the Actuary)","short":"Boards of Trustees"},{"id":"health-care-system-hi-trust-fund-2033","n":31,"url":"https://www.cms.gov/oact/tr/2026","publisher":"Boards of Trustees, Medicare Trust Funds (CMS Office of the Actuary)","short":"Boards of Trustees"}]},{"id":"11h6pz","at":"2026-06-01T00:00:00.000Z","title":"CMS issues Medicaid work requirement rule","status":"confirmed","cites":[{"id":"health-care-system-work-req-ifc","n":5,"url":"https://www.cms.gov/newsroom/fact-sheets/medicaid-community-engagement-requirement-certain-individuals-interim-final-rule-comment-period-cms","publisher":"U.S. Centers for Medicare & Medicaid Services","short":"U.S. Centers for Medicare…"},{"id":"health-care-system-work-req-who","n":30,"url":"https://www.cms.gov/newsroom/fact-sheets/medicaid-community-engagement-requirement-certain-individuals-interim-final-rule-comment-period-cms","publisher":"U.S. Centers for Medicare & Medicaid Services","short":"U.S. Centers for Medicare…"}]},{"id":"76g15u","at":"2026-05-19T00:00:00.000Z","title":"KFF reports record deductibles and 23.1 million sign-ups","status":"confirmed","cites":[{"id":"health-care-system-2026-signups","n":29,"url":"https://www.kff.org/affordable-care-act/what-we-know-so-far-about-2026-aca-marketplace-enrollment-premiums-and-deductibles/","publisher":"KFF","short":"KFF"},{"id":"health-care-system-2026-deductibles","n":15,"url":"https://www.kff.org/affordable-care-act/what-we-know-so-far-about-2026-aca-marketplace-enrollment-premiums-and-deductibles/","publisher":"KFF","short":"KFF"},{"id":"health-care-system-2026-premium-payments","n":14,"url":"https://www.kff.org/affordable-care-act/what-we-know-so-far-about-2026-aca-marketplace-enrollment-premiums-and-deductibles/","publisher":"KFF","short":"KFF"}]},{"id":"mdh0t0","at":"2026-04-06T00:00:00.000Z","title":"Part D out-of-pocket cap set at $2,400 for 2027","status":"confirmed","cites":[{"id":"health-care-system-partd-2027-cap","n":23,"url":"https://www.cms.gov/files/document/2027-announcement.pdf","publisher":"U.S. Centers for Medicare & Medicaid Services","short":"U.S. Centers for Medicare…"}]},{"id":"1fpcti1","at":"2026-03-13T00:00:00.000Z","title":"All third-cycle drugmakers agree to negotiate","status":"confirmed","cites":[{"id":"health-care-system-negotiation-round3-participation","n":28,"url":"https://www.cms.gov/newsroom/fact-sheets/cms-announces-manufacturer-participation-third-cycle-medicare-drug-price-negotiation","publisher":"U.S. Centers for Medicare & Medicaid Services","short":"U.S. Centers for Medicare…"}]},{"id":"1i96vbe","at":"2026-01-27T00:00:00.000Z","title":"CMS picks 15 drugs for third negotiation cycle","status":"confirmed","body":"The list includes Part B drugs for the first time. Prices take effect in 2028.","cites":[{"id":"health-care-system-negotiation-round3-selected","n":27,"url":"https://www.cms.gov/newsroom/press-releases/cms-announces-selection-drugs-third-cycle-medicare-drug-price-negotiation-program-including-first","publisher":"U.S. Centers for Medicare & Medicaid Services","short":"U.S. Centers for Medicare…"}]},{"id":"144aonx","at":"2026-01-08T00:00:00.000Z","title":"House passes three-year credit extension, 230-196","status":"confirmed","body":"Seventeen Republicans join Democrats. The Senate has not passed it.","cites":[{"id":"health-care-system-house-passed-extension","n":11,"url":"https://www.aha.org/news/headline/2026-01-09-house-passes-bill-extending-enhanced-premium-tax-credits","publisher":"American Hospital Association (AHA News)","short":"American Hospital…"}]},{"id":"1qsd69j","at":"2026-01-01T00:00:00.000Z","title":"First Medicare negotiated drug prices take effect","status":"confirmed","body":"Prices for 10 Part D drugs, including Eliquis and Jardiance, apply from this date.","cites":[{"id":"health-care-system-negotiation-round1","n":26,"url":"https://www.kff.org/medicare/key-facts-about-medicare-drug-price-negotiation/","publisher":"KFF","short":"KFF"}]},{"id":"11w2ca5","at":"2025-12-31T00:00:00.000Z","title":"Enhanced ACA premium tax credits expire","status":"confirmed","cites":[{"id":"health-care-system-eptc-expired","n":1,"url":"https://www.kff.org/affordable-care-act/what-we-know-so-far-about-2026-aca-marketplace-enrollment-premiums-and-deductibles/","publisher":"KFF","short":"KFF"},{"id":"health-care-system-eptc-400-fpl","n":9,"url":"https://www.kff.org/affordable-care-act/what-we-know-so-far-about-2026-aca-marketplace-enrollment-premiums-and-deductibles/","publisher":"KFF","short":"KFF"}]},{"id":"j9chh8","at":"2025-12-11T00:00:00.000Z","title":"Senate rejects rival health cost bills","status":"confirmed","body":"A Democratic three-year credit extension and a Republican health-account bill each get 51 votes, short of 60.","cites":[{"id":"health-care-system-senate-votes-dec-2025","n":12,"url":"https://www.aha.org/news/headline/2025-12-11-dueling-senate-bills-address-health-care-affordability-fail-pass","publisher":"American Hospital Association (AHA News)","short":"American Hospital…"}]},{"id":"15cybil","at":"2025-11-14T00:00:00.000Z","title":"CMS sets 2026 Medicare Part B premium at $202.90","status":"confirmed","cites":[{"id":"health-care-system-partb-2026","n":21,"url":"https://www.cms.gov/newsroom/fact-sheets/2026-medicare-parts-b-premiums-deductibles","publisher":"U.S. Centers for Medicare & Medicaid Services","short":"U.S. Centers for Medicare…"}]},{"id":"14xv6qx","at":"2025-07-04T00:00:00.000Z","title":"2025 reconciliation law signed","status":"confirmed","body":"Public Law 119-21 changes Medicaid, the ACA Marketplaces and Medicare drug negotiation. CBO estimates 10 million more uninsured by 2034.","cites":[{"id":"health-care-system-plaw-119-21-signed","n":8,"url":"https://www.govinfo.gov/content/pkg/PLAW-119publ21/html/PLAW-119publ21.htm","publisher":"U.S. Government Publishing Office (public law text)","short":"U.S. Government Publishing…"},{"id":"health-care-system-cbo-10m-uninsured","n":19,"url":"https://www.kff.org/medicaid/health-provisions-in-the-2025-federal-budget-reconciliation-law/","publisher":"KFF","short":"KFF"}]}]}