Health1 min read

It's ACA open enrollment time. Here are the changes for health insurance shoppers

By · Via NPR · Published by Everything Blog

In short

Federal health officials are implementing sweeping verification rules across 29 federal marketplace states to curb widespread fraud, following the cancellation of 760,000 policies in August. Consumers working with brokers must now authenticate the relationship through a one-time confirmation code delivered via text, phone, or email. Applicants classified as high risk must also complete mandatory identity checks using approved third parties or official document uploads. In addition, the Centers for Medicare & Medicaid Services has barred brokers who were not registered with the federal marketplace in 2026 from participating.

Key points

  • Heightened authentication procedures and broker restrictions will require marketplace sho…: Heightened authentication procedures and broker restrictions will require marketplace shoppers to take extra administrative steps to secure coverage.
  • The expiration of enhanced subsidies at the end of 2025 is expected to drive a sustained…: The expiration of enhanced subsidies at the end of 2025 is expected to drive a sustained decrease in overall program enrollment.
  • Newly active insurance brokers who lacked registration with the federal exchange in 2026…: Newly active insurance brokers who lacked registration with the federal exchange in 2026 are completely barred from offering plans.

Sources checked by our analysis pipeline: 1

Consumers who buy Affordable Care Act health insurance are going to see changes both big and small as open enrollment for 2027 coverage kicks off. These include premium increases, possible additional identity checks, potential delays in working with a broker, and new limits on which immigrants can get subsidies.

Shoppers need to plan accordingly.

Open enrollment starts Nov. 1 in most states. Idaho, Connecticut, and Massachusetts started earlier, and some states have been allowing "window shopping" to check premium rates.

A continued decline in overall enrollment is expected, mainly because of the expiration of enhanced subsidies at the end of 2025. Policy experts say the end of those subsidies led millions to drop or lose coverage through the first few months of this year.

But the Trump administration sees victory in the falling enrollment, crediting its various efforts to reduce fraud, including the August cancellation of policies covering 760,000 enrollees suspected to be improperly signed up. A small number of those enrollees have regained coverage.

Have your ID ready

One of the biggest changes for people shopping for their 2027…

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