Claire Heyison

The Medicaid and marketplace proposals from the Heritage Foundation’s Project 2025[1] blueprint, the Republican Study Committee’s (RSC) fiscal year 2025 budget,[2] and the Republican House Budget Committee’s (HBC) fiscal year 2025 budget resolution[3] would undermine Affordable Care Act (ACA) coverage protections, make health coverage more costly and less comprehensive, shift more costs to states, and increase the number of uninsured people in the U.S. These proposals would result in a future...

The Affordable Care Act (ACA) marketplaces provide comprehensive health coverage to millions of people, and recent enhancements to premium tax credits have made coverage more affordable than ever. However, many marketplace enrollees — like others with private insurance coverage — still struggle with unpredictable and high costs when they seek care.

States that run their own state-based health insurance marketplaces (SBMs) are uniquely positioned to help people no longer eligible for Medicaid transition to a marketplace plan and receive financial help if they qualify, as the state administers both the SBM and Medicaid.