Early federal enrollment data for the 2026 Affordable Care Act (ACA) marketplace plan year indicates a meaningful decline in coverage following the expiration of enhanced premium tax credits, which may have significant implications for hospitals and providers as coverage affordability pressures grow and payer mix volatility increases.

Enrollment Declines Following Subsidy Expiration

As of early

In a case of first impression, the Superior Court of New Jersey in Atlantic Plastic & Hand Surgery, P.A. v. Ralling held that a parent who is the named insurance policyholder is not liable for unreimbursed medical expenses incurred by an emancipated child who is a covered “adult child” dependent pursuant to the Patient Protection