
This Week
The independent source for health policy research, polling, and news.
What We Know So Far About 2026 ACA Marketplace Enrollment, Premiums, and Deductibles

After the enhanced tax credits ended, many Marketplace shoppers shifted toward lower-premium, higher-deductible plans, according to a new KFFanalysis. The average ACA deductible grew by about $1,000 per person in 2026. Marketplace enrollment could fall from 22.3 million in 2025 to about 17.5 million in 2026. Read more →
Also, check out KFF Health News coverage on declining ACA enrollment and the growing number of Marketplace enrollees skipping premium payments. Read the story →
Texas Emerges as Focus of New Trump Administration Actions to Limit Gender-Affirming Care
This analysis explores recent actions the Trump administration has taken to limit youth access to gender-affirming care. Each has a connection to the Justice Department and to the state of Texas. These measures are widely seen as an escalation in this policy area and could add to the chilling effect already characterizing the provision of gender-affirming care.
Also, KFF’s Overview of President Trump’s Executive Actions Impacting LGBTQ+ Health, tracking executive actions since January 2025, has been updated.

Is the U.S. Stepping Up In the Fight Against Ebola?
This policy watch looks at the major new Ebola outbreak in the Democratic Republic of the Congo, discusses how the U.S. government has responded so far, and describes how the current situation compares to prior U.S. Ebola responses.
Key Facts on Health Coverage of Immigrants
This fact sheet provides an overview of health coverage for immigrants based on data from the 2023 KFF/LA Times Survey of Immigrants, the largest nationally representative survey focused on immigrants and discusses potential implications of incoming Trump administration policies for coverage of immigrants. Read more →
Related content:
- Children in Immigrant Families: Key Facts on Health Coverage and Care
- State Health Coverage for Immigrants and Implications for Health Coverage and Care

KFF’s Business of Health Podcast: AI: As Much Peril As Promise?
What does AI mean for patients in bed and doctors at the bedside? Host Chip Kahn and guest Dr. Robert Wachter, Chair of the Department of Medicine at the University of California, San Francisco, discuss whether AI will produce a different kind of doctor in the future — a “clinician curator rather than a clinician-diagnostician.” The answer could define the future of medicine and the doctor-patient relationship.
Question of the Week
Last week, 49% of readers answered correctly that, under shield laws, in June 2025 approximately 55% of telehealth medication abortions were provided to people living in states with abortion bans or telemedicine bans.
As of 2025, what percentage of likely undocumented immigrant adults reported being uninsured?
See how many readers answered correctly in the next edition of This Week.
Health News
What the Health? Sen. Cassidy Unleashed
Watch: The Tug-of-War Over Taxpayer Dollars
ICE Arrests Are Separating Families. Here’s How To Plan Ahead.
Colorado Charts Its Own Course on Vaccines Amid Federal Pullback
Trump Bought Stock in Drugmaker as His Government Boosted Its Obesity Drugs
Religious Anti-Abortion Center Finds Opportunity in Town Without OB-GYNs
Efforts To Understand the Nation’s Drugged Driving Problem Stall Under Trump
More on Health Policy
Hospital Prices Have Risen Much Faster for Private Insurance Than Medicare Since 2019
Understanding Medicaid Cost Sharing and Policy Changes from the 2025 Reconciliation Law
Assessing PEPFAR’s Health Spillover Effects Beyond HIV: An Update
Assessing PEPFAR’s Economic and Educational Spillover Effects: An Update
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