Open enrollment for 2026 health care coverage through the Affordable Care Act marketplace begins Saturday.

Premiums are rising, with insurers filing rate increases ranging from 12.6 percent to more than 25 percent.

Enhanced federal subsidies that have kept premiums lower are set to expire at the end of 2025 unless Congress acts.

Middle-income Iowans could lose eligibility for premium tax credits.

Assistance from Iowa’s health insurance navigators will remain available but scaled back following federal funding cuts.

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From a small-business owner in Decorah, to a laid off worker in Des Moines, thousands of Iowans are facing hard choices this fall: pay more for health insurance, drop coverage e

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