Affordable Care Act open enrollment kicks off Saturday, and this year’s enrollment period is expected to see the largest increase in costs since the law went into effect more than a decade ago.

More than 24 million Americans get their health insurance through the ACA , also known as Obamacare. In 2026, a perfect storm of rising premiums and the expiration of enhanced subsidies that kept costs lower for middle-class families mean many people will face higher bills or be forced to shop around for cheaper plans. Some plan to go uninsured as a result.

“It’s a high risk situation for people,” said Stacie Dusetzina, a health policy professor at Vanderbilt University in Nashville, Tennessee. “If it comes down to paying for food, power and heat versus health insurance that you don’t know i

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