One in four Americans covered by the Affordable Care Act (ACA) are considering going without health insurance if their monthly premiums double next year, a new KFF poll published Thursday finds.

Open enrollment for the ACA began last month, and many Americans experienced sticker shock upon receiving their annual notices and discovering their 2026 premiums would be increasing.

At the same time, enhanced premium tax credits under the ACA, which help lower the cost of monthly premiums for about 22 million Americans, are set to expire at the end of the year, and it's unclear if Congress will take action to extend them.

The survey, which included a nationally representative sample of 1,350 U.S. adults between ages 18 and 64 and was conducted during early to mid-November, found that many Amer

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