Trump admin shortens ACA enrollment window

[BumRushDaShow]

Source: Axios

11 hours ago


The Trump administration on Friday narrowed the period to sign up for Affordable Care Act coverage and imposed other restrictions aimed at rolling back Biden-era flexibilities for the program.

Why it matters: The Centers for Medicare and Medicaid Services expects the new policies to lower marketplace premiums by about 5% on average, and save taxpayers $12 billion next year.

But between 725,000 and 1.8 million people are expected to lose coverage, per CMS's projections.

The big picture: Congress is considering codifying many of the same provisions in the massive GOP budget bill that's now in the Senate. That would make them much harder for a future administration to undo.

State of play: CMS is shortening the period for enrolling in marketplace insurance by two weeks, starting for plan year 2027. Federal exchanges will then be open for sign-ups from Nov. 1 through Dec. 31 of each year.

It's also repealing the monthly opportunity started under the Biden administration for lower-income people to get marketplace coverage.

The new rule limits plans' ability to cover gender-affirming care beginning next year.

It also excludes Deferred Action for Childhood Arrivals (DACA) recipients from obtaining ACA coverage.

Read more: https://www.axios.com/2025/06/20/trump-admin-aca-coverage-changes