In 2014, when the ACA’s key provisions took effect, individual market premiums rose nearly 50 percent.
From 2014 to 2026, premiums increased nearly twice as rapidly as employer plan premiums.
The ACA’s subsidies are ill-designed and inflationary. The enrollee’s share of the premium is capped, regardless of the total premium. Because enrollees pay only a small slice of the premium, insurers face virtually no price discipline—giving them incentives to inflate costs rather than improve value….
COVID-era subsidy boosts resulted in fully subsidized coverage and led to massive fraud.
In 2025, there are 6.4 million people enrolled in fully subsidized plans who are not eligible, costing $27 billion. In 15 states, there are more than twice as many enrollees in fully subsidized plans than are eligible.
Source: Senate Testimony of Brian Blase