Obamacare premiums will rise 13% in 2027 for millions of Americans, the second double-digit hike in a row before midterms

Obamacare enrollees face a 13% average premium rise in 2027, according to a KFF analysis of Trump administration pricing data released Friday — the second consecutive double-digit hike after a crushing 26% increase the previous year. The expiry of enhanced Biden-era tax credits, new enrollment barriers, and rising underlying medical costs are all driving the surge. Health care costs now rank among voters' top concerns heading into Tuesday's midterm elections.

Enrollment has tumbled from a Biden-era peak of 24 million to roughly 19 million this year following the elimination of the subsidies.

Insurers say the loss of enhanced premium tax credits changed the mix of enrollees, worsening the risk pool and pushing costs higher still.

Six in ten voters told KFF they are worried about affording health care — ranking it level with gas prices as their most pressing cost-of-living concern.