Colorado Health Insurance Premiums Expected to Double in 2026, 75,000 May Lose Coverage

Health insurance premiums for Coloradans purchasing coverage through the state's individual marketplace are set to double in 2026, with an average increase of 101%, largely due to the expiration of enhanced premium tax credits under the Affordable Care Act. Approximately 225,000 Coloradans currently rely on these subsidies, which are ending as part of the federal budget passed by the Republican-led Congress, leaving many without financial assistance and forcing about 75,000 people to potentially drop their coverage. The increases will be particularly steep for middle- and higher-income families, with some Denver families of four facing premium hikes of $14,000 or more, and even higher costs in rural areas. State officials and health insurance commissioners warn that these changes will create "impossible decisions" for families amid a challenging economic environment, and nationwide, millions could become uninsured with related job losses projected. Similar concerns are being voiced in other states like Wisconsin, where the expiration of these tax credits is expected to cause sharp premium increases and reduced coverage. Lawmakers remain deadlocked on extending these subsidies, with Democrats pushing for renewal and Republicans seeking alternative long-term solutions, while states brace for significant impacts on health care affordability.