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Impact of Federal Budget Bills On New York 

There are 6.7 million people enrolled in health insurance through NY State of Health.  However, due to proposed changes in federal law, there could be changes to your NY State of Health coverage.  These federal changes could result in higher premiums to enroll or renew your health plan and could mean new requirements to enroll and renew your health plan.  Learn more about how these changes could affect your premiums depending on where you live.

Watch for our messages to learn what this could mean for you.

We will continue to update this page as more information is made available to NY State of Health. 


How could my health insurance change in 2026? 

If you are enrolled in the ESSENTIAL PLAN

  • Over 730,000 individuals could lose their Essential Plan coverage
  • Some Essential Plan enrollees may have to pay for full cost Qualified Health Plan coverage
  • Hospitals could incur over $1.3 billion in losses, which could make it harder to access care  

If you are enrolled in MEDICAID

  • Over 1 million Medicaid enrollees may lose their coverage
  • New paperwork and work requirements might leave almost 1.5 million New Yorkers without insurance
  • Enrollees may have to renew their coverage twice a year instead of annually      

If you are enrolled in a QUALIFIED HEALTH PLAN (QHP)

  • An estimated 65,000 – 80,000 enrollees may lose their coverage
  • 240,000 New Yorkers who receive tax credits could see their rates go up by at least 5 percent
  • 140,000 enrollees who receive tax credits may see their costs increase by 38 percent

Learn More:

 


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