Medicaid and Medicare Access Changes for 2027 Open Enrollment

The 2027 ACA open enrollment period brings major changes to Medicaid and Medicare access: Part D premiums rising 50% ($34→$51/month), Medicaid enrollment down 5.1 million over the year, insurer exits from marketplaces, broker fraud crackdowns with six-month suspensions, immigrant eligibility restrictions under the 2025 reconciliation law, Medicaid work requirement exclusions, and ongoing litigation. KFF also reports Medicaid/CHIP enrollment at 72.9 million as of July 2026.