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Residents of at least 11 states who buy coverage through the Affordable Care Act (ACA) marketplace can get extra state help paying their premiums in 2027.

ACA health plans are for anyone under 65 who doesn't have access to affordable job-based health insurance or isn't eligible for Medicaid.

States helping to blunt the cost of ACA coverage include California, Colorado, Connecticut, Maryland, Massachusetts, New Mexico, New Jersey, Rhode Island, Vermont, Virginia and Washington state, CNBC reports. All run their own marketplaces rather than using HealthCare.gov.

These state programs aim to soften the loss of enhanced federal premium tax credits, which expired at the end of 2025. Without them, members saw average marketplace premiums rise 58% in 2026, according to KFF, a nonpartisan health policy research group.

As of February, about 19.2 million people had marketplace plans, according to the U.S. Department of Health and Human Services. That's a 13% drop from a year earlier.

State aid comes on top of the federal tax credits that remain. Amounts and eligibility vary, and many programs focus on lower-income enrollees.

California, for example, is opening its program to people earning up to 200% of the federal poverty level, or about $31,920 for a single adult. That change will make roughly 200,000 more residents eligible, CNBC reports.

New Mexico is the only state fully replacing the lost federal aid.

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