Rates for health insurance premiums in the federal government marketplace are expected to increase by 18% in 2026, a spike of 11 percentage points over 2025.

The proposed rates are preliminary and could change before being completed in late summer, The Hill reported Wednesday, citing an analysis from the Kaiser Family Foundation. The analysis includes proposed rate changes from 312 insurers in all 50 states and the District of Columbia.

It would represent the largest rate change insurers have requested since 2018, the last time that policy uncertainty contributed to sharp premium increases, according to The Hill. On average, insurers in the Affordable Care Act marketplace are raising premiums by about 20% in 2026, the analysis found.

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