Health insurance premiums for Affordable Care Act plans are rising about 14% in 2027 across several states, signaling similar increases may occur in New Jersey. This follows a dramatic surge in 2026 due to reduced federal subsidies, causing many to drop coverage or choose lower-cost plans with fewer benefits. Rising healthcare costs and provider salary increases are key factors. Medicaid cuts may lead to 300,000 New Jerseyans losing coverage and risk hospital closures.