17 licensed states
ACA health insurance by state for 2027
Larry Hamilton is licensed to help you enroll in ACA Marketplace plans in 17 states. Choose your state to see 2027 insurers, rate changes and enrollment details.
| State | Marketplace | Avg. 2027 rate change | Insurers | Medicaid expansion |
|---|---|---|---|---|
| Alabama | HealthCare.gov | 25% (approved) | 4 | No |
| Arizona | HealthCare.gov | 29% (proposed) | 6 | Yes |
| Florida | HealthCare.gov | 15.9% (proposed) | 10 | No |
| Georgia | Georgia Access | 20.7% (proposed) | 7 | Partial |
| Indiana | HealthCare.gov | 17.5% (approved) | 4 | Yes |
| Iowa | HealthCare.gov | 6.7% (proposed) | 5 | Yes |
| Kansas | HealthCare.gov | 24.2% (proposed) | 5 | No |
| Louisiana | HealthCare.gov | 18.1% (approved) | 6 | Yes |
| Michigan | HealthCare.gov | 14.2% (proposed) | 7 | Yes |
| Mississippi | HealthCare.gov | 21.8% (proposed) | 3 | No |
| Missouri | HealthCare.gov | 12.5% (proposed) | 6 | Yes |
| North Carolina | HealthCare.gov | 14.9% (proposed) | 5 | Yes |
| Ohio | HealthCare.gov | 10.7% (proposed) | 8 | Yes |
| South Carolina | HealthCare.gov | 16.6% (proposed) | 6 | No |
| Tennessee | HealthCare.gov | 12.7% (proposed) | 5 | No |
| Texas | HealthCare.gov | 13.1% (proposed) | 13 | No |
| West Virginia | HealthCare.gov | 18.3% (proposed) | 1 | Yes |
Rate changes are average pre-subsidy individual-market changes from healthinsurance.org's 2027 rate tracker (September 2026). Proposed rates may still change before Open Enrollment.